9 - AI-assisted Dental Monitoring on Protection Motivation and Plaque Control in patient with Periodontal Disease

Abstract:

Objective: Protection motivation (PM) theory has been widely used to predict protective behaviors based on two factors: threat appraisal and coping appraisal. We aimed to examine the effects of AI dental monitoring (DM) on PM and dental plaque in patients with periodontal disease.

Methods: A randomized control trial was conducted. Participants with the stage III periodontitis were randomly assigned to AI (AI; n = 28), AI & human counseling (AIHC; n =28), and control (CG; n =29) groups in 2019-2022. All participants received nonsurgical periodontal treatment and oral hygiene instruction, whereas the patients in the AI and AIHC group received additional (a) AI and (b) AI with human counseling over 6 months, respectively. Data were collected including PM and plaque control record (PCR) at baseline and follow-ups. A mixed-design analysis of variance model analyzed the follow-up effects over time.

Results: The AI and AIHC exhibited respectively greater improvement in level of PM (β = 2.97 and 2.99, ES = 0.50 and 0.69) at the 1-month follow-up than the CG did. The AI and AIHC respectively increase in level of coping appraisal (β = 2.59 and 3.10, ES = 0.49 and 0.65) at the 3-month follow-up than the CG did. The AI and AIHC exhibited greater improvement in PCR [β = −16.66 and –23.65, effect size (ES) = 0.92 and 1.35] at the 6-month follow up than the CG did.

Conclusions: Using AI DM at home had a positive effect on the level of PM and plaque control in patients.

Source of Funding: Ministry of Science and Technology of Taiwan [grant numbers MOST109-2314-B-037-074, MOST110-2314-B-037-037-MY2].