Universidade Cruzeiro do Sul, São Paulo, Brasil.
Universidade Cruzeiro do Sul, São Paulo, Brasil; Universidade Braz Cubas, São Paulo, Brasil.
Int Dent J. 2023 Jun;73(3):395-402. doi: 10.1016/j.identj.2022.08.010. Epub 2022 Oct 1.
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.
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.
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.
This study shows the potential utility of the mobile app for improving the OH of adolescents.
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。
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。
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。
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。