Assessing adherence with toothbrushing instructions using a data logger toothbrush

Abstract

Objectives: To evaluate patient compliance with toothbrushing instructions using a data logger and a brushing diary. Methods: Dental patients were provided with powered toothbrushes modified to carry electronic data loggers. Demonstration of the most effective way to use the toothbrush was provided with instructions to brush for 2 minutes morning and evening. Data logger brushes were supplied for two episodes of 8 weeks. Brushing time was also recorded in a diary during episode 1. Results: Data from 14 brushes (2,287 recordings) were used to evaluate compliance in episode 1. Nine brushes (1,526 recordings) were used in episode 2. A total of 2,333 brushing events were reported manually in the diaries. Data logger records during episode 1 showed that only 34% of events were compliant with the instruction of a 2 minute brushing time, 20% were partially compliant (within ±30s of 2 minutes), and 46% of events were non-compliant (>30s from 2 minutes). The respective proportions for episode 2 were 24%, 24% and 52%. Diary data reported 58% of events as compliant with 42% non-compliant. Conclusions: Manually completed brushing diaries do not provide an accurate reflection of subjects' compliance with toothbrushing instructions.