{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:40:08Z","timestamp":1741221608259,"version":"3.38.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Innsbruck and Medical University of Innsbruck"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Oral Invest"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>People with intellectual disabilities often have poor oral hygiene and depend on carers\u2019 support. We aimed to investigate, whether automatic toothbrushes could benefit people with Down syndrome (DS).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods<\/jats:title>\n            <jats:p>In a randomized, single-blinded cross-over study we compared the cleansing efficacy of a horse-shoe shaped automatic toothbrush with that of rotating-oscillating toothbrushing in unassisted domestic use over four weeks by persons with DS. Rustogi Modified Navy Plaque Index (RMNPI) and Gingival Bleeding Index (GBI) were assessed before and after each intervention period. Wilcoxon Signed-Rank Test was used for statistical analysis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Fifteen participants (mean age 31\u2009\u00b1\u20098.33\u00a0years) finished the study. There were no statistically significant differences in RMNPI between the two brushing modalities after four weeks of unassisted home use, neither in full mouth (Y-brush\u00ae: median 59.2%; range 24.8 \u2013 76.7; rotating-oscillating toothbrush: 54.6%; 6.4 \u2013 71.3) (<jats:italic>p<\/jats:italic>\u2009=\u20090.484) nor in subgroup analyses. RMNPI was statistically significantly higher after four weeks of automated brushing than baseline. There was no statistically significant difference for full-mouth GBI between the two brushing modalities.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Both, oscillating-rotating and automated toothbrushing resulted in unsatisfactory plaque control after unassisted use by people with DS.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Clinical relevance<\/jats:title>\n            <jats:p>Further studies should investigate the impact of caregivers\u2019 assistance with auto-cleaning devices to persons with disabilities on plaque removal efficacy. Customization of mouthpieces and simplification of handling modalities might effect a higher cleansing capacity and should be future goals for automatic brushing device manufacturers.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00784-025-06203-w","type":"journal-article","created":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T09:31:43Z","timestamp":1739179903000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cleansing efficacy of an auto-cleaning device versus an oscillating- rotating toothbrush in home use. A pilot study in individuals with down syndrome"],"prefix":"10.1007","volume":"29","author":[{"given":"Dagmar","family":"Schnabl","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marwin","family":"Eller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Trojer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vera","family":"Wiesmueller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz Sebastian","family":"Schwindling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ines","family":"Kapferer-Seebacher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"key":"6203_CR1","unstructured":"Online Mendelian Inheritance in Man, OMIM\u00ae. Johns Hopkins University, Baltimore, MD. MIM Number: #190685: 11\/01\/2023. World Wide Web URL: https:\/\/omim.org\/. Accessed\u00a06 Jul 2024"},{"issue":"1\u20132","key":"6203_CR2","doi-asserted-by":"publisher","DOI":"10.1002\/jcla.25002","volume":"38","author":"M Ghaffarpour","year":"2024","unstructured":"Ghaffarpour M, Karami-Zarandi M, Rahdar HA, Feyisa SG, Taki E (2024) Periodontal disease in down syndrome: predisposing factors and potential non-surgical therapeutic approaches. J Clin Lab Anal 38(1\u20132):e25002. https:\/\/doi.org\/10.1002\/jcla.25002","journal-title":"J Clin Lab Anal"},{"issue":"2","key":"6203_CR3","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1111\/scd.12883","volume":"44","author":"FAR Scalioni","year":"2024","unstructured":"Scalioni FAR, Carrada CF, Tavares MC, Abreu LG, Ribeiro RA, Paiva SM (2024) Oral health characteristics in children and adolescents with down syndrome. 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Spec Care Dentist 44(2):360\u2013368. https:\/\/doi.org\/10.1111\/scd.12892","journal-title":"Spec Care Dentist"},{"key":"6203_CR6","first-page":"34","volume":"38","author":"M Shyama","year":"2015","unstructured":"Shyama M, Al-Mutawa SA, Honkala E, Honkala S (2015) Parental perceptions of dental visits and access to dental care among disabled schoolchildren in Kuwait. Odontostomatol Trop 38:34\u201342","journal-title":"Odontostomatol Trop"},{"key":"6203_CR7","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2023.101516","volume":"17","author":"BL Rojo","year":"2024","unstructured":"Rojo BL, Brown S, Barnes H, Allen J, Miles A (2024) Home-based oral health program for adults with intellectual disabilities: an intervention study. 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The study was registered at the registry for clinical studies of the University Hospital of Innsbruck (Koordinationszentrum f\u00fcr klinische Studien; kks-innsbruck@i-med.ac.at), registration number 20221123\u20133057.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent to the publication of clinical data was obtained from all included participants and their legal guardians.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"126"}}