Palanisamy Sucharitha, Cholan Priyanka, Parthasarathy Harinath, Tadepalli Anupama
Department of Periodontics and Oral Implantology, SRM Dental College & Hospital, Chennai, India.
Front Oral Health. 2024 Dec 5;5:1479684. doi: 10.3389/froh.2024.1479684. eCollection 2024.
BACKGROUND & OBJECTIVE: Spastic Cerebral Palsy (CP) is a neurological disorder from non-progressive brain injury or malformation during development, severely impairing movement, coordination, reflexes, posture, balance, and motor skills. Individuals with spastic CP experience limb spasticity, complicating tasks like precise gripping, particularly with toothbrushes. This study proposed a novel "all-in-one glove" for oral hygiene, assessing its efficacy and comparing it to conventional toothbrushes for spastic CP patients.
METHODS & MATERIALS: This randomized controlled trial was conducted on 30 clinically diagnosed spastic CP patients with Group 1 consisting of 15 Subjects with clinically diagnosed spastic CP with generalized gingival diseases using conventional oral hygiene techniques with weekly oral hygiene reinforcement and Group 2 consisting of 15 Subjects with clinically diagnosed spastic cerebral palsy with generalized gingival diseases using the novel "all in one glove" method for oral hygiene maintenance with weekly oral hygiene reinforcement. The Clinical Parameters assessed includes Full mouth plaque scores, Full mouth bleeding scores and OHI scores recorded at baseline, 3 and 6 months.
A statistically significant reduction was observed in Full-mouth Plaque, Bleeding, and Oral Hygiene Index (OHI) scores in both the groups (48.87% & 43.285%, 31.57% & 26.66%, 57.29% & 47.37% respectively). The Group 2 exhibited a marginally higher percentage reduction in all clinical parameters compared to the Group 1 at the measured time points.
The utilization of the "All in one glove" has improved the effectiveness of oral hygiene maintenance and gingival health in spastic CP individuals.
[ClinicalTrials.gov], identifier, [REF/2022/06/055641].
痉挛型脑瘫是一种因发育过程中发生非进行性脑损伤或畸形导致的神经障碍，严重损害运动、协调、反射、姿势、平衡和运动技能。痉挛型脑瘫患者会出现肢体痉挛，这使得诸如精确抓握等任务变得复杂，尤其是使用牙刷时。本研究提出了一种用于口腔卫生的新型“一体化手套”，评估其效果，并将其与痉挛型脑瘫患者使用的传统牙刷进行比较。
本随机对照试验对30例临床诊断为痉挛型脑瘫的患者进行，第1组由15名临床诊断为痉挛型脑瘫且患有广泛性牙龈疾病的受试者组成，他们使用传统口腔卫生技术并每周进行口腔卫生强化；第2组由15名临床诊断为痉挛型脑瘫且患有广泛性牙龈疾病的受试者组成，他们使用新型“一体化手套”方法进行口腔卫生维护并每周进行口腔卫生强化。评估的临床参数包括基线、3个月和6个月时记录的全口菌斑评分、全口出血评分和口腔卫生指数（OHI）评分。
两组的全口菌斑、出血和口腔卫生指数（OHI）评分均有统计学意义的降低（分别为48.87% 和43.285%、31.57% 和26.66%、57.29% 和47.37%）。在测量时间点，第2组在所有临床参数上的降低百分比略高于第1组。
“一体化手套”的使用提高了痉挛型脑瘫患者口腔卫生维护的效果和牙龈健康水平。
[ClinicalTrials.gov]，标识符，[REF/2022/06/055641]。
