Ana García-Carrillo1, Antonio Jover2, Rafael Plá2, Almudena Martorell3, Cristina Sota3, Gerardo Gómez-Moreno4, Elena Figuero5, Mariano Sanz5, David Herrera5. 1. Dentistry Department, San Pablo CEU University, Madrid, Spain. 2. Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain. 3. Fundación Carmen Pardo-Valcarce, Madrid, Spain. 4. Section of Special Patients in Dentistry, University of Granada, Granada, Spain. 5. ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, Faculty of Odontology, University Complutense, Madrid, Spain.
Abstract
OBJECTIVES: To compare the use of sonic powered or manual toothbrush in patients with intellectual disability (ID) in terms of plaque (PlI) and gingival (GI) indices and adverse effects. MATERIAL AND METHODS:Subjects with ID were recruited for this cluster-randomized, single blinded (examiner), 6-month clinical trial, comparing powered versus manual toothbrushing. Outcome variables included PlI and GI, evaluated at baseline and 3 months after supervised toothbrushing and after 3 additional months of unsupervised used. Clinical outcome variables were analysed by repeated measures ANCOVA considering time and group as factors and respective baseline values as covariates (generalized linear model). RESULTS:Sixty-four patients (34 male, mean age 34.5) in six clusters were included in the study. No statistically significant effect of toothbrushing group was observed for PlI or GI. A significant effect of time was identified (p < 0.001) with mean reductions ranging 0.44-0.45 for PlI and 0.30-0.36 for GI from baseline to 3-6 months. No relevant adverse effect or technical problems were observed. CONCLUSION: The tested sonic powered toothbrush was as effective and safe as the manual toothbrush. The use of powered or manual toothbrushes, together with fluoride toothpaste, may improve plaque and gingivitis levels, in patients with mild to limit ID.
RCT Entities:
OBJECTIVES: To compare the use of sonic powered or manual toothbrush in patients with intellectual disability (ID) in terms of plaque (PlI) and gingival (GI) indices and adverse effects. MATERIAL AND METHODS: Subjects with ID were recruited for this cluster-randomized, single blinded (examiner), 6-month clinical trial, comparing powered versus manual toothbrushing. Outcome variables included PlI and GI, evaluated at baseline and 3 months after supervised toothbrushing and after 3 additional months of unsupervised used. Clinical outcome variables were analysed by repeated measures ANCOVA considering time and group as factors and respective baseline values as covariates (generalized linear model). RESULTS: Sixty-four patients (34 male, mean age 34.5) in six clusters were included in the study. No statistically significant effect of toothbrushing group was observed for PlI or GI. A significant effect of time was identified (p < 0.001) with mean reductions ranging 0.44-0.45 for PlI and 0.30-0.36 for GI from baseline to 3-6 months. No relevant adverse effect or technical problems were observed. CONCLUSION: The tested sonic powered toothbrush was as effective and safe as the manual toothbrush. The use of powered or manual toothbrushes, together with fluoride toothpaste, may improve plaque and gingivitis levels, in patients with mild to limit ID.
Authors: Cassiano Kuchenbecker Rösing; Eduardo Garduño; Sandra Kalil Bussadori; Agustín Zerón; Paulo Vinícius Soares; Marc Saadia; Cristina Cunha Villar Journal: Int J Dent Date: 2022-08-22