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  • Title: The effect of toothbrush design on the ability of nurses to brush the teeth of institutionalized cerebral palsy patients.
    Author: Yitzhak M, Sarnat H, Rakocz M, Yaish Y, Ashkenazi M.
    Journal: Spec Care Dentist; 2013; 33(1):20-7. PubMed ID: 23278145.
    Abstract:
    AIM: To compare the effectiveness of two toothbrush designs in tooth brushing by nurses of individuals with cerebral palsy. METHODS: Following instruction, nurses brushed the teeth of 21 individuals with a single-headed-toothbrush, and 22 with a triple-headed-toothbrush. After one month, the nurses brushed their patients with the other toothbrush, following instruction. Tooth brushing performance skill was evaluated and scored using the TB-PS-I/Ashkenazi index following the first brushing as well as on a recall visit one month later. RESULTS: After 1 month, 7.6% of the nurses required further instruction following brushing with the triple-headed toothbrush compared to 15% after brushing with the single-headed. Reductions in plaque and gingival indices were greater after using the triple- headed than single-headed toothbrush. More nurses preferred the triple-headed toothbrush (75.5% compared to 22.6%). CONCLUSION: Brushing by nurses of cerebral palsy patients was more effective and instruction better retained with a triple-headed compared to single-headed toothbrush.
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