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Manual versus sonic powered toothbrushing in patients with intellectual disability: a cluster‐randomized clinical trial
Author(s) -
GarcíaCarrillo Ana,
Jover Antonio,
Plá Rafael,
Martorell Almudena,
Sota Cristina,
GómezMoreno Gerardo,
Figuero Elena,
Sanz Mariano,
Herrera David
Publication year - 2016
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12567
Subject(s) - medicine , toothbrush , gingivitis , randomized controlled trial , dentistry , clinical trial , adverse effect , physical therapy , brush , electrical engineering , engineering
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 .