Authors : Fahrur Reza. FA; Dr. Bambang Sutomo; Dr. Lanny Sunarjo

Volume/Issue : Volume 10 - 2025, Issue 8 - August

Google Scholar : https://tinyurl.com/5czy3tjv

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DOI : https://doi.org/10.38124/ijisrt/25aug1349

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Abstract : Children with physical disabilities, particularly those with impaired fine motor skills, face significant challenges in performing independent toothbrushing. These limitations make them highly vulnerable to oral health problems such as dental caries and periodontal disease. Data indicate that only 3.3% of children with disabilities are able to brush their teeth properly, while the prevalence of dental caries reaches 84.6%. Therefore, this study aims to develop an automatic toothbrush with an ergonomic elastomer-based handle designed to improve toothbrushing skills in children with physical disabilities. The research employed a Research and Development (R&D) approach using a quasi-experimental design with a pretest–posttest one-group model. The development procedure included information gathering, model design, expert validation, and product trials. The study involved 13 children with physical disabilities who participated in the intervention for 10 days. The feasibility of the tool was assessed using Aiken’s V, while its reliability was tested through the Intraclass Correlation Coefficient (ICC). Changes in toothbrushing skills were measured through pre- and post- intervention observations. Validation results indicated that the automatic toothbrush with elastomer-based handle was considered feasible, with an Aiken’s V score of 0.843 and a p-value of 0.000. Effectiveness testing further showed a significant improvement in toothbrushing skills after the intervention, with a p-value of 0.001. These findings demonstrate that the developed device is effective in improving toothbrushing skills among children with physical disabilities, providing a practical and educational solution to support their independence in maintaining oral health.

Keywords : Automatic Toothbrush; Elastomer Material; Toothbrushing Skills; Children with Physical Disabilities.

References :

1. Puspita, Mahirawatie, Larasati. (2022). Monopoly Media on Dental Health to Improve Knowledge and Attitudes Toward Hygiene Maintenance.
2. Zhang, Yuqi, et al. "Global disability burdens of diabetes-related lower-extremity complications in 1990 and 2016." Diabetes Care 43.5 (2020): 964-974.
3. Partakusuma, Fatimah Boenjamin, Narpadayita Pradipta Putri, and Dhyani Widhianingsih. "Breastfeeding and bottle-feeding in the incidence of Early Childhood Caries (ECC): A scoping review." Jurnal Kedokteran Gigi Terpadu 5.1 (2018).
4. Warih Gayatri R. The Relationship Between Knowledge Level and Dental Health Maintenance Behavior of Elementary School Students at SDN Kauman 2 Malang [Internet]. Vol. 2, Journal of Health. 2017. Available from: http://journal.unnes.ac.id/sju/index.php/jhealthedu
5. Lei, P. F., Krisyudhanti, E., Ngadilah, C., & Obi, A. L. (2019). Dental caries status, oral hygiene status, and gingivitis status in first and second trimester pregnant women. Dental Therapist Journal, 1(1), 28-38.
6. Awwali, Yayas Qori. (2019). Caregivers’ Behavior in Teaching Toothbrushing to Early Childhood in Surabaya Based on the Theory of Planned Behavior. PhD Thesis. Universitas Airlangga.
7. Kusumawati, Intan Triatmaja. (2020). Mothers’ Behavior in Managing Sweet Snacks for Preschool Children in Surabaya Based on the Theory of Planned Behavior. PhD Thesis. Universitas Airlangga.
8. Minnuthfatin, Siti Aisyah; Setyawardhana, R. Harry Dharmawan; Kurniawan, Fajar Kusuma Dwi. "Comparison of the effectiveness of using conventional toothbrushes and electric toothbrushes on plaque index reduction (Literature Review)." Dentin, 6.2 (2022).
9. Harahap H, Salimar S. "The incidence of disability in children aged 24–59 months and related factors." RISKESDAS 2018. Journal of Health Ecology.
10. Ballini, Andrea D.C.M., et al. "A comparison of manual nylon bristle toothbrushes versus thermoplastic elastomer toothbrushes in terms of cleaning efficacy and the biological potential role on gingival health." Multidisciplinary Digital Publishing Institute. August 4, 2021.
11. Efzi, Agno Elman, et al. "The use of elastomer-based toothbrushes to improve toothbrushing skills and reduce debris in children with physical disabilities." ABDIGI: Jurnal Pengabdian Masyarakat Kesehatan Gigi 1.1 (2023).
12. Fadhilah, K. A. (2016). Differences in the effectiveness of using conventional toothbrushes and modified-handled toothbrushes in reducing plaque scores in children with intellectual disabilities.
13. Mafla, A. C., Benavides, R. J., Meyer, P., Giraudeau, N., & Schwendicke, F. (2022). Association of children’s toothbrushing and fine motor skills: A cross-sectional study. Brazilian Oral Research, 36, 1–12.
14. Silva, A. M., Miranda, L. F. B., Araújo, A. S. M., Prado Júnior, R. R., & Mendes, R. F. (2020). Electric toothbrush for biofilm control in individuals with Down syndrome: A crossover randomized clinical trial. Brazilian Oral Research, 34, 1–11.
15. Purnama, T., Ngatemi, Sofian, R., Kasihani, N. N., Rr, P., Nurbayani, S. (2020). The 5-days toothbrushing model as an effort to foster independence in early childhood toothbrushing at school. QJK, 14(47):19-24. doi:10.36082/qjk.v14i1.96
16. Santoso, B., Susanto, E., Widyawati, M. N., Rasipin, Rahman, W. A., Rajiani, I. (2020). Revitalizing school dental health effort through “Model 222” as a strategy to achieve caries-free Indonesia 2030. Systematic Reviews in Pharmacy, 11(2):658-662. doi:10.5530/srp.2020.2.94