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CompletedNCT07909213Updated Nov 2, 2026

Comparison of Model-Based and Video-Based Toothbrushing Instruction in Children

An interventional study of Video-Based Toothbrushing Instruction and Model-Based Toothbrushing Instruction in Dental Plaque and Oral Hygiene, sponsored by Karabuk University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 7 Years to 9 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Karabuk University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled May 2026, registered Oct 2026).
Updated Nov 2, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
72
Allocation
Randomized
Ages
7 Years to 9 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 30 studies in Dental Plaque with a site in Turkey — 5 open to participants now, 5 under way, none of them phase 3. Dental Plaque · Turkey.

Enrollment
6th of 21
72 · median 52
Started
2026
with 2 others
No phase
21 of 30
2 open now
Registered
29th of 30
by date

Among the 30 studies in Dental Plaque with a site in Turkey, this one is the 6th largest by enrollment of the 21 interventional ones, is one of 3 that started in 2026, is one of 21 with no phase, and was the 29th registered.

By phase

30 studies; the count open now beside each. This study's row is marked.

No phasethis study21 · 2 open
Observational9 · 3 open

By the year they started

First in 2017; this study’s year is marked. 3 started in 2026.

Size and results

Median enrollment 52 across the 21 interventional studies, 60 across the 9 observational. Of the 24 that completed or were terminated, 0 (0%) have results posted.

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02

Study summary

Good toothbrushing is important for keeping children's teeth healthy. Dentists commonly teach children how to brush their teeth using dental models or instructional videos. However, it is not clear whether one method helps children clean their teeth more effectively than the other.

The purpose of this study was to compare face-to-face toothbrushing instruction using a dental model with video-based instruction in children aged 7 to 9 years.

Children were randomly assigned to one of two groups. One group watched a video showing how to brush teeth using a dental model, while the other group received a face-to-face demonstration using the same model and toothbrushing technique.

After instruction, a plaque-disclosing tablet was used to make dental plaque visible on the children's teeth. Photographs were taken before and after the children brushed their teeth for two minutes. The researchers then compared how much plaque was removed in each group.

The main question was whether the two teaching methods differed in helping children remove dental plaque immediately after instruction.

Read the detailed description

This randomised, single-blind, parallel-group clinical trial compared the immediate plaque removal efficacy of model-based and video-based toothbrushing instruction in children aged 7-9 years.

Participants were randomly assigned to two instructional groups. In the model-based instruction group, the researcher demonstrated the Fones toothbrushing technique face-to-face using a dental model. In the video-based instruction group, children watched a pre-recorded demonstration of the same technique. Instruction lasted approximately 3-5 minutes in both groups.

Dental plaque was disclosed before and after two minutes of toothbrushing using a standardised toothbrush and fluoride toothpaste. Intraoral photographs were obtained under standardised conditions, and plaque accumulation was assessed using the Turesky Modified Quigley-Hein Plaque Index. The outcome assessor was blinded to group allocation.

The primary outcome was the percentage of plaque removed immediately after instruction. Between-group comparisons were performed, with additional analysis adjusting for baseline plaque levels. The study was designed to assess immediate toothbrushing performance rather than long-term changes in oral hygiene habits.

03

Conditions studied

  • Dental Plaque
  • Oral Hygiene

Browse trials for

Keywords

  • Toothbrushing
  • Oral Hygiene Education
  • Plaque Removal
  • Model-Based Instruction
  • Video-Based Instruction
  • Fones Technique
  • Children
04

Who can participate

Ages eligible
7 Years to 9 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Children aged 7-9 years attending primary school. Presence of at least six teeth suitable for plaque scoring in the maxillary and mandibular anterior regions (canine to canine), including primary or permanent teeth.

No systemic diseases. No orthodontic brackets, fixed appliances, or retainers.

Exclusion criteria

Exclusion Criteria:

Professional dental scaling or plaque removal within the previous month. Anterior teeth unsuitable for plaque assessment because of enamel defects, extensive caries, dental trauma, or restorations.

Intraoral conditions that could interfere with standardised photographic assessment.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
72 participants (actual)

Study arms

  • Experimental
    Video-Based Instruction (VBI)

    Children received toothbrushing instruction by watching a pre-recorded video demonstrating the Fones technique on a dental model. Instruction lasted approximately 3-5 minutes. Following instruction, children brushed their teeth for two minutes using a standardised toothbrush and toothpaste.

