Manual toothbrushing reinforced with audiovisual instruction versus powered toothbrushing among institutionalized mentally challenged subjects-A randomized cross-over clinical trial

Thomas, Betsy S and Bhat, Mahalinga K and Bhat, Subraya G (2011) Manual toothbrushing reinforced with audiovisual instruction versus powered toothbrushing among institutionalized mentally challenged subjects-A randomized cross-over clinical trial. Medicina Oral , Patología Oral y Cirugía Bucal, 16 (3). e359-e364. ISSN 1698-4447

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Abstract

Aim: To assess and compare the effectiveness of Manual toothbrushing reinforced with audiovisual instructions with powered toothbrushing, among the institutionalized mentally challenged individuals under supervision of trained caretakers. Materials and Methods: A randomized cross over clinical trial of 6 months duration which included 16 subjects consisting of two phases of three months, for each of the 2 groups. In group A subjects were given manual toothbrushes with audio-visual aid followed by the powered toothbrushes & vice versa for group B. All subjects were instructed by trained care takers. An evaluation of the plaque & gingival scores was done at the end of 1, 2 & 3 months for both the groups. Results: Phase I showed statistically significant decrease in mean plaque scores (p=0.037) but insignificant mean gingival scores (p=0.189) in group A at end of 3 months. In phase II, statistically insignificant decrease in mean plaque & gingival scores were recorded at end of 3 months. In group B a statistically significant decrease in both plaque (p=0.002) & gingival (p=0.001) was found at end in both phases. Comparison of mean plaque & gingival scores of manual & powered toothbrushes at different intervals in both groups were statistically insignificant Conclusion: For mentally challenged individuals, manual toothbrushes reinforced with audio-visual instructions for brushing may be comparable to the use of powered toothbrushes.

Item Type: Article
Uncontrolled Keywords: Manual toothbrushes, powered toothbrushes, Mentally challenged individuals, Audio-Visual Aids and caretakers.
Subjects: Dentistry > MCODS Manipal > Periodontology
Depositing User: KMC Manipal
Date Deposited: 24 Apr 2013 04:13
Last Modified: 03 Nov 2016 09:53
URI: http://eprints.manipal.edu/id/eprint/79808

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