Furcation involvement (FI) refers to a condition in which the progression of the periodontal disease process invades the bifurcation and trifurcation of multirooted teeth. Furcation involvement, present a clinical challenge due to its anatomic complexity and reduced access for adequate plaque control which may leads to further periodontal breakdown. Consequently, maintenance of adequate oral hygiene is critical in these sites.
It has been shown that poor oral hygiene, together with the persistence of periodontal risk factors, leads to further disease progression, treatment failure, and disease recurrence.
Mobile health can serve as a valuable adjunctive approach by aiding in behavioral reinforcement through real-time reminders. With widespread mobile phone usage in India, mHealth interventions are feasible. The role of mHealth in management of furcation involved sites has still not been explored. Therefore, this randomized controlled clinical trial aims to evaluate the effectiveness of mobile health reinforcements in improving plaque control efficacy at in furcation involved sites following non-surgical periodontal therapy, with the potential to enhance patient compliance and prevent further disease progression and disease recurrence.
Systemically healthy individuals with clinically visible furcation entrance in mandibular molars in Stage III periodontitis
Horizontal bone loss extent ≥ 3mm29 and vertical bone loss ( Subclass A/B)30
Access to mobile phone
Presence of systemic diseases that could influence the outcome of periodontal therapy (Diabetes mellitus, Hypertension)
Smoking/alcohol consumption
Teeth with Grade II/III mobility
History of periodontal treatment or antibiotic therapy in the last 6 months