The effect of toothbrush design on the ability of nurses to brush the teeth of institutionalized cerebral palsy patients

Yitzhak, Moran; Sarnat, H; Rakocz, Meir; Yaish, Yaniv; Ashkenazi, Malka

doi:10.1111/j.1754-4505.2012.00311.x

Cited by 17 publications

(25 citation statements)

References 10 publications

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“…), as did the hand search of the reference lists of the selected papers (Bloch‐Zupan & Maniere). Altogether, 15 eligible studies describing 18 comparisons were included in this systematic review.…”

Section: Resultsmentioning

confidence: 99%

Plaque removal with triple‐headed vs single‐headed manual toothbrushes—a systematic review—

Kalf‐Scholte¹,

Weijden

Bakker

et al. 2017

Int J Dental Hygiene

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Section: Resultsmentioning

confidence: 99%

Plaque removal with triple‐headed vs single‐headed manual toothbrushes—a systematic review—

Kalf‐Scholte¹,

Weijden

Bakker

et al. 2017

Int J Dental Hygiene

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“…The results showed that gingivitis is associated with poor oral hygiene, as demonstrated in previous studies [9,10], and that there is a biological gradient for the oral hygiene variable in individuals with developmental disabilities similar to that for dental caries [17]. Another study did not show this association [7].…”

Section: Discussionmentioning

confidence: 54%

“…The use of a visual examination without probing may have compromised the results, and the number of patients with gingivitis indicated by the records was likely lower than the actual number, as reported in a previous study based on gingival bleeding after brushing according to the Bass method [22]. The Modified Gingival Index was successfully used in a previous study of cerebral palsy patients [10]. Moreover, it is important to note that it is very difficult to perform reliable periodontal probing because there is no patient cooperation.…”

Section: Discussionmentioning

confidence: 99%

“…Gingival status was determined using the Modified Gingival Index, and the contour and gingival colour were considered normal (0) or mildly to severely inflamed (1) [10,14]. The studied covariates were gender, history of asthma, mouth breathing, dry mouth, use of centrally acting medication, use of medications to treat asthma, tooth decay in primary and permanent teeth, filled primary and permanent teeth, gastroesophageal reflux, oral hygiene and age in years.…”

Section: Visual Clinical Examinationmentioning

confidence: 99%

“…Gingivitis is associated with mouth breathing and dry mouth [8], oral hygiene [9,10]. age [11], dental caries [5,12], the use of medication, [12] different diagnoses of cerebral palsy [4], asthma and the medications used to treat it [13], and male gender [5].…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with Gingivitis in Children with Developmental Disabilities

Castilho

Abreu

Souza

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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Objective: To investigate factors associated with gingivitis in children aged one to 13 years with developmental disabilities. Material and Methods: A total of 408 dental records were used to recover the data. Gingivitis was measured based on the Modified Gingival Index. Other variables were also analysed: gender, age, International Classification of Diseases (ICD) code, mouth breathing, history of gastroesophageal reflux, use of psychotropic drugs, reports of dry mouth, history of asthma, use of medications to treat asthma, oral hygiene, dental caries, and filled or missing teeth in deciduous or permanent dentition. For the purposes of this analysis, the individuals were categorized as with and without gingivitis. Variables with a p-value < 0.25 in the bivariate analysis were incorporated into the logistic regression models (ICD, reflux, oral hygiene, primary tooth decay or filling, mouth breathing, dry mouth and use of psychotropic drugs). Results: We found a 14.67% prevalence of gingivitis. Individuals with mouth breathing had a 2.574-fold (95% CI: (1.113-5.950) greater chance of exhibiting gingivitis. Individuals with moderate oral hygiene had a 2.763-fold (95% CI: 1.066 to 7.160) greater chance of exhibiting gingivitis, and individuals with poor oral hygiene had a 15.029-fold (95% CI: 3.705-60.965) greater chance of exhibiting gingivitis than those with good oral hygiene. Conclusion: Moderate or poor oral hygiene and mouth breathing are factors associated with gingivitis in a group of patients with developmental disabilities at a dental service in Belo Horizonte.

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Plaque removal efficacy of a new toothbrush with a double-sided head and rotating handle—a pilot randomized control trial in acquired brain injury patients

et al. 2023

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Objectives To assess the efficacy of a new toothbrush (Balene) for the mechanical removal of dental plaque in patients with acquired brain injury. Material and methods The study group consisted of 25 adults with acquired brain injury. The participants underwent 2 sessions of toothbrushing lasting 1 min, one with a conventional toothbrush and the other with the Balene toothbrush. This new double-headed toothbrush has 6 active sides, which allows for the simultaneous toothbrushing of both alveolar arches, with elastomer bristles angled at 45°, as well a handle that rotates up to 180°. Therefore, the user does not need to remove the toothbrush from the oral cavity during the toothbrushing process. Dental plaque accumulation was assessed using the simplified oral hygiene index of Greene and Vermillion. Results The plaque index was significantly reduced both with the Balene toothbrush (p < 0.001) and with the conventional toothbrush (p < 0.001). The dental plaque removal efficacy was similar with the two toothbrushes. There were also no statistically significant differences in the removal of plaque with the Balene toothbrush between the autonomous and assisted toothbrushing modalities (p = 0.345). Conclusions For patients with acquired brain injury, the Balene toothbrush was as effective as a conventional toothbrush, regardless of whether the toothbrushing modality was autonomous or assisted. Clinical relevance The Balene® toothbrush’s efficacy in removing dental plaque is similar to that of conventional toothbrushes, both with the autonomous and assisted toothbrushing modality. Given its particular ergonomics, this toothbrush could be indicated for certain select patients with acquired brain injury (i.e., those whose degree of cooperation allows for toothbrushing, with a sufficient mouth opening, with no substantial abnormalities in the intermaxillary relationship, and with no significant edentulous sections).

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The effect of toothbrush design on the ability of nurses to brush the teeth of institutionalized cerebral palsy patients

Abstract: Brushing by nurses of cerebral palsy patients was more effective and instruction better retained with a triple-headed compared to single-headed toothbrush.

Cited by 17 publications

References 10 publications

Plaque removal with triple‐headed vs single‐headed manual toothbrushes—a systematic review—

Plaque removal with triple‐headed vs single‐headed manual toothbrushes—a systematic review—

Factors Associated with Gingivitis in Children with Developmental Disabilities

Plaque removal efficacy of a new toothbrush with a double-sided head and rotating handle—a pilot randomized control trial in acquired brain injury patients

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