Abstract
Abstract: Purpose: The aim of this study was to investigate the effect of using custom-made toothbrushes in the gingival health of removable partial denture abutments and denture hygiene in Rheumatoid Arthritis patients. Materials and Methods: Twenty Arthritis female participants with mild to moderate manual dexterity were recruited for this study. All patients received mandibular unmodified Kennedy class II removable partial dentures of the same design. Custom-made brushes were made by adapting silicone putty to the brush handle to conform to the patient`s dexterity. The participants were divided randomly into two groups: Group I: started with conventional toothbrush/followed by custom-made brush, group II: started with custom-made brush/ followed by conventional toothbrush. Plaque index PI and gingival index GI were recorded for the main abutments as a base line, then after 2 and 4 weeks. Denture plaque index DPI was evaluated 2 weeks after denture delivery, and at the end of the 4-week period for each group. Results: The conventional toothbrush group showed statistically significant higher values of the mean PI, and the mean GI after 2 as well as 4 weeks. However, both groups show significant reduction in the GI after the 4 weeks period. Conventional brush group revealed significantly higher mean DPI values than the custom-made brush group after the 4-week period. Conclusion: Within the limitations of this study, it can be concluded that using custom-made toothbrush for Rheumatoid Arthritis patients caused significant improvement in plaque control, gingival health of partial denture abutments, and denture hygiene.
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