Effectiveness of Customized Handle Toothbrush
Condition: Dental Plaque; Dental Prophylaxis; Dental Care
MeSH terms: Dental Plaque
Study type: Interventional

Summary: 
      People with special needs suffer from many difficulties, including mental, physical or motor,
      which increase the difficulty of obtaining good oral health.

      Therefore, some adjustments must be made to help these patients maintain oral health.

      The aim of the current research is to modify the traditional toothbrush grip by manufacturing
      a Customized Handle of every young child or people with special needs to improve oral health
      for those patients by relying on themselves with an effectively way.
    

Detailed description: 
      Participants will be examined to ensure that the participants have met the sample entry
      criteria, then the participants will be randomly assigned to four groups each one according
      to a group:

        1. A group of healthy children using conventional toothbrush (12 children).

        2. A group of healthy children using toothbrush with Customized Handle (12 children).

        3. A group of children with Down syndrome using conventional toothbrush (12 children).

        4. A group of children with Down syndrome using toothbrush with Customized Handle (12
           children).

      Secondly,

        1. Researcher will take an impression of the child hand grasp silicon impression material.

        2. Researcher will scan the impression with a model scanner and copy it to the computer,
           then convert it -through a specialized program- to a 3D analog.

        3. The program will print the digital analog via the 3D printer using Poly Lactic Acid
           compound and convert it into a model similar to the patient hand grasp, this model has a
           place to put the toothbrush.

      Third, Brushing instructions:

        1. The researcher will teach the participants how to brush by using (tell-show -do)
           technique.

        2. The brushing method that will be used is the modified Stillman technique.

        3. Brushing duration must be at least 3 minutes.

        4. The brushing must be twice a day.

        5. The amount of toothpaste is pea size.

      Finally, Mechanism of examination and follow up:

      After apply the plaque disclosing solution on the teeth with a bond brush, the plaque will be
      evaluated with Turesky Modification Quigley-Hein Plaque Index, checking on the buccal and
      lingual surfaces of all the teeth existing in the participant's mouth.

      The participants will be observed in the same day, before and after brushing, and after one
      week and three weeks
    

Intervention name(s): Evaluation of the Effectiveness of Conventional Toothbrush in Dental Plaque Control in Healthy Children; Evaluation of the Effectiveness of Customized Handle Toothbrush in Dental Plaque Control in Healthy Children; Evaluation of the Effectiveness of Conventional Toothbrush in Dental Plaque Control in Children with Down Syndrome; Evaluation of the Effectiveness of Customized Handle Toothbrush in Dental Plaque Control in Children with Down Syndrome
Intervention type(s): Other; Other; Other; Other
Intervention description(s): Healthy children will be given conventional toothbrush.Plaque scores in groups will be assess pre-brushing and post-brushing in baseline, a week, and after 3 weeks by using the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI) for both buccal and lingual surfaces; Healthy children will be given toothbrush with Customized Handle.Plaque scores in groups will be assess pre-brushing and post-brushing in baseline, a week, and after 3 weeks by using the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI) for both buccal and lingual surfaces; Children with Down syndrome will be given conventional toothbrush.Plaque scores in groups will be assess pre-brushing and post-brushing in baseline, a week, and after 3 week by using the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI) for both buccal and lingual surfaces; Children with Down syndrome will be given toothbrush with Customized Handle.Plaque scores in groups will be assess pre-brushing and post-brushing in baseline, a week, and after 3 weeks by using the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI) for both buccal and lingual surfaces
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Prevention
Keywords: Customized Handle Toothbrush; Dental Primary Prevention; Down Syndrome