Evidence map›Paper›PMID 27891568›Full record

Trial reportProgress in orthodontics2016

Oral hygiene compliance in orthodontic patients: a randomized controlled study on the effects of a post-treatment communication.

Mauro Cozzani, Giulia Ragazzini, Alessia Delucchi, Sabrina Mutinelli, Carlo Barreca, Daniel J Rinchuse, Roberto Servetto, Vincenzo Piras

3 registry-linked trialsOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Progress in orthodontics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04950829 nacompletednot on this mapstarted 2018, after this paper: background citation

Evaluation of Leveling and Alignment Time and the Periodontal Status in Patients With Severe Upper Crowding Treated by Flapless Corticotomy-assisted Self-ligating Brackets in Comparison With Conventional or Self-Ligating Brackets Alone

TypeinterventionalSponsorDamascus UniversityRan2018 to 2020Enrolled57ConditionsCrowding of Anterior Maxillary TeethArmsConventional brackets, Self-ligating brackets, Self-Ligating Brackets with flapless corticotomy
NCT05001490 nacompletednot on this mapstarted 2020, after this paper: background citation

Effectiveness of Smartphone Application Based Brushing Reminder Therapy for Plaque Control in Orthodontic Patients: A Randomized Controlled Trial

TypeinterventionalSponsorRehman Medical Institute - RMIRan2020 to 2021Enrolled60ConditionsOrthodontic Appliance ComplicationArmsSmartphone application based reminder
NCT06436664 nacompletednot on this mapstarted 2024, after this paper: background citation

Evaluation of the Effects of Different Tooth Brushing Explanations on Oral Hygiene in Patients With Fixed Orthodontic Treatment

TypeinterventionalSponsorYuzuncu Yil UniversityRan2024 to 2024Enrolled80ConditionsOrthodontic Treatment, Dental Plaque Induced Gingival DiseaseArmsTooth brushing
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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  17. Quality of orthodontic care-A multicenter cohort study in a German convenience sample : Part 2: Cross-sectional patient-reported outcomes after orthodontic treatment.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Mauro CozzaniDepartment of Orthodontics, School of Dental Medicine, University of Cagliari, Cagliari, Italy.
Giulia RagazziniSchool of Dental Medicine, University of Cagliari, Cagliari, Italy. giuliaragazzini84@gmail.com.ORCID http://orcid.org/0000-0002-1930-7382
Alessia DelucchiSchool of Dental Medicine, University of Cagliari, Cagliari, Italy.
Sabrina Mutinelli, Via Brennero, 260/B, Trento, Italy.
Carlo BarrecaSchool of Dental Medicine, University of Cagliari, Cagliari, Italy.
Daniel J RinchuseSeton Hill University Center for Orthodontics, 2900 Seminary Drive, Building E, Greensburg, PA, 15601, USA.
Roberto Servetto, Corso Galliera, 12, 16142, Genoa, Italy.
Vincenzo PirasSchool of Dental Medicine, University of Cagliari, Cagliari, Italy.
University of Cagliari · ITEnte Ospedaliero Ospedali Galliera · ITNATO Centre for Maritime Research and Experimentation · ITSeton Hill University · USUniversity of Trento · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral studies have recently demonstrated that a post-treatment communication to explain the importance of an oral hygiene can improve the orthodontic patients' compliance over a period of 66 days. The main goal of this study is to evaluate the effects of a structured follow-up communication after orthodontic appliance application on oral hygiene compliance after 30-40 days.

methodsEighty-four orthodontic participants enrolled from patients who were beginning fixed orthodontic treatment at the Orthodontic Department, Gaslini Hospital, Genova, between July and October 2014 were randomly assigned to one of three trial arms. Before the bonding, all patients underwent a session of oral hygiene aimed at obtaining an plaque index of "zero." At the following orthodontic appointment, the plaque index was calculated for each patient in order to assess oral hygiene compliance. The first group served as control and did not receive any post-procedure communication, the second group received a structured text message giving reassurance, and the third group received a structured telephone call. Participants were blinded to group assignment and were not made aware that the text message or the telephone call was part of the study. (The research protocol was approved by the Italian Comitato Etico Regionale della Liguria-sezione 3^ c/o IRCCS-Istituto G. Gaslini 845/2014, and it is not registered in the trial's register.)

resultsThirty patients were randomly assigned to the control group, 28 participants to the text message group, and 26 to the telephone group. Participants who received a post-treatment communication reported higher level of oral hygiene compliance than participants in the control group. The plaque index was 0.3 (interquartile range (Iqr), 0.60) and 0.75 (Iqr, 1.30), respectively, with a significant difference (P = 0.0205).

conclusionsA follow-up procedure after orthodontic treatment may be an effective tool to increase oral hygiene compliance also over a short period.

Indexed as

CommunicationOral HygieneOrthodontic AppliancesPatient ComplianceAdolescentChildDental PlaqueDental Plaque IndexFemaleFollow-Up StudiesHumansMaleTelephoneText Messaging

Identifiers

PMID27891568
PMCPMC5165014
OpenAlexW2556120240

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.