Cheeli S, Prasad M G, Radhakrishna A N, Raviteja N V K
Department of Pediatric and Preventive Dentistry, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.
Department of Pediatric and Preventive Dentistry, St. Joseph Dental College, Eluru, Andhra Pradesh, India.
Eur Arch Paediatr Dent. 2025 Feb;26(1):63-70. doi: 10.1007/s40368-024-00964-w. Epub 2024 Nov 9.
To evaluate and compare the efficacy of manual toothbrush, audio-tactile performance (ATP) method, and musical toothbrush on plaque control and oral hygiene maintenance in visually impaired children.
The current observational study included 60 visually impaired children aged 9-16 years who were randomly divided into 3 groups, each with 20 children receiving oral hygiene instructions in different modes: Group 1 (Control) manual toothbrush, Group 2 (ATP) audio-tactile performance method with a manual toothbrush, and Group 3 musical toothbrush. Both manual (groups 1 and 2) and musical toothbrushes (Group 3) were changed after 3 months for better efficiency. Oral hygiene index simplified (OHI-S) and Rustogi Modified Navy Plaque Index (RMNPI) plaque scores were recorded at baseline, at the end of 1, 3, and 6 months. The collected data were statistically analysed using SPSS version 21. The intra- and inter-group comparisons were analysed using one-way ANOVA, and the multiple group comparisons were analysed using the Tukey HSD test. In intragroup comparisons from baseline to 6 months, both OHI-S and RMNPI plaque scores were reduced for group 3, only OHI-S plaque scores were reduced for group 2. Intergroup comparisons revealed a statistically high significant difference in OHI-S plaque scores from baseline to 6 months and RMNPI plaque scores from 1 to 6 months.
The motivation and education with musical toothbrushes and audio-tactile performance (ATP) method could aid in the improvement of oral hygiene maintenance of visually impaired children.
评估并比较手动牙刷、视听触觉演示(ATP)法和音乐牙刷对视力障碍儿童牙菌斑控制及口腔卫生维护的效果。
本观察性研究纳入60名9至16岁的视力障碍儿童,随机分为3组,每组20名,分别接受不同方式的口腔卫生指导:第1组(对照组)使用手动牙刷,第2组(ATP组)使用配备视听触觉演示法的手动牙刷,第3组使用音乐牙刷。为提高效率,3个月后更换第1组和第2组的手动牙刷以及第3组的音乐牙刷。在基线、1个月、3个月和6个月结束时记录简化口腔卫生指数(OHI-S)和Rustogi改良海军牙菌斑指数(RMNPI)的牙菌斑评分。使用SPSS 21版对收集的数据进行统计分析。组内和组间比较采用单因素方差分析,多组比较采用Tukey HSD检验。在组内从基线到6个月的比较中,第3组的OHI-S和RMNPI牙菌斑评分均降低,第2组仅OHI-S牙菌斑评分降低。组间比较显示,从基线到6个月的OHI-S牙菌斑评分以及从1到6个月的RMNPI牙菌斑评分存在统计学上的高度显著差异。
音乐牙刷和视听触觉演示(ATP)法的激励和教育有助于改善视力障碍儿童的口腔卫生维护。