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This case highlights a simple, cost\u2010effective, and reproducible intervention using a customized soft putty toothbrush handle fabricated chairside and molded directly to the patient's grip. A 27\u2010year\u2010old male with longstanding RA and FM, and a history of smoking, presented with poor plaque control and brushing\u2010associated pain. Following the chairside fabrication of an adaptive handle individually shaped to his grasp, plaque index improved dramatically from 91% to 15% within four months, with a corresponding reduction in discomfort from a VAS score of 5 to 1. This personalized ergonomic solution significantly improved brushing efficiency, comfort, and self\u2010care independence, underscoring the importance of tailored oral hygiene aids in medically compromised populations.<\/jats:p>","DOI":"10.1002\/ccr3.72276","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T04:46:01Z","timestamp":1773377161000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Restoring Oral Hygiene Autonomy Through a Customized Toothbrush Handle in a Patient With Rheumatoid Arthritis and Fibromyalgia"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8949-1172","authenticated-orcid":false,"given":"Khalid","family":"Alfaifi","sequence":"first","affiliation":[{"name":"Saudi Board of Family Dentistry, College of Dentistry Prince Sattam Bin Abdulaziz University  Al\u2010Kharj Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3620-1202","authenticated-orcid":false,"given":"Ali","family":"Robaian","sequence":"additional","affiliation":[{"name":"Conservative Dental Sciences Department College of Dentistry Prince Sattam Bin Abdulaziz University  Alkharj Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulaziz","family":"alsakr","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Sciences, College of Dentistry Prince Sattam Bin Abdulaziz University  Alkharj Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wael","family":"Alanazi","sequence":"additional","affiliation":[{"name":"Saudi Board of Family Dentistry, College of Dentistry Prince Sattam Bin Abdulaziz University  Al\u2010Kharj Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0474-7067","authenticated-orcid":false,"given":"Abdullah Saad","family":"Alqahtani","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Sciences, College of Dentistry Prince Sattam Bin Abdulaziz University  Al\u2010kharj Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"205","volume-title":"Smart Innovation, Systems and Technologies","author":"Bhatia V.","year":"2017"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2024.1435054"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/OARRR.S222607"},{"issue":"4","key":"e_1_2_12_5_1","article-title":"A Bibliometric Analysis of Literature on the Impact of Rheumatoid Arthritis on Oral Health (1987\u20132024)","volume":"16","author":"Dagli N.","year":"2024","journal-title":"Cureus"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.100594"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.70051"},{"issue":"2","key":"e_1_2_12_8_1","first-page":"76","article-title":"Fibromyalgia Syndrome: Considerations for Dental Hygienists","volume":"89","author":"Walters A.","year":"2015","journal-title":"Journal of Dental Hygiene"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.17245\/jdapm.2020.20.5.263"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.2007.00212.x"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2009.28"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.022053"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034513483142"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.21-0256"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1972.43.1.38"},{"issue":"11","key":"e_1_2_12_16_1","first-page":"S240","article-title":"Measures of Adult Pain","volume":"63","author":"Hawker G. 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