ISRCTN ISRCTN14951343
DOI https://doi.org/10.1186/ISRCTN14951343
Protocol serial number 13/1/16
Sponsor University of Göttingen (Germany)
Funder University Medical Center Göttingen (Germany)
Submission date
30/05/2016
Registration date
31/05/2016
Last edited
12/03/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Toothbrushing to remove dental biofilm (bacteria) is important to prevent oral diseases. Accurate brushing techniques are necessary to improve biofilm removal compared to habitual toothbrushing, but are difficult to adopt. This study aims to analyse the effect of differential learning on the adoption of a toothbrushing technique.

Who can participate?
Healthy children aged 6 to 9

What does the study involve?
Participants are randomly allocated to three groups. The intervention lasts for 15 days, and all children receive the same toothbrush and toothpaste during the whole study. In the control group, the children are asked to brush their teeth with their habitual brushing technique. In the second group, the brushing technique is instructed once a day by verbal instruction and demonstration models. In the third group, the brushing technqiue is instructed once a day according to the differential learning approach (one variation per day, 15 variations in total). Oral hygiene is assessed before the intervention and 21 days, 42 days and 63 day after the beginning of the intervention.

What are the possible benefits/risks of participating?
The participants might improve their personal oral hygiene. No side effects are expected.

Where is the study run from?
Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen (Germany)

When is study starting and how long is it expected to run for?
December 2015 to June 2016

Who is funding the study?
Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen (Germany)

Who is the main contact?
Prof. Dr Annette Wiegand

Contact information

Prof Annette Wiegand
Public

Department of Preventive Dentistry, Periodontology and Cariology
Robert-Koch-Str. 40
Göttingen
37075
Germany

Study information

Primary study designInterventional
Study designSingle-centre randomised controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleEffect of differential learning on the oral hygiene status of 6- to 9-year-old children
Study objectivesThe null hypothesis is that there is no significant difference in the oral hygiene status (Quigley-Hein plaque-index and papilla bleeding index) of children brushing:
1. With the habitual technique
2. After instruction of a brushing technique
3. After instruction of a brushing technique with the differential learning approach
at 21, 42 and 63 days after the start of the study
Ethics approval(s)Ethics committee of the University Medical Center Göttingen, 24/02/2016, No:13/1/16
Health condition(s) or problem(s) studiedOral hygiene
InterventionThis single-center study is conducted by the Department of Preventive Dentistry, Periodontology and Cariology at the Primary School Drispenstedt, 32235 Hildesheim, Germany. Approximately fifty children are randomly allocated to three groups:
1. Control: No treatment, habitual toothbrushing with standardized toothbrush and toothpaste
2. Instruction of brushing technique: Toothbrushing technique is instructed, toothbrushing is performed with standardized toothbrush and toothpaste
3. Instruction of brushing technique and differential learning: Toothbrushing technique is instructed, toothbrushing is performed with standardized toothbrush and toothpaste while applying differential learning
Intervention typeBehavioural
Primary outcome measure(s)

1. Quigley-Hein plaque index at day 21, 42 and 63
2. Papilla bleeding index at day 21, 42 and 63

Key secondary outcome measure(s)

None

Completion date10/06/2016

Eligibility

Participant type(s)Healthy volunteer
Age groupChild
Lower age limit6 Years
Upper age limit9 Years
SexAll
Target sample size at registration50
Key inclusion criteriaHealthy children aged 6 to 9 years
Key exclusion criteriaToothpaste allergy
Date of first enrolment14/03/2016
Date of final enrolment06/04/2016

Locations

Countries of recruitment

  • Germany

Study participating centre

University of Göttingen (Germany)
Department of Preventive Dentistry, Periodontology and Cariology
37075

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2018 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

12/03/2018: Publication reference added.