刷牙出血（BoB）是牙龈炎症的重要标志。最近,智能牙刷和口腔健康应用程序的使用已显示出改善口腔和牙周健康的潜力。在支持牙周护理计划中引入智能动力驱动牙刷的物联网网络的背景下，这项研究的目的是(a)审核这项新技术的采用和保留情况;(b)初步评估收集BoB数据并将其与临床牙周参数相关联的可行性.
为参与支持性牙周护理（SPC）的100名具有不同牙周病例诊断的受试者提供并指导其使用与App（I-Brush）连接的智能动力驱动牙刷。通过应用程序记录刷洗会话和BoB的发生，并存储在符合数据保护的后端。随着时间的推移，对主题保留进行了审计。在SPC预约前两周记录的BoB与临床医生对App数据不了解观察到的临床参数相关。
75％的受试者在平均362天的时间内提供了使用电动牙刷和App进行至少10次刷牙的数据。与基线相比，主题口腔卫生，使用I-Brush时，探查出血和残留口袋的患病率逐渐改善。导致SPC预约的两周内的BoB发作次数和在检查期间检测到的预测BOP的残余口袋数(p<.001)。前两周的应用使用与SPC的较低斑块评分相关。
这些初步观察表明，在SPC人群中，围绕智能电动牙刷构建的移动健康系统得到了良好的采用和保留。该应用程序能够收集临床相关信息，预测观察到的牙龈炎症程度。在牙科实践中部署mHealth系统似乎是可行的，并且可能会带来显着的口腔健康益处。在这方面需要更多的调查。
Bleeding on brushing (BoB) is an important sign of gingival inflammation. Recently, the use of intelligent toothbrushes and oral health Apps has shown potential to improve oral and periodontal health. In the context of the introduction of an Internet of things network of intelligent power-driven toothbrushes in a supportive periodontal care programme, the aim of this study was (a) to audit the adoption and retention of this new technology; and (b) to preliminarily assess the feasibility to gather data on BoB and associate them with clinical periodontal parameters.
100 subjects with different periodontal case diagnoses participating in supportive periodontal care (SPC) were provided with and instructed on the use of an intelligent power-driven toothbrush connected with an App (I-Brush). Brushing sessions and occurrence of BoB were recorded through the App and stored in a data protection compliant backend. Subject retention was audited over time. BoB recorded in the two weeks before the SPC appointment was associated with clinical parameters observed by the clinician blind to App data.
75% of subjects provided data from using the power toothbrush and the App for a minimum of 10 brushing sessions over an average period of 362 days. Compared with baseline, subjects\' oral hygiene, bleeding on probing and prevalence of residual pockets improved gradually while using the I-Brush. The number of BoB episodes in the two weeks leading to the SPC appointment and the number of residual pockets predicted BOP (p < .001) detected during the examination. App use in the previous two weeks was associated with lower plaque scores at SPC.
These preliminary observations indicate good adoption and retention of a mobile health system built around an intelligent power toothbrush in a SPC population. The App was able to gather clinically relevant information predicting the observed degree of gingival inflammation. Deployment of mHealth systems seems feasible in dental practice and may bring significant oral health benefits. More investigations are needed in this area.
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