title: Improving toothbrushing behaviour in an institution for the disabled in Lisbon, Portugal.
abstract: OBJECTIVE
  This pilot study evaluates changes in toothbrushing capability among 135 disabled individuals enrolled in an institution for the disabled.
  
  
  METHODS
  Direct observation of toothbrushing behaviour of the disabled was used to recommend changes required in daily toothbrushing programme. The simplified Debris Index (DI-S) was used to compare plaque removal outcomes over a 3-month period.
  
  
  RESULTS
  At baseline, of the 135 participants, 114 completed a routine toothbrushing procedure and 10 (8.8%) of them brushed all tooth surfaces. At the end of the study, 52 (48.6%) brushed all tooth surfaces. The mean difference between the initial and final DI-S was 0.62 (P < 0.01).
  
  
  CONCLUSIONS
  Toothbrushing was not a common procedure at this institution. This study shows that it is possible to implement daily oral hygiene maintenance in disabled individuals. Furthermore, most participants will adopt more efficient toothbrushing behaviour when monitored daily.
authors: Dental Hygiene Program, Faculty of Dentistry, University of Lisbon, Lisbon, Portugal.
authors: F
authors: F
authors: Bizarra
authors: S
authors: S
authors: Ribeiro
mesh_terms: D000293:Adolescent; D000328:Adult; D017028:Caregivers / Q000193:education; D002648:Child; D003773:Dental Plaque / Q000517:prevention & control; D003774:Dental Plaque Index; D004314:Down Syndrome; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006267:Health Education, Dental / Q000379:methods*; D006801:Humans; D007326:Institutionalization; D007859:Learning Disabilities; D008297:Male; D008875:Middle Aged; D009048:Motor Skills / Q000502:physiology; D009910:Oral Hygiene; D019989:Persons with Intellectual Disabilities; D010865:Pilot Projects; D011174:Portugal; D014099:Toothbrushing / Q000379:methods*; D055815:Young Adult