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Periodontal DiseasesNCT06083649

The Dental Care Revolution: Health Education Using AI or Humanized Counseling on Plague Control and Periodontal Treatment Outcome in Patients With Periodontal Disease

A study testing The AI-assisted tool used in this study was called Dental Monitoring (DM). in people with Periodontal Diseases, run by Kaohsiung Medical University Chung-Ho Memorial Hospital at 1 site in Taiwan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The aim of this study was to evaluate the long-term effectiveness of an AI dental monitoring intervention on patients' periodontal disease, preventive behaviors and motivation. This randomized controlled trial included experimental group: AI group (EG-A), AI-humanized group (EG-B) and control group(CG), respectively. Read more about this study

Who is it for?
Ages 35 to 65 years
Conditions the study is for
Periodontal Diseases
What is being tested?
The AI-assisted tool used in this study was called Dental Monitoring (DM).
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteTaiwan
Study dates
10 Aug 2020to 31 Dec 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 35 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age between 35-65 years old
  • Diagnosed periodontal disease by dentist (Comprehensive Periodontal Treatment Project)
  • More than 16 functional teeth

Who cannot join

  • Have received periodontal treatment within 3 months
  • Patient has disease related to periodontal disease (ex. Drug-related excessive gum growth or blood clotting problems, pregnancy, mental illness)
  • Disability patients

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Taiwan1 site, 1 recruiting
  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung City

    FU-TZU YOU, +886-7-3121101 ext. 2159, alicedh110@gmail.com

    Recruiting

Other trials in Taiwan

About this study

The aim of this study was to evaluate the long-term effectiveness of an AI dental monitoring intervention on patients' periodontal disease, preventive behaviors and motivation. This randomized controlled trial included experimental group: AI group (EG-A), AI-humanized group (EG-B) and control group(CG), respectively.

The EG-A and EG-B received AI dental monitoring intervention by taking mouth image at home once a week for six month. Baseline and follow-up surveys were used to collect the data in oral health related quality of life,periodontal parameters, periodontal preventive behaviors and motivation.

Read the detailed description

A randomized experimental design was used. Patients with periodontal disease whose aged 35-65 years were recruited through department of Periodontics in Kaohsiung Medical University Hospital.

Each group was expected for 100 per group, patients will be randomized into each group. G*Power (version 3.1.9.4) was used for power analysis.

All patients will underwent periodontal examination at baseline and at 1-month, 3-month, 6-month follow-ups.

Each patients will be diagnosed periodontal disease by dentist and have more than 16 functional teeth.

Each patients will completed the questionnaire at baseline and at 1-month, 3-month and 6-month follow-up.

Being tested
The AI-assisted tool used in this study was called Dental Monitoring (DM).
Keywords
periodontal disease, artificial intelligence (AI), OHRQoL
Medical subject headings
Periodontal Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • The AI-assisted tool used in this study was called Dental Monitoring (DM).Behavioural

    DM is the first APP system used in orthopedics patients in the world,it has been widely used in Asian countries (Taiwan, Hong Kong, Singapore, Japan,etc.) and has been used by 2140 patients so far. DM allows patients to take in-mouth photos at home, and uses AI as a background analysis to evaluate the patient's current oral condition (including oral hygiene and gum status) based on the photo.

Study groups in NCT06083649
Study groupRoleWhat they receive
Experimental group A (AI Group: EG-A)ExperimentalThe AI group scanned their own mouths at home once a week for 6 months, with each scan taking approximately 5 min. After scanning, they uploaded the results to the AI system for evaluation. The AI system then selected and sent a message to each patient depending on their intraoral conditions.
Receives: Behavioral: The AI-assisted tool used in this study was called Dental Monitoring (DM).
Experimental group B (AI and health counseling group: EG-B)ExperimentalThe AI and health counseling group scanned their own mouths at home once a week for 6 months, with each scan taking approximately 5 min. After scanning, they uploaded the results to the AI system for evaluation. The EG-B received both AI-assisted DM and real-person oral health counseling and advice from a counselor, who assessed their oral hygiene conditions on the basis of their scanning results and then provided individualized counseling, such as pointing out unclean teeth and offering suggestions on cleaning tools.
Receives: Behavioral: The AI-assisted tool used in this study was called Dental Monitoring (DM).
No Intervention: Control group (CG)No interventionthe control group(CG) only have standard oral hygiene education

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. gingival index (GI)

    The gingival inflammation status of 6 tooth was recorded using the gingiva index, as follows:

    0 = No inflammation.

