Development and evaluation of the "Toothbrushing Timer with Information on Toothbrushes" application: A prospective cohort pilot study.
applications
mobile health
oral health
toothbrush
Journal
Clinical and experimental dental research
ISSN: 2057-4347
Titre abrégé: Clin Exp Dent Res
Pays: United States
ID NLM: 101692332
Informations de publication
Date de publication:
23 Oct 2023
23 Oct 2023
Historique:
revised:
29
08
2023
received:
17
08
2023
accepted:
22
09
2023
medline:
24
10
2023
pubmed:
24
10
2023
entrez:
24
10
2023
Statut:
aheadofprint
Résumé
For people, it is challenging to be conscious of the appropriate toothbrushing time to maintain good oral health in daily life. The aim of this study was to preliminarily examine the utility of an application (app) that combines a toothbrushing timer and information on toothbrushes. We developed the "Toothbrushing Timer with Information on Toothbrushes" app to help users ensure appropriate toothbrushing time and learn about the beneficial characteristics of toothbrushes. A total of 18 participants were registered for the study. At baseline (T0) and after 1 month (T1) of app usage, study participants answered a digital questionnaire that comprised three questions on oral health practice, self-efficacy in oral hygiene, and quality of life related to oral health (Oral Health Impact Profile-14 [OHIP-14]). Five participants were excluded from the analysis as they did not answer the digital questionnaire. Finally, 13 participants completed the survey with a follow-up of 1 month. The 13 participants were grouped into health professionals (n = 8) and non-health professionals (n = 5). The total scores for oral health practice and self-efficacy related to oral hygiene increased after a month of app usage in health professional and non-health professional groups. However, there were no significant differences between T0 and T1 in either group. The total score of OHIP-14 was lower at T1 than at T0 in both groups. Therefore, participants showed better oral health practice, self-efficacy in oral hygiene, and quality of life related to oral health at T1 compared with that at T0. Our app showed positive results for the users and is useful in maintaining and promoting oral health awareness and practice. However, our pilot study lacks sufficient power and did not yield significant differences. Therefore, high-quality clinical trials with larger sample sizes are warranted for further improvement and evaluation.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Hiroshima University grant funding
ID : 0G220
Informations de copyright
© 2023 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.
Références
Avasthi, A., Kalra, T., & Singh, B. (2022). Oral hygiene practices and oral health related quality of life observed in patients reporting to dental institution in north India during COVID-19 pandemic. Journal of Preventive Medicine and Hygiene, 63(2), 231. https://doi.org/10.15167/2421-4248/jpmh2022.63.2.2147
Bonabi, M., Mohebbi, S. Z., Martinez-Mier, E. A., Thyvalikakath, T. P., & Khami, M. R. (2019). Effectiveness of smart phone application use as continuing medical education method in pediatric oral health care: A randomized trial. BMC Medical Education, 19(1), 431. https://doi.org/10.1186/s12909-019-1852-z
Chang, Y., Lee, J. S., Lee, K. J., Woo, H. G., & Song, T. J. (2020). Improved oral hygiene is associated with decreased risk of new-onset diabetes: A nationwide population-based cohort study. Diabetologia, 63(5), 924-933. https://doi.org/10.1007/s00125-020-05112-9
Chang, Y., Woo, H. G., Park, J., Lee, J. S., & Song, T. J. (2020). Improved oral hygiene care is associated with decreased risk of occurrence for atrial fibrillation and heart failure: A nationwide population-based cohort study. Eur J Prev Cardiol, 27(17), 1835-1845. https://doi.org/10.1177/2047487319886018
Deery, C., Heanue, M., Deacon, S., Robinson, P. G., Walmsley, A. D., Worthington, H., Shaw, W., & Glenny, A. M. (2004). The effectiveness of manual versus powered toothbrushes for dental health: A systematic review. Journal of Dentistry, 32(3), 197-211. https://doi.org/10.1016/j.jdent.2003.11.006
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2008). The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Journal of Clinical Epidemiology, 61(4), 344-349. https://doi.org/10.1136/bmj.39335.541782.AD
Ganss, C., Schlueter, N., Preiss, S., & Klimek, J. (2009). Tooth brushing habits in uninstructed adults-frequency, technique, duration and force. Clinical Oral Investigations, 13(2), 203-208. https://doi.org/10.1007/s00784-008-0230-8
