A randomised controlled trial evaluating the impact of oral health advice on gingival health using intra oral images combined with a gingivitis specific toothpaste

Sinead Daly; Joon Seong; Charles Parkinson; Robert Newcombe; Nicholas C A Claydon; Nicola X West

doi:10.1016/j.jdent.2023.104472

A randomised controlled trial evaluating the impact of oral health advice on gingival health using intra oral images combined with a gingivitis specific toothpaste

Sinead Daly, Joon Seong, Charles Parkinson, Robert Newcombe, Nicholas C A Claydon, Nicola X West^*

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

3 Citations (Scopus)

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Abstract

Abstract

Objectives: Does a complex intervention of oral hygiene advice (OHA) delivered with intra-oral scanner images, anti-gingivitis toothpaste and motivational reminders, improve oral health more than a standard of care control arm of fluoride toothpaste, with OHA without scanner images?

Methods: Adult participants with pre-existing gingivitis were randomised to intervention or control. Following enrolment, baseline and each subsequent visit (V) (3-weeks, V2; 3-months, V3; 6-months, V4) followed the same schedule. Bleeding on Probing (BOP) was assessed and Intra Oral Scan IOS(1) recorded. Plaque was disclosed, scored and re-scanned (IOS(2)). The intervention group received OHA with IOS images, control group receiving OHA without IOS images. Participants brushed with their allocated toothpaste (fluoride, control; anti-gingivitis, intervention), IOS(3) was recorded. Between visits participants brushed with their allocated toothpaste, intervention group received motivational reminders.

Results: BOP scores from baseline were significantly improved in the intervention group compared to control at all visits for all surfaces (pConclusion: A complex intervention comprising OHA delivered with IOS-images, anti-gingivitis toothpaste and motivational reminders improved gingival health more than existing standard of care-OHA together with a standard fluoride toothpaste over a 6-month period.

Clinical Significance Statement
Intra-oral scans (IOS) are now frequently used in general dental practice for a variety of purposes. IOS use, in combination with motivational texts and an anti-gingivitis toothpaste, could be further deployed to promote oral hygiene behaviour change in patients and improve gingival health, in a cost-effective manner.

Original language	English
Article number	104472
Journal	Journal of Dentistry
Volume	131
Early online date	26 Feb 2023
DOIs	https://doi.org/10.1016/j.jdent.2023.104472
Publication status	Published - 26 Feb 2023

Bibliographical note

Funding Information:
Nikki Hellin and Maria Davies from the Clinical Trials Unit at Bristol Dental Hospital contributed to the work presented in this manuscript. We would also like to acknowledge and express our thanks to Helen Roberts, 3Shape for supporting this study with the loan of the TRIOS®3 scanner

Publisher Copyright:
© 2023

Keywords

gingivitis
intra-oral scanner
MGI
inflammation, behaviour change

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10.1016/j.jdent.2023.104472

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This is the accepted author manuscript (AAM). The final published version (version of record) is available online via Elsevier at https://doi.org/10.1016/j.jdent.2023.104472. Please refer to any applicable terms of use of the publisher.
Accepted author manuscript, 421 KBLicence: CC BY-NC-ND

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@article{e23998f3bd574a33bbaf6a0390d21c2b,

title = "A randomised controlled trial evaluating the impact of oral health advice on gingival health using intra oral images combined with a gingivitis specific toothpaste",

abstract = "AbstractObjectives: Does a complex intervention of oral hygiene advice (OHA) delivered with intra-oral scanner images, anti-gingivitis toothpaste and motivational reminders, improve oral health more than a standard of care control arm of fluoride toothpaste, with OHA without scanner images?Methods: Adult participants with pre-existing gingivitis were randomised to intervention or control. Following enrolment, baseline and each subsequent visit (V) (3-weeks, V2; 3-months, V3; 6-months, V4) followed the same schedule. Bleeding on Probing (BOP) was assessed and Intra Oral Scan IOS(1) recorded. Plaque was disclosed, scored and re-scanned (IOS(2)). The intervention group received OHA with IOS images, control group receiving OHA without IOS images. Participants brushed with their allocated toothpaste (fluoride, control; anti-gingivitis, intervention), IOS(3) was recorded. Between visits participants brushed with their allocated toothpaste, intervention group received motivational reminders.Results: BOP scores from baseline were significantly improved in the intervention group compared to control at all visits for all surfaces (pConclusion: A complex intervention comprising OHA delivered with IOS-images, anti-gingivitis toothpaste and motivational reminders improved gingival health more than existing standard of care-OHA together with a standard fluoride toothpaste over a 6-month period.Clinical Significance StatementIntra-oral scans (IOS) are now frequently used in general dental practice for a variety of purposes. IOS use, in combination with motivational texts and an anti-gingivitis toothpaste, could be further deployed to promote oral hygiene behaviour change in patients and improve gingival health, in a cost-effective manner.",

keywords = "gingivitis, intra-oral scanner, MGI, inflammation, behaviour change",

author = "Sinead Daly and Joon Seong and Charles Parkinson and Robert Newcombe and Claydon, {Nicholas C A} and West, {Nicola X}",

note = "Funding Information: Nikki Hellin and Maria Davies from the Clinical Trials Unit at Bristol Dental Hospital contributed to the work presented in this manuscript. We would also like to acknowledge and express our thanks to Helen Roberts, 3Shape for supporting this study with the loan of the TRIOS{\textregistered}3 scanner Publisher Copyright: {\textcopyright} 2023",

year = "2023",

month = feb,

day = "26",

doi = "10.1016/j.jdent.2023.104472",

language = "English",

volume = "131",

journal = "Journal of Dentistry",

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TY - JOUR

T1 - A randomised controlled trial evaluating the impact of oral health advice on gingival health using intra oral images combined with a gingivitis specific toothpaste

