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1 Automatic Oral Cleaning Apparatus and Clinical Evaluation Eikichi MAITA, Toshiaki SASAKI, Sadao YAMAGISHI, Junichi ISHIKAWA, Yuhei SUZUKI and Hiroshi HORIUCHI Department of Endodontics and Periodontics, Tohoku University School of Dentistry Chief: Prof. Hiroshi HORIUCHI) ( An automatic oral cleaning apparatus for hospitalized handicapped petients was developel and its clinical application was investigated. The apparatus consisted of an air-driven vibratory toothbrush, an oral irrigator and an aspirator which were supporled by a two-jointed arm attached to the side of the mobile body. Two Collis' curve brush tips were connected, back to back, as a brush for this apparatus. Twelve dental students and 17 hospitalized patients of progressive musclar dystrophy were the subjects of this investigation. The plaque score was measured using neutral red staining method. The plaque index used was modification of Harrap's and Cohen's method. The index of experimentally accumulated plaque was 2.1 in the student group and decreased to 1.3 after 3 minutes use of this apparatus. Experimental accumulation of plaqe was not adopted on the patient group. The initial plaque score of 3.8 in patient group decreased to 2.1 after the use of the apparatus. The proximal surface of teeth and abnormal arrangement teeth were the most difficult sites to remove plaque by the apparatus. Key words: Automatic oral cleaning apparatus, Plaque removal, Progressive muscular dystrophy, Handicapped patient
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7 S. E.: An evaluation of six manual toothbrushes by comparing their effectiveness in plaque removal. J. Perodontol., 45: , ) Burgett, F. G. and Ash, M. M.: Comparative study of the pressure of brushing with three types of toothbrushes. J. Periodontol., 45: , ) De la Rosa, M. R., Guerra, J. Z., Johnston, D. A. and Radike, A. W.: Plaque growth and removal with daily toothbrushing. J. Periodontol., 50: , ) Lang, N. P., Cumming, B. R. and Loe, H.: Toothbrushing frequency as it relates to plaque development and gingival health. J. Perio- 44: , dontol., 17) Elliott, J. R., Bowers, G. M., Clemmer, B. M. 5) Avey, K.D.: Give your teeth a hug. A simplified brushing technique for children. J. Dent. lected oral hygiene devices in dental plaque and Rovelstad, G. H.: II. A comparison of se- Child., 51: , removal. J. Periodontol., 43: , ) Lobene, R. R.: The effect of automatic tooth- on gingival health. J. Periodontol., 35: brush , ) Manhold, J. H., Franzetti, J. and Fitzsimmons, 7) Harrap, G. J.: Assessment of the effect of dentifrices on the growth of dental plaque. J. man gingiva. Histologic and microespirometer L.: Effect of the electeric toothbrush on hu- Clin. Periodontol., 1: , evaluation. J. Periodontol., 36: , ) Cohen, M.M.: A pilot study testing the plaqueremoving ability of a newly invented tooth- ultrasonic to hand instruments in the removal 20) Thornton, S. and Garnick, J.: Comparison of brush. J. Periodontol., 44: , of subgingival plaque. J. Periodontol., 53: 9) Gertenrich, R. L. and Lewis, M. J.: A study of 35-37, automatic and hand tooth brushing as retarded 21) Goldman, H. M.: Effectiveness of an ultrasonic or handicapped patients. J. Dent. Child., 34: toothbrush in a group of uninstructed subjects , J. Periodontol., 45: 84-87, ) Hall, A. W. and Conroy, C. W.: Comparison of 22) Green, A., Rosenstein, S. N., Parks, A. and automatic and hand toothbrushes. Toothbrushing effectiveness for preschool children. J. adjunct in maintaining oral hygiene in handi- Kutscher, A.: The electric toothbrush as an Dent. Child., 38: , capped patients. J. Dent. Child., 29: , 11) Muhler, J. C.: Comparative frequency of use of the electric toothbrush and hand toothbrush. J. Periodontol., 40: , ) Berdon, J. K., Hornbrook, R. H. and Hayduk,
8 24) Bay, I, Kardel, K. M. and Skougaard, M. R.: Quantitative evaluation of the plaque-removing ability of different types of toothrushes. J. Periodontol., 38: , ) Horowitz, A. M. and Suomi, D. J.: A comparison of plaqueremoval with a standard or an unconventional toothbrush used by youngers. J. Periodontol., 45: , ) Scopp, I. W., Cohen, G., Cancro, L. P. and Bolton, S.: Clinical evaluation of a newly designed contoured toothbrush. J. Periodontol., 47: 87-90, 1976.
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