Is photographic evidence a valuable aide to oral hygiene advice in 9-16 year olds?

ISRCTN ISRCTN38542397
DOI https://doi.org/10.1186/ISRCTN38542397
Secondary identifying numbers N0043189395
Submission date
28/09/2007
Registration date
28/09/2007
Last edited
15/10/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Zahra Syed
Scientific

Upminster Dental Clinic
230 St Mary's Lane
Upminster
Upminster
RM14 3DH
United Kingdom

Phone +44 01708 796786

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typePrevention
Scientific title
Study objectivesTo find out whether giving patients photographic evidence of their own poor oral hygiene/appearance of teeth when they smile motivates 9-16 year olds to improve their tooth brushing and oral health behaviour.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedOral Health: Oral hygiene
InterventionA randomised controlled trial with two study groups:
1. Group 1: standard intervention (control) including manual toothbrush and standardised oral and written tooth brushing instruction based on the bass technique
2. Group 2: as with standard intervention with the addition of standardised photographic evidence of the subjects oral health status and instructions how best to use this.

All paperwork to be used by subjects reviewed by focus group through PPI for B&D service.

Procedure:
1. Define whether patient fits inclusion criteria
2. Gain written photographic consent for inclusion in trial
3. Assign to group 1 or 2 in random fashion
4. Initial appointment: initial questionnaire (demographic data, i.e. age, sex, is appearance important to you, etc.); measure modified plaque and bleeding indices (how much tartar and bleeding from teeth and gums). If assigned to group 2 take initial standard set of photos and give set plus instructions (to put them on bathroom mirror) to subject. If group 1 a single photograph of anterior view showing incisors, to both groups give written oral hygiene instructions.
5. Review at 6 weeks - measure plaque and bleeding indices and take new set of photos appropriate to group, and if group 2 give set to patient
6. Review at 12 weeks - measure plaque and bleeding indices and take final photos and give final questionnaire (how did they use the information given, what was most helpful)

Analysis:
1. For each subject analyse any changes in plaque and bleeding scores and for group 2 compare the standardised initial and review photos for both groups by measuring the change in gingival height from a fixed point on the lower central incisors (i.e., has there been any reduction in swelling to the gums) to give an accurate measure of actional improvements (rather than the kids just brushing hard before coming to the clinic) in oral hygiene. This latter measure will give significance to the results.
2. Maintain record of photographic costs and find information for similar volumes using alternatives, e.g. digital photography, i.e. is it financially viable to use photos for this purpose in clinics.
Intervention typeOther
Primary outcome measureNot provided at time of registration
Secondary outcome measuresNot provided at time of registration
Overall study start date01/12/2006
Completion date01/07/2007

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit9 Years
Upper age limit16 Years
SexBoth
Target number of participantsBoth groups up to 30
Key inclusion criteria1. Patients with visible plaque (tartar) levels on three or more tooth surfaces (i.e., a minimum plaque score of 3)
2. Attending Barking and Dagenham Special Needs and Community Dental Service
3. Aged between 9 - 16 years
4. Who have the ability to brush their own teeth unsupervised
5. Have no conditions that would contraindicate measuring the bleeding from the gums
Key exclusion criteriaNot provided at time of registration
Date of first enrolment01/12/2006
Date of final enrolment01/07/2007

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Upminster Dental Clinic
Upminster
RM14 3DH
United Kingdom

Sponsor information

Record Provided by the NHSTCT Register - 2007 Update - Department of Health
Government

The Department of Health, Richmond House, 79 Whitehall
London
SW1A 2NL
United Kingdom

Phone +44 (0)20 7307 2622
Email dhmail@doh.gsi.org.uk
Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Government

Barking and Dagenham Primary Care Trust and Havering Primary Care Trust (UK)

No information available

Own account

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan