Kerr Roberta, Claman Daniel, Amini Homa, Alexy Emily, Kumar Ashok, Casamassimo Paul S
Dr. Kher is a dentist in private practice in Goodyear, Ariz., USA.
Dr. Claman is a clinical assistant professor, all at the Division of Pediatric Dentistry at the Ohio State College of Dentistry, The Ohio State University, Columbus, Ohio, USA;, Email:
Pediatr Dent. 2019 Jan 15;41(1):20-24.
This study's purposes were to: (1) correlate toothbrushing effectiveness measured by plaque removal with children's parent- reported ability to perform life tasks and their executive function; and (2) compare plaque removal by children using a manual versus electric toothbrush. A convenience sample of 120 healthy five- to 11-year-olds was randomly and evenly assigned to manual or electric tooth- brush groups. A questionnaire was developed from items selected from previously validated social science instruments and completed by caregivers. Plaque was measured by calibrated scorers using the Oral Hygiene Index-Simplified before and after children brushed with respective toothbrushes. Statistical significance was established at P<0.05. The type of toothbrush had no effect on brushing effectiveness. Ability to write a complete address, tie shoes independently, cut meat with a knife, and cut out complex shapes were associated with better toothbrushing effectiveness. Increasing ability to play a musical instrument and wash dishes independently were associated with increased plaque removal. Parents were good predictors of a child's readiness to brush, based on plaque removal scores. Certain life skills and quality of performance of tasks were associated with toothbrushing effectiveness in five- to 11-year-olds and may be used to determine a child's readiness to brush independently.
（1）将通过牙菌斑清除情况衡量的刷牙效果与儿童家长报告的生活任务执行能力及其执行功能相关联；（2）比较儿童使用手动牙刷和电动牙刷时的牙菌斑清除情况。从120名5至11岁健康儿童中选取便利样本，随机且平均地分配到手动牙刷组或电动牙刷组。问卷是根据先前经验证的社会科学工具中的项目编制而成，由照料者填写。使用简化口腔卫生指数，由经过校准的评分员在儿童用各自的牙刷刷牙前后测量牙菌斑。P<0.05时确定具有统计学显著性。牙刷类型对刷牙效果没有影响。能够写出完整地址、独立系鞋带、用刀切肉以及剪出复杂形状与更好的刷牙效果相关。演奏乐器能力的提高和独立洗碗与牙菌斑清除增加相关。根据牙菌斑清除分数，家长能很好地预测孩子刷牙的准备情况。某些生活技能和任务执行质量与5至11岁儿童的刷牙效果相关，可用于确定孩子独立刷牙的准备情况。
