Toothbrush deterioration and parents’ suggestions to improve the design of toothbrushes used by children with special care needs

Zhou, Nan; Wong, Hai Ming; McGrath, Colman

doi:10.1186/s12887-020-02347-8

Cited by 7 publications

(8 citation statements)

References 15 publications

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“…Both groups showed an improvement in gingival status (T0 to T6; p<0.05). As gingival status is associated with dental plaque removal [ 29 ], present results showed a decrease in TQHPI scores in both the ACV group and manual brushing group, which leads to a correspondent decrease in MGI; therefore, MGI scores in the manual brushing group decreased at T2 and then increased after T3 [ 33 ].…”

Section: Discussionmentioning

confidence: 88%

“…Difficult behaviors during brushing, reflex movements, and reflex biting of the dental brush in children with CP can be the reason why toothbrushes wear after three months leading to the lower effectiveness of dental plaque removal. Zhou et al approved that children with special needs cause excessive toothbrush wear, which is associated with the child's social skills [29], which can explain the following increase in dental plaque in the last three months (p<0.05). Also, many studies found that worn dental brushes (equivalent to three months of use) were less effective in removing dental plaque than completely new ones [30][31][32].…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Apple Cider Vinegar and Mechanical Removal on Dental Plaque and Gingival Inflammation of Children With Cerebral Palsy

Asaad¹,

Laflouf²

2022

Cureus

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BackgroundThis study was designed to evaluate the effect of apple cider vinegar (ACV) 5% and mechanical plaque removal with a manual toothbrush on dental plaque and gingivitis. The objective was to study available, natural, and inexpensive ways to improve oral health status among the studied group. Materials and methodsA randomized clinical trial was performed on 50 children with cerebral palsy aged from three to six years. Participants were divided into two groups (n=25, apple cider vinegar, manual brushing without toothpaste). Plaque accumulation and gingival status were evaluated using Turesky of the Quigley-Hein plaque index (TQHPI) and modified gingival index (MGI) seven times: pre-intervention baseline (T0), post-intervention at one month (T1), two months (T2), three months (T3), four months (T4), five months (T5), six months (T6). ResultsPlaque accumulation and gingivitis decreased significantly for the ACV group between T0 and T6 (p<0.05) and demonstrated significantly lower plaque accumulation and gingivitis compared to the manual brushing group (p<0.05) at T5 and T6. The manual brushing group showed decreasing in TQHPI between T0 and T3, then TQHPI increased significantly (p<0.05) at T4, T5, and T6. ConclusionsTo sum up, this in vitro study has demonstrated the possibility of using apple cider vinegar to reduce plaque and gingivitis. In addition, without additives, apple cider vinegar has both mechanical and chemical effects on dental plaque, and it may be a natural, available, inexpensive, and harmless substance that can improve the quality of oral care for difficult groups of children and people with special needs. Unlike toothbrushes, especially electric toothbrushes, they are effective, but they may be expensive and not available to all children.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Effectiveness of Apple Cider Vinegar and Mechanical Removal on Dental Plaque and Gingival Inflammation of Children With Cerebral Palsy

Asaad¹,

Laflouf²

2022

Cureus

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“…These values were reinforced in the study by Queiroz et al, in which 27,3% of the researchers changed their toothbrush between two to three months of use (16). The dental literature does not show an ideal period of changing the toothbrush, the replacement of this object should be when the bristles are completely worn and traumatizing the periodontal tissues (17,18,19).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of parasite contamination on toothbrushes in children in Southeastern Brazil.

Caldeira

Cardoso

Oliveira

et al. 2022

Rev Estomatol Herediana.

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Introduction: The toothbrush is an important object for the hygiene of the oral cavity and an effective mechanism to remove the oral waste. Objective: To evaluate the perception of care, storage and parasitic contamination of toothbrushes in children with special health care needs (CSHCN) and children without special health care needs (CWSHCN) in Southern of Minas Gerais State. Material and Methods: This is an observational cross-sectional non-randomized study. The population consisted in 54 children, with age between 7 and 14 years. The questionnaire was distributed to patients to evaluate the perception of care and storage of children’s toothbrushes. Investigation of toothbrushes contamination was performed by parasitological examination and real-time polymerase chain reactions. Results: Regarding the procedures performed after brushing, 50.0% of children with special health care needs (CSHCN) and 56.3% of children without special health care needs (CWSHCN) report washing their brush bristles with water (p <0.001). Both groups did not use an antiseptic solution on toothbrushes. 73.3% of (CSHCN) and 58.7% of (CWSHCN) answered that they use some protection (brush holder and bathroom cabinet) to avoid exposure of brushes to the environment (p <0.001). Conclusion: The children investigated by the study presented good conditions of care and storage of their toothbrushes. No contamination by pathogenic parasites was found during the study period.

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“…In addition to physical therapy, a modified toothbrush and mouth-opening kit can help resolve this restriction 17 .…”

Section: E N Ta L H E a Lt H P R O B L E M S A N D M A Na Ge M E N T ...mentioning

confidence: 99%

Preventive Dentistry in Children with Special Needs: Narrative Review

Wannapaschaiyong,

Ketudat,

Bunman

2024

Vajira Med J

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Children with special healthcare needs face a high prevalence of dental and oral health problems due to unique challenges in maintaining oral hygiene. Preventive dentistry, which encompasses practices and strategies aimed at maintaining optimal oral health and preventing dental caries, periodontal disease, and other oral conditions, is therefore of utmost importance for this vulnerable group. This narrative review compiles the dental health concerns commonly encountered in these children and outlines preventive strategies to address them. Common dental issues encountered in this population include dental caries, gingival inflammation, tooth erosion, and attrition. Factors contributing to these problems range from motor impairments limiting brushing ability, food preferences, bruxism, gastroesophageal reflux disease, and side effects of certain medications. Effective preventive measures involve early dental visits, appropriate oral hygiene routines, judicious use of fluoride toothpaste and supplements, dietary modifications, and cessation of nighttime bottle-feeding. Specific recommendations are provided for caregivers, such as selecting the right toothbrush, maintaining proper brushing techniques, and monitoring fluoride intake based on age and risk factors. Interdisciplinary collaboration between pediatricians, dentists, and other healthcare professionals is crucial in identifying potential dental issues and providing tailored preventive care for children with special needs.

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Toothbrush deterioration and parents’ suggestions to improve the design of toothbrushes used by children with special care needs

Cited by 7 publications

References 15 publications

Effectiveness of Apple Cider Vinegar and Mechanical Removal on Dental Plaque and Gingival Inflammation of Children With Cerebral Palsy

Effectiveness of Apple Cider Vinegar and Mechanical Removal on Dental Plaque and Gingival Inflammation of Children With Cerebral Palsy

Evaluation of parasite contamination on toothbrushes in children in Southeastern Brazil.

Preventive Dentistry in Children with Special Needs: Narrative Review

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