Effectiveness of an Oral Health Education Program Using a Smart Toothbrush with Quantitative Light-Induced Fluorescence Technology in Children

Author:

Lee Jihyun1ORCID,Lee Taeyang1,Jung Hoi-In23ORCID,Park Wonse4,Song Je Seon15ORCID

Affiliation:

1. Department of Pediatric Dentistry, College of Dentistry, Yonsei University, Seoul 03722, Republic of Korea

2. Department of Preventive Dentistry & Public Oral Health, College of Dentistry, Yonsei University, Seoul 03722, Republic of Korea

3. Innovation Research and Support Center for Dental Science, Yonsei University Dental Hospital, Seoul 03722, Republic of Korea

4. Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul 03722, Republic of Korea

5. Oral Science Research Center, College of Dentistry, Yonsei University, Seoul 03722, Republic of Korea

Abstract

This randomized controlled trial aimed to educate patients and manage oral hygiene remotely via a smart toothbrush (ST) by using mobile applications and to improve oral hygiene and habits by evaluating the plaque state via images from a Q-ray cam, which is a quantitative light-induced fluorescence (QLF) digital imaging device. In total, 68 children (aged 6–12 years) were randomly divided into three groups. Group I was assigned an electro-toothbrush (ET), group II was assigned a smart toothbrush (ST), and group III used a manual toothbrush (MT). Each group used an assigned toothbrush and was checked after 1 and 3 months. Oral hygiene status was evaluated using the patient hygiene performance (PHP) index and fluorescent plaque index (FPI), which are presented in the QLF program. In addition, questionnaires on oral health behaviors and attitudes were also evaluated. There was a 0.24 decrease in the PHP index and a 1.40 decrease in the simple hygiene score three months later compared with the baseline in the ST group, with no significant difference between the three methods (p = 0.518, p = 0.626). Many group II participants said that ST helped with oral hygiene, and they were willing to use it continuously. In addition, all participants’ brushing times and attitudes toward oral hygiene improved after oral hygiene education using a Q-ray cam. Therefore, the use of STs provided good dental health education and a plaque-decreasing effect to children aged 6–12 years old. Furthermore, the QLF device can be used as a useful tool for maintaining good oral hygiene in children.

Funder

Korea Health Industry Development Institute

Ministry of Health & Wel-fare, Republic of Korea

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

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