Impact of manual dexterity on toothbrushing efficacy in typically developing children: A cross-sectional study.

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of paediatric dentistry Pub Date : 2024-08-27 DOI:10.1111/ipd.13260

J Jasmin Winnier, Shilpa S Naik, Ashveeta Shetty, Diksha Patil, Sonal Tandel, Priya Gore

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Abstract

Background: Manual dexterity includes gross motor skills (GMS) and fine motor skills (FMS). Literature reports manual dexterity as a contributing factor for improved oral hygiene and that the required dexterity for toothbrushing develops above 8 years of age. Research suggests grip force, movement speed, and motor coordination should be assessed to improve knowledge on kinetics of brushing teeth.

Aim: To assess the impact of manual dexterity on toothbrushing efficacy in 7 to 12 year old children.

Design: The cross-sectional study included 150 typically developing 7-12 year old children. Oral health status was recorded using the Decayed, Missing, and Filled Teeth index. GMS and FMS were evaluated using the MInnesota Manual Dexterity Test (MMDT) and Archimedes spiral test (AST), respectively. Toothbrushing efficacy was determined by Turesky modification of Quigley-Hein Plaque Index- difference in mean scores from before and after toothbrushing.

Results: Assessment of GMS, FMS, and toothbrushing efficacy using ANOVA showed a significant increase with age (p value: 0.000); unpaired t-test showed an association of toothbrushing efficacy with GMS and FMS irrespective of age (p value: 0.000).

Conclusion: Manual dexterity was significantly associated with toothbrushing efficacy in typically developing children. AST, a simple test to determine FMS, may help paediatric dentists to guide parents on the supervision of toothbrushing for their child.

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手部灵活性对发育正常儿童刷牙效果的影响：横断面研究

背景：手的灵活性包括粗大运动技能（GMS）和精细运动技能（FMS）。文献报道，手的灵活性是改善口腔卫生的一个因素，而刷牙所需的灵活性在 8 岁以上才开始形成。研究表明，应评估握力、移动速度和运动协调性，以提高对刷牙动力学的认识：这项横断面研究包括 150 名发育正常的 7-12 岁儿童。使用龋齿、缺失牙和填充牙指数记录口腔健康状况。分别使用明尼苏达手动灵活性测试（MMDT）和阿基米德螺旋测试（AST）评估GMS和FMS。刷牙效果通过 Turesky 对 Quigley-Hein 牙菌斑指数的修正--刷牙前后平均得分的差异来确定：结果：使用方差分析对 GMS、FMS 和刷牙效果进行的评估显示，刷牙效果随年龄的增长而显著增加（p 值：0.000）；非配对 t 检验显示，刷牙效果与 GMS 和 FMS 相关，与年龄无关（p 值：0.000）：结论：在发育正常的儿童中，手的灵活性与刷牙效率有很大关系。AST 是一种用于确定 FMS 的简单测试，可帮助儿科牙医指导家长监督孩子刷牙。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.