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Table 6 Parents’ suggestions to improve the design of toothbrushes used by their children

From: Toothbrush deterioration and parents’ suggestions to improve the design of toothbrushes used by children with special care needs

Items

Brief comments/suggestions

Bristles

• “The bristles are too long”

• “The bristles are too thin”

• “The bristles are too hard/stiff”

• “The bristles are too soft, and the toothbrush cannot remove the debris efficiently”

• “The bristles are too rough, and my child complains that toothbrushing causes pain”

• “The bristles should be softer. The pressure of toothbrushing should not cause bleeding gums”

• “The bristles should cover all the surfaces of the toothbrush head”

• “Multi-dimensional bristles”

• “Optimal bristle diameter”

• “The procedure of toothbrushing might be simplified if there the bristles are distributed on the lateral sides of a toothbrush head”

Handle

• “The toothbrush handle is difficult for my child to hold”

• “The angle of toothbrush handles should be adjusted, so that the back teeth could be reached easily”

Toothbrush head

• “Various sizes of the toothbrush head should be provided”

• “The size of a toothbrush head should be adjusted properly, so that the back teeth could be brushed more efficiently.

• “There should be a soft rubber pad on the toothbrush head. If children bite the toothbrushes, less damage will be caused to their teeth, and they can feel more comfortable”

Additional function

• “It is better if the toothbrush can make toothbrushing fun for kids (help my child love teeth brushing)”

• “We need a toothbrush which can simplify the toothbrushing steps (brush more areas with a single stroke)”

• “…show the toothbrushing steps or provide instructions to children by using verbal or visual hints”

• “Toothbrushing instruction is needed”

Others

• “My child bites the toothbrushes, and the toothbrushes are distorted very soon”

• “When I help my child to brush the buccal surfaces of the front teeth, my child does not know how to cooperate. I wish there is a toothbrush which is specialized in brushing the front teeth”

• “The design of toothbrushes should make it more convenient for parents to help children brush their teeth”

• “The individually-modified toothbrushes should be less expensive”