ArticleClinical case reports2026
Restoring Oral Hygiene Autonomy Through a Customized Toothbrush Handle in a Patient With Rheumatoid Arthritis and Fibromyalgia.
Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
Early identification of functional limitations in patients with rheumatoid arthritis (RA) and fibromyalgia (FM) is essential, as chronic joint pain and reduced dexterity often impair basic oral hygiene practices. This case highlights a simple, cost-effective, and reproducible intervention using a customized soft putty toothbrush handle fabricated chairside and molded directly to the patient's grip. A 27-year-old male with longstanding RA and FM, and a history of smoking, presented with poor plaque control and brushing-associated pain. Following the chairside fabrication of an adaptive handle individually shaped to his grasp, plaque index improved dramatically from 91% to 15% within four months, with a corresponding reduction in discomfort from a VAS score of 5 to 1. This personalized ergonomic solution significantly improved brushing efficiency, comfort, and self-care independence, underscoring the importance of tailored oral hygiene aids in medically compromised populations.
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