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CompletedNCT06010797Updated Sep 5, 2023

Effect of Pre-treatment Photographs on Oral Hygiene Maintenance in Orthodontic Patients

An interventional study of Showing Pre-treatment photographs of the patient in Oral Hygiene and Photographs, sponsored by Rehmat Memorial Post Graduate Dental Teaching Hospital. Completed at 1 site in Pakistan. Open to participants aged 13 Years to 25 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-09-05.

Sponsored by Rehmat Memorial Post Graduate Dental Teaching Hospital · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 3 years after the study started (first participant enrolled Aug 2020, registered Aug 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
13 Years to 25 Years
Sex
All
01

Study summary

Dental photography is an essential component of orthodontic treatment. Photographs enable the clinician to keep record of different stages of treatment. Other uses are for treatment planning, communicating with the patients and other specialists, comparison of pre-treatment and post-treatment changes, for research purpose and also for patient's motivation. Images captured before, during and after treatment provide legal protection when necessary. In the orthodontic discipline, at least three extra-oral and five intra-oral photographs are recommended. Extra-oral photographs should correctly reflect patient's appearance and intra-oral photographs should show complete dentition and occlusion.

Oral hygiene is controlled by the patient during orthodontic treatment which requires proper motivation. Motivational methods are classified as chair-side education, message reminders, behavioral modification and Hawthorne effect. Patients' motivation plays an important role in maintaining favorable oral hygiene. A number of studies have shown the effect of motivational methods on oral hygiene improvement. In one of these studies, 80 patients who needed orthodontic treatment were selected and randomly distributed into two equal groups as control group and study group. The study group patients were included in a Whatsapp where they shared their own photographs (selfies) and received text messages, while the control group patients were not included in any Whatsapp group. Baseline PI scoring was 0.48(0.34) in control group and 0.41(0.32) in study group, After 3 months PI scoring was 1.72(0.33) in control group and 1.68(0.40) in study group. Results showed that sharing of selfies improves oral hygiene compliance in Orthodontic patients.

The purpose of this study was to determine probable effect of pre-treatment photographs on oral hygiene maintenance in orthodontic patients. To our knowledge no such study has been done previously. This would help us in making patients understand the importance of oral hygiene maintenance. The results will also be used by other practitioners.

Read the detailed description

Randomized Controlled Trial Design:

  1. Participants:

    Orthodontic patients.

  2. Intervention:

    Patients' own pre-treatment dental photographs.

  3. Study group:

    Orthodontic patients who are shown dental photographs.

  4. Comparison group:

    Orthodontic patients who are not shown dental photographs.

  5. Outcome:

    Good oral hygiene measured by plaque index.

  6. Block randomization:

    To decrease selection or accidental bias patients were assigned group A or B using block randomization technique. Blocks were created, size of each block was 4 with 2 'A's and 2 'B's. For 2 groups there were 6 possible blocks. From random number table a random sequence of blocks was generated. Patients were then assigned groups according to blocks.

  7. Subjects:

I. Group 1:

Included 30 patients and these patients were shown full extra-oral and intra-oral photographs.

II. Group 2:

Included 30 patients and these patients were not shown any photographs. All subjects received similar oral hygiene instructions. Those in group A were shown their photographs while those in B were not shown any photographs.

02

Conditions studied

  • Oral Hygiene
  • Photographs

Keywords

  • Oral hygiene
  • Photographs
  • Dental
  • Orthodontics
  • Periodontitis
  • Gingivitis
  • Index
03

In context

Lead sponsor

This is the only study on the registry with Rehmat Memorial Post Graduate Dental Teaching Hospital as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
13 Years to 25 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Patients of both genders
  • Between age 13-25 years

Exclusion criteria

Exclusion Criteria:

  • Patients with previous orthodontic treatment
  • Handicapped patients
  • Patients with any systemic disease
  • Generalized periodontal disease
  • Congenital malformations
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Orthodontic patients who are shown pre-treatment photographs

    Group A included 30 patients who were shown their pre-treatment extra-oral and intra-oral photographs.

    Device: Showing Pre-treatment photographs of the patient

  • No intervention
    Orthodontic patients who were not shown pre-treatment photographs

    Group B included 30 patients who were not shown their pre-treatment extra-oral and intra-oral photographs.

Interventions

  • DeviceShowing Pre-treatment photographs of the patient

    Extra-oral and intra-oral dental photographs of patients were taken before starting Orthodontic treatment. Experimental group were shown their photographs while control group were not shown their photographs.

06

What researchers measure

Primary outcomes

  1. Good oral hygiene measured by plaque index

    Plaque scores at T0 and T1 were compared to assess improvement in oral hygiene

    Time frame: 3 months

07

Study locations

1 site
  • Rehmat Memorial Dental Postgraduate Teaching Hospital
    Abbottabad, Khyber Pakhtaunkha 22010, Pakistan
08

References and documents

Study documents

  • Protocol, analysis plan and consent form · Aug 20, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06010797
Lead sponsor
Rehmat Memorial Post Graduate Dental Teaching Hospital
Responsible party
Eizza Niaz (Principal Investigator, Rehmat Memorial Post Graduate Dental Teaching Hospital) — Principal investigator
First posted
Aug 25, 2023
Start date
Aug 10, 2020
Primary completion
Jul 4, 2021
Completion
Jul 4, 2021
Last update
Sep 5, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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