    Behavioral: Video-Based Toothbrushing Instruction

  • Experimental
    Model-Based Instruction (MBI)

    Children received face-to-face toothbrushing instruction from the researcher using a dental model to demonstrate the Fones technique. Instruction lasted approximately 3-5 minutes. Following instruction, children brushed their teeth for two minutes using a standardised toothbrush and toothpaste.

    Behavioral: Model-Based Toothbrushing Instruction

Interventions

  • BehavioralVideo-Based Toothbrushing Instruction

    Children watched a pre-recorded instructional video in which the researcher demonstrated the Fones toothbrushing technique using a dental model. The instruction lasted approximately 3-5 minutes.

  • BehavioralModel-Based Toothbrushing Instruction

    The researcher provided face-to-face instruction by demonstrating the Fones toothbrushing technique using a large dental model. The instruction lasted approximately 3-5 minutes.

06

What researchers measure

Primary outcomes

  1. Percentage of Dental Plaque Removal

    The percentage of dental plaque removed during toothbrushing was calculated using the Turesky Modified Quigley-Hein Plaque Index (TMQHPI). Plaque was disclosed and scored from standardised intraoral photographs before and after toothbrushing. Plaque removal percentage was calculated as \[(pre-brushing TMQHPI score - post-brushing TMQHPI score) / pre-brushing TMQHPI score\] × 100. A higher percentage indicated greater plaque removal.

    Time frame: Immediately after the two-minute toothbrushing session, on the same day as instruction.

Secondary outcomes

  1. Pre-Toothbrushing Dental Plaque Score (TMQHPI)

    Dental plaque accumulation was assessed before toothbrushing using the Turesky Modified Quigley-Hein Plaque Index (TMQHPI) on disclosed anterior tooth surfaces. Scores range from 0 (no plaque) to 5 (plaque covering two-thirds or more of the tooth crown). Higher scores indicate greater plaque accumulation.

    Time frame: Immediately after instruction, before the two-minute toothbrushing session.

07

Study locations

1 site
  • Karabuk Oral and Dental Health Training and Research Hospital
    Karabük, Karabük Province 78100, Turkey (Türkiye)
08

References and documents

Publications

  • Salama F, Abobakr I, Al-Khodair N, Al-Wakeel M. Evaluation of tablet PC as a tool for teaching tooth brushing to children. Eur J Paediatr Dent. 2016 Dec;17(4):327-331. PubMed 28045324 ↗
  • Tusi SK, Momeni Z, Hamdollahpoor H, Parviz N, Ghorbani M. Evaluating the effectiveness of various teaching methods on dental plaque removal in children: a quasi-experimental study. BMC Pediatr. 2025 Feb 12;25(1):109. doi: 10.1186/s12887-025-05438-6. PubMed 39939902 ↗
  • Rajab LD, Assaf DH, El-Smadi LA, Hamdan AA. Comparison of effectiveness of oral hygiene instruction methods in improving plaque scores among 8-9-year children: a randomized controlled trial. Eur Arch Paediatr Dent. 2022 Apr;23(2):289-300. doi: 10.1007/s40368-021-00680-9. Epub 2021 Nov 15. PubMed 34780032 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared due to privacy and confidentiality considerations, as the study involves children and includes intraoral photographs and individual clinical records.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2026 to primary completion in Aug 2026, 3 months.

Of 133 non-industry interventional studies with no phase under Dental Plaque, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 16. This study's 3 months is below that.

Counting every sponsor, half of 178 studies reached it within 6 months; a quarter within 2 and three quarters within 14.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 26, 2026
First posted
Nov 2, 2026
StartActual
May 11, 2026
Primary completionActual
Aug 27, 2026
CompletionActual
Aug 27, 2026
Last update
Nov 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07909213
Lead sponsor
Karabuk University
Collaborators
The Scientific and Technological Research Council of Turkey
Responsible party
Ecem Elif Çege (Assistant Professor, Karabuk University) — Principal investigator
First posted
Nov 2, 2026
Start date
May 11, 2026
Primary completion
Aug 27, 2026
Completion
Aug 27, 2026
Last update
Nov 2, 2026

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 Oct 2026. You cannot join it, but the record below documents what was studied.

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