Manual versus sonic powered toothbrushing in patients with intellectual disability: a cluster‐randomized clinical trial
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 .
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For patients with an intellectual disability, a randomized clinical trial found that use of a power toothbrush was as effective and safe as a manual toothbrush.
“For patients with an intellectual disability, a randomized clinical trial found that the use of a power toothbrush was as effective and safe as a manual toothbrush.44”
From Contemporary practices for mechanical oral hygiene to prevent periodontal disease. (2020) · cites this paper as [44]
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Contemporary practices for mechanical oral hygiene to prevent periodontal disease.
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- Authors
- García‐Carrillo, A., Jover, A., Plá, R., Martorell, A., Sota, C., Gómez‐Moreno, G., Figuero, E., Sanz, M., & Herrera, D.
- Affiliations
- Universidad San Pablo CEU (ES)
- Universidad Complutense de Madrid (ES)
- Fundación A LA PAR (ES)
- Section of Special Patients in Dentistry University of Granada Granada Spain
- Corresponding author
- Herrera, David
- Venue
- Journal of Clinical Periodontology
- Publisher
- Wiley
- Published
- 2016-05-20
- Volume
- 43
- Issue
- 8
- Pages
- 684-693
- ISSN
- 0303-6979 (ISSN-L)
- 1600-051X
- OpenAlex
- W2341683530
- Cited by
- 21
- References
- 26
- Citations by year
- 2026: 4 · 2025: 2 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 4 · 2017: 1
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal Of Clinical Periodontology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Phillips Oral Healthcare
- University Complutense
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- manual toothbrush, toothbrushing, intellectual disability, dental plaque, gingivitis, oral hygiene, fluoride toothpaste, supervised toothbrushing
- MeSH terms
- Adult, Dental Plaque, Dental Plaque Index, Equipment Design, Female, Gingivitis, Humans, Male, Intellectual Disability, Periodontal Index, Toothbrushing, Single-Blind Method
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