    1. = Mild inflammation, slight change in color, slight edema, no bleeding on probing
    2. = Moderate inflammation, moderate glazing, redness, bleeding on probing
    3. = Severe inflammation, marked redness and hypertrophy, ulceration, tendency to spontaneous bleeding.

    For each patient, GI will measured by the teeth 12,16,24,32,36,44

    Measured: Change from Baseline GI at 1-month after intervention

  2. gingival index (GI)

    The gingival inflammation status of 6 tooth was recorded using the gingiva index, as follows:

    0 = No inflammation.

    1. = Mild inflammation, slight change in color, slight edema, no bleeding on probing
    2. = Moderate inflammation, moderate glazing, redness, bleeding on probing
    3. = Severe inflammation, marked redness and hypertrophy, ulceration, tendency to spontaneous bleeding.

    For each patient, GI will measured by the teeth 12,16,24,32,36,44

    Measured: Change from Baseline GI at 3-month after intervention

  3. gingival index (GI)

    The gingival inflammation status of 6 tooth was recorded using the gingiva index, as follows:

    0 = No inflammation.

    1. = Mild inflammation, slight change in color, slight edema, no bleeding on probing
    2. = Moderate inflammation, moderate glazing, redness, bleeding on probing
    3. = Severe inflammation, marked redness and hypertrophy, ulceration, tendency to spontaneous bleeding.

    For each patient, GI will measured by the teeth 12,16,24,32,36,44

    Measured: Change from Baseline GI at 6-month after intervention

  4. plaque index (PI)

    The plaque status of 6 tooth was recorded using the plaque index, as followes:

    0 = No plaque

    1. = Thin film of plaque, scraped with explorer
    2. = Moderate amount of plaque, visible with naked eyes
    3. = Abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin.

    For each patient, PI will measured by the teeth 12,16,24,32,36,44

    Measured: Change from Baseline PI at 1-month after intervention

  5. plaque index (PI)

    The plaque status of 6 tooth was recorded using the plaque index, as followes:

    0 = No plaque

    1. = Thin film of plaque, scraped with explorer
    2. = Moderate amount of plaque, visible with naked eyes
    3. = Abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin.

    For each patient, PI will measured by the teeth 12,16,24,32,36,44

    Measured: Change from Baseline PI at 3-month after intervention

  6. plaque index (PI)

    The plaque status of 6 tooth was recorded using the plaque index, as followes:

    0 = No plaque

    1. = Thin film of plaque, scraped with explorer
    2. = Moderate amount of plaque, visible with naked eyes
    3. = Abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin.

    For each patient, PI will measured by the teeth 12,16,24,32,36,44

    Measured: Change from Baseline PI at 6-month after intervention

  7. Probing Pocket Depth (PPD)

    Using periodontal probe to measure the depth from the bottom of the periodontal pocket to the gingival margin, recorded at six sites (mesial [buccal and lingual/palatal], distal [buccal and lingual/palatal], mid-buccal, and mid-lingual/palatal) around each tooth, except for the third molar.

    Measured: Change from Baseline PPD at 1-month after intervention

  8. Probing Pocket Depth (PPD)

    Using periodontal probe to measure the depth from the bottom of the periodontal pocket to the gingival margin, recorded at six sites (mesial [buccal and lingual/palatal], distal [buccal and lingual/palatal], mid-buccal, and mid-lingual/palatal) around each tooth, except for the third molar.

    Measured: Change from Baseline PPD at 3-month after intervention

  9. Probing Pocket Depth (PPD)

    Using periodontal probe to measure the depth from the bottom of the periodontal pocket to the gingival margin, recorded at six sites (mesial [buccal and lingual/palatal], distal [buccal and lingual/palatal], mid-buccal, and mid-lingual/palatal) around each tooth, except for the third molar.

    Measured: Change from Baseline PPD at 6-month after intervention

  10. Clinical Attachment Loss(CAL)

    Using periodontal probe to measure the distance from the enamel-dentin junction to the bottom of the periodontal pocket.

    • Page 4 of 8 - For each patient, CAL will measured each teeth.

    Measured: Change from Baseline CAL at 1-month after intervention

  11. Clinical Attachment Loss(CAL)

    Using periodontal probe to measure the distance from the enamel-dentin junction to the bottom of the periodontal pocket.

    • Page 4 of 8 - For each patient, CAL will measured each teeth.

