Evidence map›Paper›PMID 42532127›Full record

Trial reportJournal of clinical periodontology2026

Clinical Outcomes of a Digital Companion in Periodontal Care: A Randomised Controlled Trial.

Bettina Dannewitz, James Deschner, Christof Dörfer, Henrik Dommisch, Peter Eickholz, Lukas Förster, Lukasz Jablonowski, Neelam Lingwal, Stefan Listl, Maurice Rütters and 3 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical periodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

13 authors.

Bettina DannewitzCenter for Dentistry and Oral Medicine (Carolinum), Department of Periodontology, Goethe-University Frankfurt am Main, Frankfurt am Main, Germany.ORCID https://orcid.org/0000-0002-1054-0479
James DeschnerDepartment of Periodontology and Operative Dentistry, University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany.ORCID https://orcid.org/0000-0001-8103-1885
Christof DörferClinic for Conservative Dentistry and Periodontology, University Medical Centre Schleswig-Holstein, Kiel, Germany.ORCID https://orcid.org/0000-0002-2508-8075
Henrik DommischDepartment of Periodontology, Oral Medicine and Oral Surgery, Charité - University Medicine, Berlin, Germany.ORCID https://orcid.org/0000-0003-1043-2651
Peter EickholzCenter for Dentistry and Oral Medicine (Carolinum), Department of Periodontology, Goethe-University Frankfurt am Main, Frankfurt am Main, Germany.ORCID https://orcid.org/0000-0002-1655-8055
Lukas FörsterDepartment of Periodontics, Preventive and Restorative Dentistry, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Lukasz JablonowskiDepartment of Restorative Dentistry, Periodontology, Endodontology, Preventive and Pediatric Dentistry, University Medicine Greifswald, Greifswald, Germany.ORCID https://orcid.org/0000-0001-7155-6522
Neelam LingwalCenter for Dentistry and Oral Medicine (Carolinum), Goethe-University Frankfurt Am Main, Frankfurt am Main, Germany.ORCID https://orcid.org/0000-0003-0172-0133
Stefan ListlHeidelberg Institute of Global Health, Section for Oral Health, Heidelberg University, Heidelberg, Germany.
Maurice RüttersDepartment of Conservative Dentistry, Section of Periodontology, Clinic for Oral, Dental and Maxillofacial Diseases, Heidelberg University Hospital, Heidelberg, Germany.
Lina WeinertHeidelberg Institute of Global Health, Section for Oral Health, Heidelberg University, Heidelberg, Germany.ORCID https://orcid.org/0000-0003-2733-1267
Nihad El SayedCenter for Dentistry and Oral Medicine (Carolinum), Department of Periodontology, Goethe-University Frankfurt am Main, Frankfurt am Main, Germany.ORCID https://orcid.org/0009-0000-1124-6506
Paro‐ComPas Collaborators

Funding

Federal Joint Committee (Gemeinsamer Bundesausschuss, G-BA) 01VSF21026
6 · The paper itself

Abstract

aimTo evaluate the efficacy of a digital health companion app as an adjunct to systematic periodontal therapy.

methodsSeven German university dental centres conducted this multi-centre randomised controlled trial. Adults with periodontitis (n = 194) were assigned to standard periodontal care with or without the Paro-ComPas app. The primary endpoint was the gingival bleeding index (GBI) at baseline, re-evaluation and during supportive periodontal care. Secondary outcomes included plaque and bleeding on probing. Confirmatory analyses used longitudinal mixed-effects regression. Exploratory analyses examined clinical outcomes by app usage cluster.

resultsOf the 180 participants, 148 completed the trial. Both groups showed substantial clinical improvements. The unadjusted between-group difference favoured the control group [7.70 pp (0.55; 14.85) at T0-T2]; the adjusted analysis showed no significant difference in the primary endpoint (1.56 pp; p = 0.352) or in secondary endpoints. Implementation fidelity was suboptimal. Exploratory analyses revealed that moderate app users achieved significantly greater plaque reductions compared to low users (-14.95 pp; p = 0.034).

conclusionsThis trial found no significant benefit of a digital companion app as an adjunct to systematic periodontal therapy. Low baseline inflammation, incomplete intervention delivery and inter-examiner variability likely limited detection of small effects. Exploratory findings suggest potential benefits among moderately engaged users.

trial registrationThe study was registered in an international trial register (German Clinical Trial Register number DRKS00031263, registration date 19/06/2023, https://www.drks.de/search/de/trial/DRKS00031263/details).

Indexed as

Mobile ApplicationsPeriodontitisAdultDental Plaque IndexDigital HealthFemaleGermanyHumansMaleMiddle AgedPeriodontal IndexTreatment Outcomedigital healthgingival bleeding indexmHealthperiodontitisRCT

Identifiers

PMID42532127
PMCPMC13581465

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.