关键词: Developmental disability Intellectual disability Remote oral hygiene Telemonitoring device

Mesh : Humans Female Male Toothbrushing / instrumentation Cross-Over Studies Oral Hygiene / instrumentation Adult Intellectual Disability Patient Compliance Surveys and Questionnaires Developmental Disabilities Dental Plaque Index Telemedicine / instrumentation Middle Aged Halitosis / therapy

来  源:   DOI:10.1007/s00784-024-05867-0

Abstract:
OBJECTIVE: Advances in mobile technology are helping with health management practices, and smart toothbrushes provide proper dental care by collecting and analyzing users\' toothbrushing data. The purpose of this study is to assess the effect of a telemonitoring device on oral hygiene management in individuals with intellectual or developmental disabilities and its role in promoting oral health.
METHODS: Participants were split into two groups: one initially using the telemonitoring device (telemonitoring device/manual toothbrush) and the other using it later (manual toothbrush/telemonitoring device), with a one-month washout period. The study compared plaque index, halitosis, changes in oral microbiota, and guardian questionnaire responses between the groups.
RESULTS: In period 1, the QHI index score significantly decreased from 1.93 to 0.83 in the group using the remote monitoring device, compared to an increase from 1.75 to 2.01 in the manual toothbrush group. Additionally, toothbrushing frequency, time, and cooperation increased by 0.82 ± 0.60, 0.82 ± 1.16, and 1.09 ± 0.94, respectively, with initial telemonitoring device use. However, these measures decreased by -1.45 ± 0.68, -1.09 ± 0.70, and - 1.00 ± 1.00 after switching to a manual toothbrush, and decreased by -0.64 ± 0.67, -0.27 ± 1.19, and 0.09 ± 0.94 overall, respectively. However, there were no significant differences in oral microbiota between the groups at these different time points.
CONCLUSIONS: The study shows that telemonitoring devices effectively reduce plaque index and improve toothbrushing frequency, time, and cooperation. However, these benefits decrease after switching to a manual toothbrush. Follow-up is needed to assess satisfaction and compliance with telemonitoring device use.
CONCLUSIONS: Using telemonitoring devices in the oral health management of individuals with intellectual and developmental disabilities can improve their oral health quality.
摘要:
目标:移动技术的进步正在帮助健康管理实践,智能牙刷通过收集和分析用户的刷牙数据来提供适当的牙齿护理。这项研究的目的是评估远程监护设备对智力或发育障碍患者口腔卫生管理的影响及其在促进口腔健康中的作用。
方法:参与者分为两组:一组最初使用远程监护设备(远程监护设备/手动牙刷),另一组后来使用远程监护设备(手动牙刷/远程监护设备),有一个月的冲洗期。这项研究比较了菌斑指数,口臭,口腔微生物群的变化,以及组间的监护人问卷答复。
结果:在第1阶段,使用远程监控设备的组中QHI指数得分从1.93显着下降到0.83,相比之下,手动牙刷组从1.75增加到2.01。此外,刷牙频率,时间,和合作分别增加了0.82±0.60、0.82±1.16和1.09±0.94,与最初的远程监护设备使用。然而,切换到手动牙刷后,这些措施减少了-1.45±0.68,-1.09±0.70和-1.00±1.00,总体下降-0.64±0.67、-0.27±1.19和0.09±0.94,分别。然而,在这些不同的时间点,各组之间的口腔微生物群没有显著差异.
结论:研究表明,远程监护设备可有效降低菌斑指数,提高刷牙频率,时间,和合作。然而,这些好处减少后切换到手动牙刷。需要采取后续行动以评估对远程监护设备使用的满意度和合规性。
结论:在智力和发育障碍患者的口腔健康管理中使用远程监护设备可以提高他们的口腔健康质量。
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