    Measured: Change from Baseline CAL at 3-month after intervention

  12. Clinical Attachment Loss(CAL)

    Using periodontal probe to measure the distance from the enamel-dentin junction to the bottom of the periodontal pocket.

    • Page 4 of 8 - For each patient, CAL will measured each teeth.

    Measured: Change from Baseline CAL at 6-month after intervention

  13. OHRQoL(OHIP-14T scales)

    Item including that because of problems with your teeth or mouth, you:

    • Have you had trouble pronouncing any words because of problems"
    • Have you felt that your sense of taste has worsened"
    • Have you had painful aching in your mouth"
    • Have you found it uncomfortable to eat any foods"
    • Have you been self-conscious"
    • Have you felt tense"
    • Has been your diet been unsatisfactory"
    • Have you had to interrupt meals?"
    • Have you found it difficult to relax"
    • Have you been a bit embarrassed"
    • Have you been a bit irritable with other people"
    • Have you had difficulty doing your usual jobs"
    • Have you felt that life in general was less satisfying"
    • Have you been totally unable to function" Responses are scored on a 5-point Likert scale with endpoints ranging from 0 (never) to 4 (very often), indicating the frequency of the problem over the preceding 6 months. The possible scores were 0-56, with lower scores indicating more favorable OHRQoL.

    Measured: Change from Baseline at 1 month after intervention

  14. OHRQoL(OHIP-14T scales)

    Item including that because of problems with your teeth or mouth, you:

    • Have you had trouble pronouncing any words because of problems"
    • Have you felt that your sense of taste has worsened"
    • Have you had painful aching in your mouth"
    • Have you found it uncomfortable to eat any foods"
    • Have you been self-conscious"
    • Have you felt tense"
    • Has been your diet been unsatisfactory"
    • Have you had to interrupt meals?"
    • Have you found it difficult to relax"
    • Have you been a bit embarrassed"
    • Have you been a bit irritable with other people"
    • Have you had difficulty doing your usual jobs"
    • Have you felt that life in general was less satisfying"
    • Have you been totally unable to function" Responses are scored on a 5-point Likert scale with endpoints ranging from 0 (never) to 4 (very often), indicating the frequency of the problem over the preceding 6 months. The possible scores were 0-56, with lower scores indicating more favorable OHRQoL.

    Measured: Change from Baseline at 3 month after intervention

  15. OHRQoL(OHIP-14T scales)

    Item including that because of problems with your teeth or mouth, you:

    • Have you had trouble pronouncing any words because of problems"
    • Have you felt that your sense of taste has worsened"
    • Have you had painful aching in your mouth"
    • Have you found it uncomfortable to eat any foods"
    • Have you been self-conscious"
    • Have you felt tense"
    • Has been your diet been unsatisfactory"
    • Have you had to interrupt meals?"
    • Have you found it difficult to relax"
    • Have you been a bit embarrassed"
    • Have you been a bit irritable with other people"
    • Have you had difficulty doing your usual jobs"
    • Have you felt that life in general was less satisfying"
    • Have you been totally unable to function" Responses are scored on a 5-point Likert scale with endpoints ranging from 0 (never) to 4 (very often), indicating the frequency of the problem over the preceding 6 months. The possible scores were 0-56, with lower scores indicating more favorable OHRQoL.

    Measured: Change from Baseline at 6 month after intervention

Secondary outcomes (6)
  1. Protection Motivation Theory (PMT) scores

    Item including that "I think periodontal disease is a serious disease"

    • If I do not have periodontal disease prevention behavior, the risk of developing periodontal disease in the future is very high"
    • If I stick to periodontal disease prevention behavior, it will improve my oral health"
    • I believe that I can follow the periodontal health guidance"
    • I find it hard to remember/hard to do periodontal health care guidance"
    • Periodontal disease bothers me"
    • I want to complete my personal periodontal disease prevention behavior plan" All the items' scores ranged from one to ten, with higher scores indicating a higher level of motivation toward change behaviors.

    Cronbach's α was 0.70 for this scale. The scores ranged from one ("impossible") to ten ("very possible"), with the total possible score ranging from seven to seventy

    Measured: Change from Baseline PMT at 1-month after intervention

  2. Protection Motivation Theory (PMT) scores

    Item including that "I think periodontal disease is a serious disease"

    • If I do not have periodontal disease prevention behavior, the risk of developing periodontal disease in the future is very high"
    • If I stick to periodontal disease prevention behavior, it will improve my oral health"
    • I believe that I can follow the periodontal health guidance"
    • I find it hard to remember/hard to do periodontal health care guidance"
    • Periodontal disease bothers me"
    • I want to complete my personal periodontal disease prevention behavior plan" All the items' scores ranged from one to ten, with higher scores indicating a higher level of motivation toward change behaviors.

