Mechanical Control of Plaque in Patients With Cerebral Palsy: A Randomized Clinical Trial

Study Overview
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Brief Summary
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The aim of the present study was to determine the effectiveness of brushing with an electric toothbrush switched on and switched off in comparison to manual brushing for the removal of dental plaque in children aged four to 16 years with cerebral palsy.

Detailed Description
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Advances in the design and type of movement of electric toothbrushes can determine the increase in effectiveness in the control of biofilm by caregivers and patients.There is a paucity of studies evaluating the effectiveness of the electric toothbrush compared to manual toothbrush specifically in patients with cerebral palsy.Only one study used the electric toothbrush in patients with cerebral palsy and demonstrated superiority of the electric toothbrush over the manual. However, the study investigated the effect of various cleaning strategies on symptoms of gingival inflammation, not specifically focusing on the comparison of the efficiency of removal of biofilm from the manual toothbrush and electric toothbrush. The primary objective of this study was to evaluate the effectiveness of the electric brush on and off the removal of dental plaque in subjects with cerebral palsy compared to manual toothbrush. The secondary objective was to characterize the study as socioeconomic population.

Official Title
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Mechanical Control of Plaque in Patients With Cerebral Palsy: A Randomized Clinical Trial

Conditions
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Cerebral Palsy;, Dental Plaque

Intervention / Treatment
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* Device: manual brushing
* Device: electric toothbrush linked
* Device: off electric toothbrush


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: medical diagnosis of cerebral palsy Exclusion Criteria: who did not complete the cycle three brushings

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 16 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: manual brushing<br>manual brushing; Oral-B®, Stages 4, Rio de Janeiro, Rio de Janeiro; | Device: manual brushing<br>* Tooth brushing<br>* Other names: manual brushing; (Oral-B®, Stages 4, Rio de Janeiro, Rio de Janeiro);|
| Experimental: electric toothbrush linked<br>electric toothbrush linked; Braun - Oral-B®, D2010K, Rio de Janeiro, Rio de Janeiro | Device: electric toothbrush linked<br>* Tooth brushing<br>* Other names: electric toothbrush linked; Braun - Oral-B®, D2010K, Rio de Janeiro, Rio de Janeiro;|
| Experimental: off electric toothbrush<br>off electric toothbrush; Braun - Oral-B®, D2010K, Rio de Janeiro, Rio de Janeiro | Device: off electric toothbrush<br>* Tooth brushing<br>* Other names: off electric toothbrush; Braun - Oral-B®, D2010K, Rio de Janeiro, Rio de Janeiro;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Removal of dental plaque | Before and after brushings were assessed levels of plaque accumulation. For evaluation of the dental plaque index of Quigley-Hein plaque modified Turesky was used. The escovções were performed by caregivers. | after brushing three minutes duration | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cerebral Palsy;, Toothbrushing;, Dental Plaque