Manual versus sonic powered toothbrushing in patients with intellectual disability: a cluster-randomized clinical trial

作者：Garcia Carrillo Ana; Jover Antonio; Pla Rafael; Martorell Almudena; Sota Cristina; Gomez Moreno Gerardo; Figuero Elena; Sanz Mariano; Herrera David^*

来源：Journal of Clinical Periodontology, 2016, 43(8): 684-693.

DOI：10.1111/jcpe.12567

• dental plaque
• gingivitis
• intellectual disability
• powered toothbrush
• toothbrushing

ObjectivesTo 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 MethodsSubjects 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 3months 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).
ResultsSixty-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 3-6months. No relevant adverse effect or technical problems were observed.
ConclusionThe 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.

• 出版日期2016-8