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新应用程序改善正畸患者口腔卫生的效果:一项初步研究。

Effectiveness of a New App in Improving Oral Hygiene in Orthodontic Patients: A Pilot Study.

机构信息

Universidade Cruzeiro do Sul, São Paulo, Brasil.

Universidade Cruzeiro do Sul, São Paulo, Brasil; Universidade Braz Cubas, São Paulo, Brasil.

出版信息

Int Dent J. 2023 Jun;73(3):395-402. doi: 10.1016/j.identj.2022.08.010. Epub 2022 Oct 1.

Abstract

OBJECTIVES

The aim of this randomised clinical trial was to evaluate the effects of a mobile application (app) on the oral hygiene (OH) of adolescents undergoing fixed orthodontic treatment.

METHODS

Eight volunteers (14-19 years old) were randomly allocated to the experimental or control groups. Volunteers in the control group received standard OH (SOH) instructions, whilst volunteers in the experimental group received SHO + OH guidance and motivation through an app tailor-made for this study. Clinical assessments were made using the visible plaque index (VPI) and gingival bleeding index (GBI) at 5 different time points: before orthodontic device installation (T0); at baseline (T1); and 30 (T2), 60 (T3), and 90 (T4) days after randomisation. Significant differences were evaluated using Student t test and multilevel logistic regression analysis.

RESULTS

Although no significant difference could be observed, VPI at T1 and T2 were lower for volunteers in the experimental group (33.20 ± 19.29; 32.10 ± 7.72) than for the volunteers in the control group (42.11 ± 8.56; 43.59 ± 34.71). The same was observed for GBI, in which volunteers in the experimental group presented lower GBI at T1 and T2 (12.70 ± 8.10; 13.72 ± 7.39) than volunteers in the control group (27.53 ± 17.89; 20.38 ± 9.95). Good acceptance for using the app was shown by volunteers.

CONCLUSIONS

This study shows the potential utility of the mobile app for improving the OH of adolescents.

摘要

目的

本随机临床试验旨在评估一款移动应用程序(app)对接受固定正畸治疗的青少年口腔卫生(OH)的影响。

方法

8 名志愿者(14-19 岁)被随机分配到实验组或对照组。对照组志愿者接受标准 OH(SOH)指导,而实验组志愿者则通过专门为此研究定制的 app 接受 SHO+OH 指导和激励。临床评估使用可视菌斑指数(VPI)和牙龈出血指数(GBI)在 5 个不同时间点进行:正畸装置安装前(T0);基线(T1);随机分组后 30 天(T2)、60 天(T3)和 90 天(T4)。使用学生 t 检验和多水平逻辑回归分析评估显著性差异。

结果

尽管没有观察到显著差异,但实验组志愿者在 T1 和 T2 时的 VPI(33.20±19.29;32.10±7.72)低于对照组志愿者(42.11±8.56;43.59±34.71)。GBI 也是如此,实验组志愿者在 T1 和 T2 时的 GBI 较低(12.70±8.10;13.72±7.39),而对照组志愿者则较高(27.53±17.89;20.38±9.95)。志愿者对使用该 app 的接受程度良好。

结论

本研究表明,移动应用程序在改善青少年口腔卫生方面具有潜在的应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9c5/10213813/22969c4b50f5/gr1.jpg

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