Effectiveness of Two Different Modifications of Manual Toothbrush on Plaque Control – A Multiple Baseline Trial among 12-17 Year Old Children with Cerebral Palsy.
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 3
Abstract
Background: Cerebral palsy (CP) is the leading cause of chronic disability in children, making them physically and mentally handicapped and socially aloof. In India, it is estimated at around 3 cases per 1000 live births. The main factor related to gingival/periodontal problems in these disabled individuals is the inadequacy of the plaque removal from the teeth. Hence this study was formulated to assess the effectiveness different modifications of manual tooth brush among 12 to 17 year old children with cerebral palsy. Methodology: A multiple baseline design was adopted among 30 children with cerebral palsy aged 12 to 17 year at the special school, National Institute of Persons with Multiple Disabilities (NIEPMD). A conventional toothbrush was modified both at handle and head. Plaque and gingival index were recorded at baseline, 6 week and 12 weeks. Ethical clearance from the institution was obtained. Results: A significance reduction in plaque and gingival scores (p<0.005) was obtained on using both the modification. On comparison, the handle modification had a significant statistical difference on plaque index. (p=0.0006) Conclusion: Modified manual brushing is shown to be as effective in terms of the removal of plaque.
Authors and Affiliations
Dr. Lakshmi Krishnan
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