AU - Daly, Sinead

AU - Seong, Joon

AU - Parkinson, Charles

AU - Newcombe, Robert

AU - Claydon, Nicholas C A

AU - West, Nicola X

N1 - Funding Information: Nikki Hellin and Maria Davies from the Clinical Trials Unit at Bristol Dental Hospital contributed to the work presented in this manuscript. We would also like to acknowledge and express our thanks to Helen Roberts, 3Shape for supporting this study with the loan of the TRIOS®3 scanner Publisher Copyright: © 2023

PY - 2023/2/26

Y1 - 2023/2/26

N2 - AbstractObjectives: Does a complex intervention of oral hygiene advice (OHA) delivered with intra-oral scanner images, anti-gingivitis toothpaste and motivational reminders, improve oral health more than a standard of care control arm of fluoride toothpaste, with OHA without scanner images?Methods: Adult participants with pre-existing gingivitis were randomised to intervention or control. Following enrolment, baseline and each subsequent visit (V) (3-weeks, V2; 3-months, V3; 6-months, V4) followed the same schedule. Bleeding on Probing (BOP) was assessed and Intra Oral Scan IOS(1) recorded. Plaque was disclosed, scored and re-scanned (IOS(2)). The intervention group received OHA with IOS images, control group receiving OHA without IOS images. Participants brushed with their allocated toothpaste (fluoride, control; anti-gingivitis, intervention), IOS(3) was recorded. Between visits participants brushed with their allocated toothpaste, intervention group received motivational reminders.Results: BOP scores from baseline were significantly improved in the intervention group compared to control at all visits for all surfaces (pConclusion: A complex intervention comprising OHA delivered with IOS-images, anti-gingivitis toothpaste and motivational reminders improved gingival health more than existing standard of care-OHA together with a standard fluoride toothpaste over a 6-month period.Clinical Significance StatementIntra-oral scans (IOS) are now frequently used in general dental practice for a variety of purposes. IOS use, in combination with motivational texts and an anti-gingivitis toothpaste, could be further deployed to promote oral hygiene behaviour change in patients and improve gingival health, in a cost-effective manner.

AB - AbstractObjectives: Does a complex intervention of oral hygiene advice (OHA) delivered with intra-oral scanner images, anti-gingivitis toothpaste and motivational reminders, improve oral health more than a standard of care control arm of fluoride toothpaste, with OHA without scanner images?Methods: Adult participants with pre-existing gingivitis were randomised to intervention or control. Following enrolment, baseline and each subsequent visit (V) (3-weeks, V2; 3-months, V3; 6-months, V4) followed the same schedule. Bleeding on Probing (BOP) was assessed and Intra Oral Scan IOS(1) recorded. Plaque was disclosed, scored and re-scanned (IOS(2)). The intervention group received OHA with IOS images, control group receiving OHA without IOS images. Participants brushed with their allocated toothpaste (fluoride, control; anti-gingivitis, intervention), IOS(3) was recorded. Between visits participants brushed with their allocated toothpaste, intervention group received motivational reminders.Results: BOP scores from baseline were significantly improved in the intervention group compared to control at all visits for all surfaces (pConclusion: A complex intervention comprising OHA delivered with IOS-images, anti-gingivitis toothpaste and motivational reminders improved gingival health more than existing standard of care-OHA together with a standard fluoride toothpaste over a 6-month period.Clinical Significance StatementIntra-oral scans (IOS) are now frequently used in general dental practice for a variety of purposes. IOS use, in combination with motivational texts and an anti-gingivitis toothpaste, could be further deployed to promote oral hygiene behaviour change in patients and improve gingival health, in a cost-effective manner.

KW - gingivitis

KW - intra-oral scanner

KW - MGI

KW - inflammation, behaviour change

UR - https://research-information.bris.ac.uk/en/publications/e23998f3-bd57-4a33-bbaf-6a0390d21c2b

U2 - 10.1016/j.jdent.2023.104472

DO - 10.1016/j.jdent.2023.104472

M3 - Article (Academic Journal)

C2 - 36849066

SN - 0300-5712

VL - 131

JO - Journal of Dentistry

JF - Journal of Dentistry

M1 - 104472

ER -

A randomised controlled trial evaluating the impact of oral health advice on gingival health using intra oral images combined with a gingivitis specific toothpaste

Abstract

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Use of intra-oral scan images for oral hygiene advice plus anti-gingivitis toothpaste for improving gum health

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A randomised controlled trial evaluating the impact of oral health advice on gingival health using intra oral images combined with a gingivitis specific toothpaste

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Bibliographical note

Keywords

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Use of intra-oral scan images for oral hygiene advice plus anti-gingivitis toothpaste for improving gum health

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