"Comparing the Plaque Removal Ability of Two Different Toothbrushes Among School Going CP Children
Condition: Cerebral Palsy
MeSH terms: Cerebral Palsy
Study type: Interventional

Summary: 
      It was an intervention utilizing two toothbrushes on school going cerebral palsy children age
      (6 -18 yrs). The triple head tooth brush and single head brush was provided to parents along
      with dental health education to their parent on brushing technique and oral care for their
      child. Parents who give consent for their child were enrolled in the study. The plaque
      removal ability of toothbrush was assessed by Turesky modified Quigley Hein index. The
      reading for plaque score was recorded at base line and after the follow up of 4 weeks.
      Difficulties during brushing was also analyzed.
    

Detailed description: 
      Study Design :Single blinded Randomized Control Trial

      Study Setting: The study was conducted in schools that have cerebral palsy children in
      Karachi.

      Study Duration :From June 2021 to June 2022.

      Sampling technique: Non probability purposive sampling technique was used for selection of
      study population.

      Sample Size: Total 58 individuals were recruited in the study. After including the 20% drop
      out rate 35 subjects were enrolled at each study group which make total sample size of 70
      Cerebral Palsy participants. Random allocation was made in two groups in order to keep the
      sizes of intervention groups similar.

      Study Instrument:

        -  For study intervention two types of tooth brushes were used. The single head and triple
           head tooth brush.

        -  For data collection a structured questionnaire was used that collect information on
           social demographic characteristics, oral hygiene behavior, dentition status, plaque
           status and difficulties associated with brushing.

      Data Collection Method:

        -  The study used a single-blind, parallel, and randomized controlled trial (RCT) design.

        -  A total 70 Cerebral palsy children were recruited in the study which was stratified into
           two groups of 35 children each in intervention and control group.

        -  Intervention group was given triple head tooth brush with fluoridated toothpaste whereas
           control group was given single head tooth brush with fluoridated toothpaste.

        -  Dental health education on oral care was given to participant's parent along with
           brushing technique demonstrated on model as well on their child's teeth.

        -  Data was collected through structured questionnaire. Oral health assessment was recorded
           through DMFT/dmft index. Plaque index was calculated by Turesky modified Quigley Hein
           index by dyeing the plaque on tooth surface by plaque disclosing tablets. Difficulties
           during brushing were also evaluated.

        -  Statistical analysis involved pair sample t test, repeated measure ANOVA, Chi-square and
           Fisher's exact test.
    

Intervention name(s): Comparing the plaque removal ability of triple head tooth brush versus single head tooth brush among school based cerebral palsy children: A Randomized Control Trial
Intervention type(s): Other
Intervention description(s): To compare the plaque removing ability of two different tooth brushes in school going cerebral palsy children.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: single blinded randomized control trial
Masking: Single (Investigator)
Primary purpose: Prevention
Keywords: plaque status; difficulties assocaited with tooth brushing; triple head tooth brush