Graetz, C., Plaumann, A., Heinevetter, N., Sälzer, S., Bielfeldt, J., & Dörfer, C. (2017). Bristle splaying and its effect on pre-existing gingival recession-a 12-month randomized controlled trial. Clinical Oral Investigations, 21(6), 1989-1995. https://doi.org/10.1007/s00784-016-1987-9
Haque, S. E., Rahman, M., Itsuko, K., Mutahara, M., Kayako, S., Tsutsumi, A., Islam, M. J., & Mostofa, M. G. (2016). Effect of a school-based oral health education in preventing untreated dental caries and increasing knowledge, attitude, and practices among adolescents in Bangladesh. BMC Oral Health, 16, 44. https://doi.org/10.1186/s12903-016-0202-3
Hayasaki, H., Saitoh, I., Nakakura-Ohshima, K., Hanasaki, M., Nogami, Y., Nakajima, T., Inada, E., Iwasaki, T., Iwase, Y., Sawami, T., Kawasaki, K., Murakami, N., Murakami, T., Kurosawa, M., Kimi, M., Kagoshima, A., Soda, M., & Yamasaki, Y. (2014). Tooth brushing for oral prophylaxis. Japanese Dental Science Review, 50(3), 69-77. https://doi.org/10.1016/j.jdsr.2014.04.001
Hotwani, K., Sharma, K., Nagpal, D., Lamba, G., & Chaudhari, P. (2020). Smartphones and tooth brushing: Content analysis of the current available mobile health apps for motivation and training. European Archives of Paediatric Dentistry, 21(1), 103-108. https://doi.org/10.1007/s40368-019-00457-1
Humm, V., Wiedemeier, D., Attin, T., Schmidlin, P., & Gartenmann, S. (2020). Treatment success and user-friendliness of an electric toothbrush app: A pilot study. Dentistry Journal, 8(3), 97. https://doi.org/10.3390/dj8030097
Ikebe, K., Watkins, C. A., Ettinger, R. L., Sajima, H., & Nokubi, T. (2004). Application of short-form oral health impact profile on elderly Japanese. Gerodontology, 21(3), 167-176. https://doi.org/10.1111/j.1741-2358.2004.00028.x
Jacobson, D., Jacobson, J., Leong, T., Lourenco, S., Mancl, L., & Chi, D. L. (2019). Evaluating child toothbrushing behavior changes associated with a mobile game app: A single arm pre/post pilot study. Pediatric Dentistry, 41(4), 299-303.
Kaneyasu, Y., Shigeishi, H., Maehara, T., Fukada-Sambuichi, E., Amano, H., & Sugiyama, M. (2020). Measurement of bristle splaying of toothbrushes using digital imaging and evaluation of plaque removal efficacy over 3 months: A randomized controlled trial (RCT). International Journal of Dental Hygiene, 18(2), 173-181. https://doi.org/10.1111/idh.12427
Ki, J. Y., Jo, S. R., Cho, K. S., Park, J. E., Cho, J. W., & Jang, J. H. (2021). Effect of oral health education using a mobile app (OHEMA) on the Oral Health and swallowing-related quality of life in community-based integrated care of the elderly: A randomized clinical trial. International Journal of Environmental Research and Public Health, 18(21), 11679. https://doi.org/10.3390/ijerph182111679
Kumar, R., Deshpande, A., Ankola, A., Sankeshwari, R., Hampiholi, V., Hebbal, M., Jalihal, S., Pai Khot, A., Valakkunja, D., & Kotha, S. (2022). Impact of the visual performance reinforcement technique on oral hygiene knowledge and practices, gingival health, and plaque control in hearing- and speech-impaired adolescents: A randomized controlled trial. Children, 9(12), 1905. https://doi.org/10.3390/children9121905
Van Leeuwen, M. P. C., Van der Weijden, F. A., Slot, D. E., & Rosema, M. A. M. (2019). Toothbrush wear in relation to toothbrushing effectiveness. International Journal of Dental Hygiene, 17(1), 77-84. https://doi.org/10.1111/idh.12370
Madlena, M., Dombi, C., Gintner, Z., & Banoczy, J. (2004). Effect of amine fluoride/stannous fluoride toothpaste and mouthrinse on dental plaque accumulation and gingival health. Oral Diseases, 10(5), 294-297. https://doi.org/10.1111/j.1601-0825.2004.01025.x
Pakpour, A. H., Kumar, S., Scheerman, J. F. M., Lin, C. Y., Fridlund, B., & Jansson, H. (2016). Oral health-related quality of life in Iranian patients with spinal cord injury: A case-control study. Injury, 47(6), 1345-1352. https://doi.org/10.1016/j.injury.2016.03.022
Ranzan, N., Muniz, F. W. M. G., & Rösing, C. K. (2019). Are bristle stiffness and bristle end-shape related to adverse effects on soft tissues during toothbrushing? A systematic review. International Dental Journal, 69(3), 171-182. https://doi.org/10.1111/idj.12421
Saxer, U. P., Barbakow, J., & Yankell, S. L. (1998). New studies on estimated and actual toothbrushing times and dentifrice use. The Journal of Clinical Dentistry, 9(2), 49-51.
