Objectives: To assess the Oral Health Status (OHS) of visually impaired children in South India, to devise and implement a specially designed Oral Health Education (OHE) program for them and to assess its efficacy in improving their OHS. Study design: OHS of 98 institutionalized visually impaired children aged 6 to 14 years were evaluated at the start of the study (Pre-OHE level) using the Modified Gingival Index (MGI), the Turesky-Gilmore-Glickman modification of the Quigley Hein Plaque Index (MQHPI) and Streptococcus mutans colony count. Oral Health Education was imparted with the help of specially designed models and tooth-brushing taught with specially formulated music aided instructions in a song format. These parameters were re-evaluated after a period of reinforced (two weeks and one month) and non-reinforced (two months) tooth-brushing. Results: Mean values of MGI and MQHPI showed a statistically very highly significant drop from the Pre-OHE level to the end of both the periods of reinforcement and non-reinforcement. There was a significant decrease in the S.mutans counts from the Pre-OHE levels to the period of non-reinforcement (p < 0.0005). Conclusion: The OHE program specially formulated for the visually impaired children was effective in improving their OHS significantly.
A music- and game-based oral health education for visually impaired school children; multilevel analysis of a cluster randomized controlled trial
