Soncini J A, Tsamtsouris A
J Pedod. 1989 Summer;13(4):331-4.
Twenty-eight cerebral palsy patients were evaluated for effectiveness of toothbrushing using conventional vs individually modified toothbrushes (IMT). The patients were first monitored in the dental clinic, using the conventional or the IMT on alternate visits for a total of four visits. Plaque scores recorded at all four visits showed significant (P less than 0.001) reduction of plaque measured in percentage of surfaces cleaned when the IMT was used. In the second part of the study, the patients were given the IMT to use at home. The plaque index scored 7, 21 and 35 days later, decreased significantly (P less than 0.001) with time. The same was true for the gingival index. Furthermore, during each of the last three visits, patients were also evaluated for the ability to perform oral hygiene with the IMT in the dental office. This ability was significantly improved (P less than 0.05) at all visits. The Individually Modified Toothbrush appears to be an effective mean to improve the oral hygiene and gingival health of cerebral palsy patients.
对28名脑瘫患者使用传统牙刷与个体化改良牙刷（IMT）刷牙的效果进行了评估。患者首先在牙科诊所接受监测，交替使用传统牙刷或IMT，共就诊4次。在所有4次就诊时记录的菌斑评分显示，使用IMT时，以清洁表面百分比衡量的菌斑量显著减少（P<0.001）。在研究的第二部分，患者被给予IMT在家中使用。在7天、21天和35天后记录的菌斑指数随时间显著下降（P<0.001）。牙龈指数也是如此。此外，在最后三次就诊的每次就诊期间，还对患者在牙科诊所使用IMT进行口腔卫生护理的能力进行了评估。在所有就诊时，这种能力都有显著提高（P<0.05）。个体化改良牙刷似乎是改善脑瘫患者口腔卫生和牙龈健康的有效手段。