Shida, H., Okabayashi, S., Yoshioka, M., Takase, N., Nishiura, M., Okazawa, Y., Kiyohara, K., Konda, M., Nishioka, N., Kawamura, T., & Iwami, T. (2020). Effectiveness of a digital device providing real-time visualized tooth brushing instructions: A randomized controlled trial. PLoS One, 15(6), e0235194. https://doi.org/10.1371/journal.pone.0235194
Sinha, N., Shankar, D., Vaibhav, V., Vyas, T., Singh, A., & Parihar, A. (2020). Oral health-related quality of life in children and adolescents of Indian population. Journal of Pharmacy and BioAllied Sciences, 12(Suppl 1), 619. https://doi.org/10.4103/jpbs.JPBS_113_20
Slade, G. D. (1997). Derivation and validation of a short-form oral health impact profile. Community Dentistry and Oral Epidemiology, 25(4), 284-290. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
Stroski, M., de Souza Dal Maso, A., Wambier, L., Chibinski, A., Pochapski, M., Santos, F., & Wambier, D. (2011). Clinical evaluation of three toothbrush models tested by schoolchildren. International Journal of Dental Hygiene, 9(2), 149-154. https://doi.org/10.1111/j.1601-5037.2010.00476.x
Takenouchi, A., Otani, E., Sunaga, M., Toyama, T., Uehara, H., Akiyama, K., Kawashima, T., Ito, K., Izuno, H., & Kinoshita, A. (2020). Development and evaluation of e-learning materials for dental hygiene students in six schools: Using smartphones to learn dental treatment procedures. International Journal of Dental Hygiene, 18(4), 413-421. https://doi.org/10.1111/idh.12452
Tobias, G., Sgan-Cohen, H., Spanier, A. B., & Mann, J. (2021). Perceptions and attitudes toward the use of a mobile health app for remote monitoring of gingivitis and willingness to pay for mobile health apps (Part 3): Mixed Methods Study. JMIR Formative Research, 5(10), e26125. https://doi.org/10.2196/26125
Tobias, G., & Spanier, A. B. (2020). Developing a mobile app (iGAM) to promote gingival health by professional monitoring of dental selfies: User-centered design approach. JMIR mHealth and uHealth, 8(8), e19433. https://doi.org/10.2196/19433
Tuk, J. G., Lindeboom, J. A., & van Wijk, A. J. (2021). Effect of periapical surgery on oral health-related quality of life in the first postoperative week using the Dutch version of Oral Health Impact Profile-14. Oral and Maxillofacial Surgery, 25(4), 549-559. https://doi.org/10.1007/s10006-021-00954-y
Underwood, B., Birdsall, J., & Kay, E. (2015). The use of a mobile app to motivate evidence-based oral hygiene behaviour. British Dental Journal, 219(4), E2. https://doi.org/10.1038/sj.bdj.2015.660
Wang, P., Xu, Y., Zhang, J., Chen, X., Liang, W., Liu, X., Xian, J., & Xie, H. (2020). Comparison of the effectiveness between power toothbrushes and manual toothbrushes for oral health: A systematic review and meta-analysis. Acta Odontologica Scandinavica, 78(4), 265-274. https://doi.org/10.1080/00016357.2019.1697826
Wei, C. T., Lo, K. Y., Lin, Y. C., Hu, C. Y., Chen, F. L., & Huang, H. L. (2021). Effects of health-promoting school strategy on dental plaque control and preventive behaviors in schoolchildren in high-caries, rural areas of Taiwan: A quasi-experimental design. BMC Oral Health, 21(1), 573. https://doi.org/10.1186/s12903-021-01927-z
Van der Weijden, F. A., & Slot, D. E. (2015). Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review. Journal of Clinical Periodontology, 42(Suppl 16), S77-S91. https://doi.org/10.1111/jcpe.12359