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The effect of using...
The effect of using a mobile application (“WhiteTeeth”) on improving oral hygiene : A randomized controlled trial
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- Scheerman, Janneke F. M. (author)
- Inholland University of Applied Sciences, Amsterdam, Netherlands
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- van Meijel, Berno (author)
- Inholland University of Applied Sciences, Amsterdam, Netherlands
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- van Empelen, Pepijn (author)
- TNO Research Group, Leiden, Netherlands
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- Verrips, Gijsbert H. W. (author)
- TNO Research Group, Leiden, Netherlands
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- van Loveren, Cor (author)
- Academic Center for Dentistry Amsterdam, Amsterdam, Netherlands
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- Twisk, Jos W. R. (author)
- VU Medical Center Amsterdam, Amsterdam, Netherlands
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- Pakpour, Amir H. (author)
- Jönköping University,HHJ, Avdelningen för omvårdnad,Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
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- van den Braak, Matheus C. T. (author)
- Academic Center for Dentistry Amsterdam, Amsterdam, Netherlands
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- Kramer, Gem J. C. (author)
- Academic Center for Dentistry Amsterdam, Amsterdam, Netherlands
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(creator_code:org_t)
- 2019-08-09
- 2020
- English.
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In: International Journal of Dental Hygiene. - : John Wiley & Sons. - 1601-5029 .- 1601-5037. ; 18:1, s. 73-83
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Abstract
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- Objective: To evaluate the effectiveness of the WhiteTeeth mobile app, a theory-based mobile health (mHealth) program for promoting oral hygiene in adolescent orthodontic patients.Methods: In this parallel randomized controlled trial, the data of 132 adolescents were collected during three orthodontic check-ups: at baseline (T0), at 6-week follow-up (T1) and at 12-week follow-up (T2). The intervention group was given access to the WhiteTeeth app in addition to usual care (n = 67). The control group received usual care only (n = 65). The oral hygiene outcomes were the presence and the amount of dental plaque (Al-Anezi and Harradine plaque index), and the total number of sites with gingival bleeding (Bleeding on Marginal Probing Index). Oral health behaviour and its psychosocial factors were measured through a digital questionnaire. We performed linear mixed-model analyses to determine the intervention effects.Results: At 6-week follow-up, the intervention led to a significant decrease in gingival bleeding (B = −3.74; 95% CI −6.84 to −0.65) and an increase in the use of fluoride mouth rinse (B = 1.93; 95% CI 0.36 to 3.50). At 12-week follow-up, dental plaque accumulation (B = −11.32; 95% CI −20.57 to −2.07) and the number of sites covered with plaque (B = −6.77; 95% CI −11.67 to −1.87) had been reduced significantly more in the intervention group than in the control group.Conclusions: The results show that adolescents with fixed orthodontic appliances can be helped to improve their oral hygiene when usual care is combined with a mobile app that provides oral health education and automatic coaching. Netherlands Trial Registry Identifier: NTR6206: 20 February 2017.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Keyword
- health behaviour
- health promotion
- mobile applications
- oral hygiene index and oral hygiene
- telemedicine
Publication and Content Type
- ref (subject category)
- art (subject category)
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