    Cronbach's α was 0.70 for this scale. The scores ranged from one ("impossible") to ten ("very possible"), with the total possible score ranging from seven to seventy

    Measured: Change from Baseline PMT at 3-month after intervention

  3. Protection Motivation Theory (PMT) scores

    Item including that "I think periodontal disease is a serious disease"

    • If I do not have periodontal disease prevention behavior, the risk of developing periodontal disease in the future is very high"
    • If I stick to periodontal disease prevention behavior, it will improve my oral health"
    • I believe that I can follow the periodontal health guidance"
    • I find it hard to remember/hard to do periodontal health care guidance"
    • Periodontal disease bothers me"
    • I want to complete my personal periodontal disease prevention behavior plan" All the items' scores ranged from one to ten, with higher scores indicating a higher level of motivation toward change behaviors.

    Cronbach's α was 0.70 for this scale. The scores ranged from one ("impossible") to ten ("very possible"), with the total possible score ranging from seven to seventy

    Measured: Change from Baseline PMT at 6-month after intervention

  4. oral self-care behavior

    Item including that:

    "How many times do you brush your teeth a day?" The response was (once or twice day or three times or fours times or more/ day).

    "How long do you usually brush your teeth each time?" The response was lower than 1 min or 1-2 min or 2-3 min or more than 3 min/ day.

    "What is your main method of brushing your teeth?"The response was horizontally or vertically or Circle brush or Rotating brush or Horizontal+vertical+ and by the gum at a 45 degree angle.

    "How often do you replace your toothbrush?" The response was 3-6 month or more than 6 month or lower than 1 month or 1-2 month or 2-3 month.

    "Do you use a soft-bristled toothbrush?" The response was no or unknown or yes. "Do you have a habit of using interdental brushes?" The response was no or yes. "Do you have a habit of eating snack?" The response was no or yes.

    Measured: Change from Baseline at 1 month after intervention

  5. oral self-care behavior

    Item including that:

    "How many times do you brush your teeth a day?" The response was (once or twice day or three times or fours times or more/ day).

    "How long do you usually brush your teeth each time?" The response was lower than 1 min or 1-2 min or 2-3 min or more than 3 min/ day.

    "What is your main method of brushing your teeth?"The response was horizontally or vertically or Circle brush or Rotating brush or Horizontal+vertical+ and by the gum at a 45 degree angle.

    "How often do you replace your toothbrush?" The response was 3-6 month or more than 6 month or lower than 1 month or 1-2 month or 2-3 month.

    "Do you use a soft-bristled toothbrush?" The response was no or unknown or yes. "Do you have a habit of using interdental brushes?" The response was no or yes. "Do you have a habit of eating snack?" The response was no or yes.

    Measured: Change from Baseline at 3 month after intervention

  6. oral self-care behavior

    Item including that:

    "How many times do you brush your teeth a day?" The response was (once or twice day or three times or fours times or more/ day).

    "How long do you usually brush your teeth each time?" The response was lower than 1 min or 1-2 min or 2-3 min or more than 3 min/ day.

    "What is your main method of brushing your teeth?"The response was horizontally or vertically or Circle brush or Rotating brush or Horizontal+vertical+ and by the gum at a 45 degree angle.

    "How often do you replace your toothbrush?" The response was 3-6 month or more than 6 month or lower than 1 month or 1-2 month or 2-3 month.

    "Do you use a soft-bristled toothbrush?" The response was no or unknown or yes. "Do you have a habit of using interdental brushes?" The response was no or yes. "Do you have a habit of eating snack?" The response was no or yes.

    Measured: Change from Baseline at 6 month after intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Oct 2023
  2. Study start10 Aug 2020
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion31 Dec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06083649
Sponsor's protocol ID
KMUHIRB-F(II)-20200059
Status last verified
Feb 2025
First submitted
9 Oct 2023
Last updated
6 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing The AI-assisted tool used in this study was called Dental Monitoring (DM). in people with Periodontal Diseases, run by Kaohsiung Medical University Chung-Ho Memorial Hospital at 1 site in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 6 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Hsiao-Ling Huang (+886-7-312-1101#2159, hhuang@kmu.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

gingival index (GI) (time frame: Change from Baseline GI at 1-month after intervention). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Feb 2025.

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