Influence of reminder therapy for controlling bacterial plaque in patients undergoing orthodontic treatment: A systematic review and meta-analysis

Lima, Igor Felipe Pereira; Vieira, Walbert de Andrade; Bernardino, Ítalo de Macedo; Costa, Pedro Augusto; Lima, Anderson Paulo Barbosa; Pithon, Matheus Melo; Paranhos, Luiz Renato

doi:10.2319/111117-770.1

Cited by 40 publications

(34 citation statements)

References 22 publications

(80 reference statements)

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“…The introduction of cellphone technology has had a tremendous effect on human lifestyle and the current results indicate that it could possibly be also incorporated in the orthodontist’s armamentarium against WSLs. This is in agreement with two previous reviews that also highlighted the possible benefit of active reminders in the fight against WSLs . This might be attributed to the well‐documented improvement in plaque accumulation and gingival score of patients in the active reminder group, since these are relevant to the WSLs’ pathogenetic mechanism.…”

Section: Discussionsupporting

confidence: 92%

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Tasios

Papageorgiou

Papadopoulos

et al. 2019

Orthod Craniofacial Res

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Aim of this systematic review was to assess the efficacy of preventive interventions against the development of white spot lesions (WSLs) during fixed appliance orthodontic treatment. Nine databases were searched without limitations in September 2018 for randomized trials. Study selection, data extraction and risk of bias assessment were done independently in duplicate. Random‐effects meta‐analyses of mean differences (MDs) or relative risks (RRs) with their 95% confidence intervals (CIs) were conducted, followed by sensitivity analyses, and the GRADE analysis of the evidence quality. A total of 24 papers (23 trials) were included, assessing preventive measures applied either around orthodontic brackets (21 trials; 1427 patients; mean age 14.4 years) or molar bands (2 trials; 46 patients; age/sex not reported). Active patient reminders were associated with reduced WSL incidence on patient level compared to no reminder (3 trials; 190 patients; RR: 0.4; 95% CI: 0.31‐0.64; Number Needed to Treat [NNT]: 3 patients), flat surface sealants were associated with reduced WSL incidence on tooth level than no sealant (5 trials; 2784 teeth; RR: 0.8; 95% CI: 0.63‐0.95; NNT: 33 teeth), and fluoride varnish was associated with reduced WSL severity on tooth level (2 trials; 1160 teeth; MD: −0.32 points; 95% CI: −0.44 to −0.21 points). However, the quality of evidence was low according to GRADE, due to risk of bias. Some evidence indicates that active patient reminders and flat surface sealants or fluoride varnish around orthodontic brackets might be associated with reduced WSL burden, but further research is needed.

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Section: Discussionsupporting

confidence: 92%

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Tasios

Papageorgiou

Papadopoulos

et al. 2019

Orthod Craniofacial Res

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“…Current awareness of apps is poor, despite this finding, 87% of participants in this study reported that they would be willing to use an app to aid with treatment. A number of studies (Zotti et al 2015, Li et al 2016, Alkadhi et al 2017, Lima et al 2018 have shown apps to be effective in orthodontics, however, there are a number of limitations of apps. Given the availability of apps targeted at orthodontic patients, there is a need to assess the quality of these apps and if appropriate navigate patients towards high quality, effective apps.…”

Section: Resultsmentioning

confidence: 99%

Patient awareness of orthodontic mobile phone apps

2019

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IntroductionMobile phone applications (apps) can be engaging, accessible and versatile and have the potential to improve patient care. In 2017, 354 orthodontic apps were reported to be available, many of these are targeted at patients, however, the awareness and usage amongst orthodontic patients was unreported. AimThe primary aim of this study was to assess patients' current awareness of the availability of orthodontic apps. MethodsOne hundred orthodontic patients (50 new and 50 in treatment) completed a questionnaire designed to explore their awareness, access to and utilisation of orthodontic apps and social media to support orthodontic treatment. Furthermore, their willingness to engage with and use an app to aid with orthodontic treatment was explored. There were no age restrictions or exclusion criteria. ResultsNinety percent of patients had access to a smartphone, of which, 73% belonged to them (rather than a parent/relative). Apple was the most popular platform (56%) followed by Android (26%). Only 7% of patients were aware that apps were available to help with orthodontic treatment and no patients had previously used an app related to orthodontics.However, 87% of patients stated that they would be willing to use an app to support treatment. Twenty one percent of patients had previously looked up information on social media, YouTube being the most popular platform. ConclusionCurrent awareness of the availability of apps is poor, despite this finding, 87% of patients reported they would be willing to use an app to aid with orthodontic treatment. Given the availability of apps targeted at orthodontic patients, there is a need to assess the quality of these apps and if appropriate navigate patients towards high quality, effective apps.

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“…Based on it, the use of mobile applications (apps) may be an important tool of communication between patients and professionals, besides providing the necessary instructions for the performance of exercises 14 . Reinforcing this hypothesis, a recent study 15 showed that reminder therapy is a valuable strategy and it may contribute to restore oral health. Other studies have also shown that reminder therapy is an effective strategy to increase follow‐up rate 16 and help the rehabilitation process after a stroke 17 .…”

Section: Introductionmentioning

confidence: 99%

Use of mobile apps for controlling of the urinary incontinence: A systematic review

Nagib

Riccetto

Martinho

et al. 2020

Neurourology and Urodynamics

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Objective: The primary objective was to evaluate the impact of app use on urinary incontinence control through pelvic floor muscle training when compared to the postal treatment plan. The secondary objectives were to evaluate how app use may affect the quality of life (QoL) of users and treatment adherence. Material and Methods: Eight databases (PubMed, SciELO, Embase, Web of Science, LILACS, Open Gray, Open Thesis, and OATD) were used as research sources. The protocol was registered in PROSPERO (CRD 42020145709).Randomized controlled trials assessing urinary incontinence (UI) control with app use, with no restriction of year, language, and status of publication were included. The JBI Systematic Reviews Checklist for Randomized Controlled Trials assessed the risk of bias of the studies selected. The mean scores of QoL between the pre-and postintervention periods were compared through standardized mean differences, which were weighted according to the number of months between the two periods. Results: Only three studies met the eligibility criteria and were included. The methodological quality of the studies was from "low" to "moderate" risk of bias.The full sample included 203 patients with app-based treatment e 203 controls of postal treatment. All studies showed the reduction of urinary symptoms. In addition, two studies showed a reduction of QoL scores specific for the condition, while one study presented increased scores.Conclusion: Reminder therapy seems to be a promising strategy for controlling UI. K E Y W O R D Smobile app, pelvic floor, pelvic floor muscle training, urinary incontinence 1038 | LEME NAGIB ET AL.

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Influence of reminder therapy for controlling bacterial plaque in patients undergoing orthodontic treatment: A systematic review and meta-analysis

Abstract: According to the existing high-quality evidence, reminder therapy is a valuable strategy and may contribute to the reduction of plaque and gingival indices as well as to the lower occurrence of white spots in patients subjected to orthodontic treatment.

Cited by 40 publications

References 22 publications

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Patient awareness of orthodontic mobile phone apps

Use of mobile apps for controlling of the urinary incontinence: A systematic review

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