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RecruitingNCT06080321Updated Oct 12, 2023

Oral Hygiene Compliance in Orthodontic Patients Using Active Reminders

An interventional study of WhatsApp reminders and Instagram reminders in Oral Hygiene and Dental Plaque, sponsored by Nourhan M.Aly. Recruiting at 1 site in Egypt. Open to participants aged 11 Years to 20 Years. Per ClinicalTrials.gov, last updated 2023-10-12.

Sponsored by Nourhan M.Aly · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Apr 2024, 2 years 6 months ago, but the record still lists the study as recruiting.
  • Started Oct 2023; still recruiting 3 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
11 Years to 20 Years
Sex
All
01

Study summary

The aim of the present study will be to determine if different forms of active reminders regarding oral hygiene compliance have an influence on the level of compliance within orthodontic patients

02

Conditions studied

  • Oral Hygiene
  • Dental Plaque

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03

In context

Dental Plaque

314 studies on the registry are indexed under Dental Plaque; 55 are open to participants now.

This study's planned enrollment of 100 is above the median of 59 across 279 interventional studies indexed under Dental Plaque.

Browse Dental Plaque studies →

Lead sponsor

Nourhan M.Aly is the lead sponsor of 48 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
11 Years to 20 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subjects with a complete natural dentition.
  • Patients who need to undergo orthodontic therapy using fixed appliances.
  • Good oral hygiene, with no signs and symptoms of periodontal disease.
  • Patients with no medical or mental problems.

Exclusion criteria

Exclusion Criteria:

  • Patients with health risks associated with periodontal probing.
  • Syndromic patients ex; Down syndrome.
  • Previous orthodontic treatment.
  • Patients with carious teeth
05

Study design

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

Study arms

  • Experimental
    WhatsApp messages

    Other: WhatsApp reminders

  • Experimental
    Instagram messages

    Other: Instagram reminders

  • Experimental
    Phone calls

    Other: Phone calls

  • Active comparator
    App alerts

    Other: Application alerts

  • No intervention
    No active reminders

Interventions

  • OtherWhatsApp reminders

    Patients will receive active oral hygiene reminders in the form of WhatsApp messages one weekday each week. The standardized text message will be: "This is a message from the Orthodontic Clinic at Faculty of Dentistry, Alexandria reminding you that it is extremely important to brush your teeth for 2 minutes after every meal or at least 3 times daily. Cleaning your teeth will help to keep them healthy and beautiful."

  • OtherInstagram reminders

    Patients will receive active oral hygiene reminders in the form of Instagram messages one weekday each week. The standardized text message will be: "This is a message from the Orthodontic Clinic at Faculty of Dentistry, Alexandria reminding you that it is extremely important to brush your teeth for 2 minutes after every meal or at least 3 times daily. Cleaning your teeth will help to keep them healthy and beautiful."

  • OtherPhone calls

    Patients will receive active oral hygiene reminders in the form of phone calls one weekday each week. The structured phone call will be: "This is a message from the Orthodontic Clinic at Faculty of Dentistry, Alexandria reminding you that it is extremely important to brush your teeth for 2 minutes after every meal or at least 3 times daily. Cleaning your teeth will help to keep them healthy and beautiful."

  • OtherApplication alerts

    Patients will download an app on their mobile phones which has cleaning tips, demonstrations and alerts. The structured message will be: "This is a message from the Orthodontic Clinic at Faculty of Dentistry, Alexandria reminding you that it is extremely important to brush your teeth for 2 minutes after every meal or at least 3 times daily. Cleaning your teeth will help to keep them healthy and beautiful."

06

What researchers measure

Primary outcomes

  1. Gingival bleeding

    This will be assessed using the bleeding index (BI) upon probing the mesio-buccal, direct buccal, and disto-buccal aspects of the gingival sulci of the teeth. BI scoring ranges from 0-2; 0: no bleeding after 30 seconds, 1: bleeding after 30 seconds, 2: immediate bleeding

    Time frame: up to 6 months

  2. Gingival inflammation

    This will be assessed using the modified gingival index (MGI). One MGI measurement of the buccal marginal gingiva for each tooth will be scored. Scoring ranges from 0-4 where 0 indicates absence of inflammation, 1: mild inflammation (marginal or papillary unit), 2: mild inflammation (entire marginal and papillary unit), 3: moderate inflammation, and 4: severe inflammation

    Time frame: up to 6 months

  3. Plaque accumulation

    This will be assessed using the plaque index (PI). One PI measurement will be recorded for the buccal surface of each tooth. Scoring ranges from 0-5; where 0 indicates absence of plaque, 1: discontinuous plaque band at gingival margin, 2: up to 1 mm continuous plaque band at gingival margin, 3: plaque band wider than 1 mm but less than 1/3 of the surface, 4: plaque band between 1/3 and 2/3 of the surface, and 5: plaque covering 2/3 or more of the surface

    Time frame: up to 6 months

  4. Visual examination of white spot lesions

    The presence of white spot lesions located on the buccal surface gingival to the archwire will be examined visually on the maxillary and mandibular six anterior teeth after being air dried for 5 seconds. Scoring ranges from 0-3; where 0: no visible white spot or surface disruption, 1: visible white spot without surface disruption, 2: visible white spot with roughened surface, 3: visible white spot requiring restoration.

    Time frame: up to 6 months

07

Study locations

1 of 1 sites recruiting
  • Faculty of Dentistry, Alexandria University
    Alexandria, 21512, Egypt
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 12, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06080321
Lead sponsor
Nourhan M.Aly
Responsible party
Nourhan M.Aly (Assistant Lecturer of Dental Public Health, University of Alexandria) — Sponsor-investigator
First posted
Oct 12, 2023
Start date
Oct 1, 2023
Primary completion
Apr 2024 (estimated)
Completion
Apr 2024 (estimated)
Last update
Oct 12, 2023

Study contacts

Samar M Adel, PhD
Contact
orthosamar@gmail.com
1099911526 ext. +20
Samar M Adel, PhD
principal investigator · Alexandria University
Nikhilesh R Vaid, PhD
study chair · Department of Orthodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, India
Eiman Marzouk, PhD
study director · Alexandria University

Oversight

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

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