Unique ID issued by UMIN | UMIN000045250 |
---|---|
Receipt number | R000051322 |
Scientific Title | Effects of sonic and manual toothbrushes applied for assisted brushing of the disabled on plaque removal efficiency, caregiver burden, and long-term oral hygiene - A randomized, parallel-group study |
Date of disclosure of the study information | 2021/08/25 |
Last modified on | 2021/08/25 08:52:27 |
Effects of sonic and manual toothbrushes applied for assisted brushing of the disabled on plaque removal efficiency, caregiver burden, and long-term oral hygiene - A randomized, parallel-group study
SBDOH
Effects of sonic and manual toothbrushes applied for assisted brushing of the disabled on plaque removal efficiency, caregiver burden, and long-term oral hygiene - A randomized, parallel-group study
SBDOH
Japan |
periodontal disease
severely handicapped person
Dental medicine |
Others
NO
Oral diseases are mainly bacterial infections. Compared to normal people, people with disabilities have poor oral hygiene and a higher incidence of oral diseases such as dental caries and gingivitis. In addition, even if they have oral diseases, they often cannot complain of pain or difficulty in chewing and are found in an advanced state. In order to prevent these diseases, daily brushing is of utmost importance. However, if a person has a strong refusal behavior due to a disability, assisted brushing can be burdensome for the caregiver, making it difficult to maintain adequate oral hygiene. Therefore, this study was conducted to measure the efficiency of plaque removal and the rate of periodontitis inhibition by continuous use of a sonic toothbrush with high bacterial removal efficiency and a manual toothbrush with high bacterial removal accuracy in assisted brushing of patients with disabilities using the conventional indices PlI and GI and the new index PISA. In addition, the changes in the number of bacteria, genome, and In addition, changes in the number of bacteria and changes in the oral flora by genome analysis will be evaluated. In this study, the effects of assisted brushing with a sonic toothbrush on the gingiva of people with disabilities and its clinical effects will be clarified. In addition, the degree of burden on the caregiver will be verified by questionnaire, and an efficient oral cleaning method with less burden for both the patient and the caregiver supporting the patient will be proposed.
Efficacy
0 weeks and 32 weeks PlI
0 and 32 weeks: PCR, bacterial count test, periodontal inflammation surface area (PISA), GI, bacterial flora test (next generation sequencing), caregiver burden (questionnaire)
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
No treatment
2
Treatment
Behavior,custom |
Forty patients with disabilities who regularly visit our department and who have obtained written consent from their guardians will be included. At the time of the regular checkup, the age, sex, type and degree of disability, background disease, and treatment will be transcribed from the medical record. The dentist in charge will evaluate the PCR, PlI, GI, and PISA scores of the patients 1-5 hours after meals and collect dental plaque. The collected plaque will be counted for bacteria using a calisimeter. In addition, a questionnaire regarding the level of burden associated with assisted brushing will be administered to caregivers. The PCR will be assessed every 8 weeks to measure changes in oral hygiene over time. 32 weeks later, the same assessment will be conducted as before the intervention to evaluate changes over time in each group and to assess differences between groups. After 32 weeks, the same assessment will be performed as before the intervention to evaluate the change over time for each group and to evaluate the difference between the groups.
Forty patients with disabilities who regularly visit our department and who have obtained written consent from their guardians will be included. At the time of the regular checkup, the age, sex, type and degree of disability, background disease, and treatment will be transcribed from the medical record. The dentist in charge will evaluate the PCR, PlI, GI, and PISA scores of the patients 1-5 hours after meals and collect dental plaque. The collected plaque will be counted for bacteria using a calisimeter. In addition, a questionnaire regarding the level of burden associated with assisted brushing will be administered to caregivers. The PCR will be assessed every 8 weeks to measure changes in oral hygiene over time. 32 weeks later, the same assessment will be conducted as before the intervention to evaluate changes over time in each group and to assess differences between groups. After 32 weeks, the same assessment will be performed as before the intervention to evaluate the change over time for each group and to evaluate the difference between the groups.
20 | years-old | <= |
80 | years-old | >= |
Male and Female
(1) Age 20 years or older at the time of obtaining consent
(2) Adults scheduled for oral hygiene instruction
(2) Adults scheduled to receive oral hygiene instruction (3) Those with 20 or more remaining teeth
(2) Adults who are scheduled to receive oral hygiene instruction (3) Those who have at least 20 remaining teeth (4) Those who can obtain written consent from a substitute for participation in this study
(5) Those with the most severe or severe disability (Hiroshima City Ryoiku Techo (Ryoiku Techo) maruA and A) or those with motor disabilities due to cerebral palsy.
1) Those with C3 caries
(2) Patients taking antibacterial drugs
(3) Patients taking antiepileptic drugs or calcium channel blockers that induce gingival proliferation
3) Those who are taking antiepileptic drugs or calcium channel blockers that induce gingival proliferation. 4) Those who cannot brush by a caregiver.
(4) Those who cannot brush by a caregiver (5) Others who are deemed inappropriate by the principal investigator or sub-investigator
40
1st name | Yoshiyuki |
Middle name | |
Last name | Okada |
Hiroshima University Hospital
Dentistry for the Disabled
734-8551
1-2-3, Kasumi, Minami-ku, Hiroshima City
082-257-5788
okay@hiroshima-u.ac.jp
1st name | Chika |
Middle name | |
Last name | Kozono |
Hiroshima University Hospital
Clinical Support Department, Dental Division
734-8551
1-2-3, Kasumi, Minami-ku, Hiroshima City
082-257-5788
kozono@hiroshima-u.ac.jp
Hiroshima University Hospital
Hiroshima University Hospital
Other
Hiroshima University Hospital
1-2-3, Kasumi, Minami-ku, Hiroshima City
082-257-5788
okay@hiroshima-u.ac.jp
NO
2021 | Year | 08 | Month | 25 | Day |
Unpublished
Open public recruiting
2021 | Year | 08 | Month | 23 | Day |
2021 | Year | 08 | Month | 23 | Day |
2021 | Year | 08 | Month | 24 | Day |
2027 | Year | 12 | Month | 31 | Day |
2021 | Year | 08 | Month | 24 | Day |
2021 | Year | 08 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051322