Powered Toothbrushing after a stroke
Research type
Research Study
Full title
Introducing Powered Toothbrushing and Person-Centred Oral Hygiene Education in Stroke Rehabilitation: A Feasibility Study.
IRAS ID
364898
Contact name
Mili Doshi
Contact email
Sponsor organisation
Royal Hospital for Neuro-disability
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
Good oral hygiene is important for keeping the mouth, teeth, and gums healthy. After a stroke, many people find it difficult to clean their mouth. Poor oral hygiene can lead to problems such as tooth decay, gum disease, pain, and infections. It can also increase the risk of complications, including chest infections, and may affect speech, make eating difficult, and reduce overall quality of life. Supporting people to maintain good oral hygiene is a key part of stroke rehabilitation and involves educating them.
Despite its importance, oral care is often overlooked in rehabilitation settings. Staff may not always have the training, time, or confidence to support people with complex needs. Individuals may also be unable to brush their teeth as they did before due to physical difficulties, such as weakness, poor coordination, or reduced hand function.
This study will investigate whether using powered toothbrushes, combined with personalised oral care advice, can help individuals enhance their oral hygiene. Powered toothbrushes have been shown to remove plaque more effectively than manual brushes and may be easier to use for people with reduced strength or coordination. Features such as timers and pressure sensors can help ensure safe and effective brushing.
The study will involve residents of the rehabilitation unit at the Royal Hospital for Neuro-disability. Participants will be shown how to use a powered toothbrush and will receive guidance on maintaining daily oral care. Staff and carers will also receive a 20-minute face-to-face training session brushing teeth with a powered toothbrush.
The research will investigate whether participants can use the powered toothbrush independently, how helpful they find it, and whether it enhances their oral hygiene. Staff and carers will also be asked about their experiences supporting the intervention. The findings will help develop person-centred approaches to oral care for people recovering from stroke.REC name
North of Scotland Research Ethics Committee 2
REC reference
25/NS/0148
Date of REC Opinion
23 Dec 2025
REC opinion
Favourable Opinion