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3.00: Personal hygiene
Published in Fiona Broadley, Supporting Life Skills for Young Children with Vision Impairment and Other Disabilities, 2020
Children do not need electric toothbrushes, and some may find them disconcerting. However, they can be very attractive to sensory-seeking children. Choose a children’s toothpaste and pay attention to the flavour your child prefers. Many children dislike mint toothpaste, but there are lots of alternatives. A quick check online reveals strawberry, raspberry, bubblegum, melon, berry and ice cream flavours – all easily obtainable – as well as mild mint. For those proving even more sensitive, unflavoured toothpaste is available. Some of these flavours come in bright colours that contrast beautifully with the bristles. It doesn’t matter if your child cannot swap to adult toothpaste. It is more important that he cleans his teeth regularly than uses age appropriate toothpaste. Your dentist can advise if higher fluoride paste would be beneficial.
Individualized Prevention
Published in Lars Granath, William D. McHugh, Systematized Prevention of Oral Disease: Theory and Practice, 2019
Lars Granath, William D. McHugh
Assisted cleaning is indicated for individuals with physical or mental handicaps which prevent them from effectively cleaning their own mouth, and may also be needed for young children. Since using a toothbrush on another person is surprisingly difficult, electric toothbrushes are often preferred since they are easier to use and just as effective. Topical use of chemotherapeutic agents has been found effective in handicapped persons.66
Oral problems: speech, diet and oral care
Published in Jeremy Playfer, John Hindle, Andrew Lees, Parkinson's Disease in the Older Patient, 2018
Lizzy Marks, Karen Hyland, Janice Fiske
An electric toothbrush can facilitate cleaning, particularly where manual dexterity is compromised. Some people find that the extra weight of an electric toothbrush helps to reduce hand and arm tremor. Dental gels, such as chlorhexidine and fluoride, and toothpastes can be used as normal. The use of mouthrinses should be avoided due to the increased risk of silent aspiration.
Relationship between oral health behaviour and handgrip strength: a cross-sectional study with 7589 Korean adults
Published in Acta Odontologica Scandinavica, 2020
Jae-Hyun Lee, Su-Young Lee, Kyungdo Han, Jung-Suk Han
A decline in handgrip strength can adversely affect various physical and mental conditions that are associated with low grip strength [6,37,42,43]. The knowledge of the relationship between oral health behaviour and handgrip strength can be used as a preventive measure, with multidisciplinary collaboration between physicians and dentists. Dentists should check whether patients who do not practice adequate oral hygiene self-care exhibit symptoms of sarcopenia. It is also necessary to encourage the use of electric toothbrushes for those who do not have sufficient handgrip strength to remove plaque adequately [44]. In addition, medical doctors should check that patients with sarcopenia practice good oral self-care, emphasize the importance of oral health behaviour to such patients, and consider referral to a dentist if necessary.
A 1-year follow-up of a randomized clinical trial with focus on manual and electric toothbrushes’ effect on dental hygiene in nursing homes
Published in Acta Odontologica Scandinavica, 2018
Katrine Gahre Fjeld, Hilde Eide, Morten Mowe, Leiv Sandvik, Tiril Willumsen
Almost half of the residents preferred an electric toothbrush when given the choice, although they were not previously used to it. This suggests that electric toothbrushes could be introduced when morbidity occurs even if the patient has no previous experience with an electric toothbrush. The only influence on improvement in dental hygiene was plaque level at baseline, indicating best effectiveness for those who need it most. The majority of participants had several diagnoses and used many medications. Handgrip strength was lower for this population than in a representative population >75 years [20] indicating that the participants were frail and had lower muscle strength in muscles important for proper dental cleaning. Participants had an average hospitalization time of 2 years and they were dependent on several functions of daily living. More than half of the participants had impaired cognition, with many natural teeth (mean = 18.8 ± 6.0) and extent high degree of frailty. This suggests that increased focus on the need for assistance, and commitment to a basic initiative, like making manual and electric toothbrushes available, yield substantial oral health benefits, regardless of general health conditions in the patients.
Oral health in patients with neurodegenerative and cerebrovascular disease: a retrospective study
Published in Disability and Rehabilitation, 2023
Marc Auerbacher, Lydia Gebetsberger, Dalia Kaisarly, Ralf Schmidmaier, Reinhard Hickel, Michael Drey
Oral hygiene behavior and eating habits were evaluated in patients with neurodegenerative and CVD (Table 1). More than half of the individuals (62.3%) required assistance with oral hygiene, with no significant difference between the groups. Significant differences were identified in the use of an electric toothbrush. Whereas 47.4% of patients with MS and 43.5% of individuals with PD brush their teeth electrically, only 19.6% and 27.9% of patients with D and CVD use an electric toothbrush, respectively. The majority of all individuals used a manual toothbrush for dental care.