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02-09-2023 | Gingiva Index | Original Article

Efficacy of a mobile phone application for the improvement of oral hygiene of patients undergoing fixed orthodontic treatment

A randomized controlled clinical trial

Authors: Associate Professor Nima Sheikh Davoodi, Assistant Professor Ali Tayebi, Kasra Rahimipour, Mahban Zarei, Associate Professor Asieh Mozaffari, Assistant Professor Monirsadat Mirzadeh, Reza Mousavi, Narges Bayat

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

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Abstract

Objectives

This study aimed to assess the efficacy of a mobile phone application (app) to improve oral hygiene of patients undergoing fixed orthodontic treatment.

Materials and methods

This randomized controlled clinical trial was conducted with a total of 60 patients undergoing fixed orthodontic treatment in two groups: intervention and control (n = 30 each). A previously designed mobile app (Labkhand) was used by patients in the intervention group. Orthodontic plaque index (OPI) and modified gingival index (MGI) were recorded in the two groups at baseline (first session or T0), and after 1 (T1) and 3 (T2) months. The number of debonded/broken brackets was also recorded, and pain score of the patients was assessed at nine time points. Data were analyzed using the χ2 test, paired t‑test, and repeated measures analysis of variance (ANOVA; α = 0.05).

Results

The two groups demonstrated no significant difference in OPI and MGI at T0 (P > 0.05). OPI and MGI at T1 and T2 were significantly lower in the intervention group than in the control group (P < 0.05). The number of patients with broken brackets in the intervention group was significantly lower than that in the control group (P = 0.017). The two groups reported no significant difference in pain score (P > 0.05).

Conclusion

The Labkhand mobile app successfully improved oral hygiene indices of patients undergoing fixed orthodontic treatment, and decreased the frequency of broken brackets after 1 and 3 months of use.
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Metadata
Title
Efficacy of a mobile phone application for the improvement of oral hygiene of patients undergoing fixed orthodontic treatment
A randomized controlled clinical trial
Authors
Associate Professor Nima Sheikh Davoodi
Assistant Professor Ali Tayebi
Kasra Rahimipour
Mahban Zarei
Associate Professor Asieh Mozaffari
Assistant Professor Monirsadat Mirzadeh
Reza Mousavi
Narges Bayat
Publication date
02-09-2023
Publisher
Springer Medizin
Published in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-023-00492-0