scholarly journals Effect of an Oral Health Promotion Program Including Supervised Toothbrushing on 6- to 7-Year-Old Schoolchildren: A Randomized Controlled Trial

Author(s):  
Azadeh Babaei ◽  
Afsaneh Pakdaman ◽  
Hossein Hessari

Objectives: The purpose was to evaluate the impact of an oral health promotion program including supervised toothbrushing and educational packages for parents on parent’s knowledge and oral health status of 6- to 7-year-old schoolchildren. Materials and Methods: A multi-stage cluster random sampling method was applied, and schools were allocated to intervention and control groups. After ethical clearance and baseline evaluation, an intervention package consisting of supervised toothbrushing at the school setting, an educational package for parents, and a home package containing toothbrush and fluoridated toothpaste (1000 parts-per-million) were delivered. A post-intervention evaluation was performed after one month on parents’ oral health knowledge and oral hygiene of children using the Oral Hygiene Index Simplified (OHI-S). Schools were considered as a unit of randomization, and a generalized estimating equation (GEE) analysis was performed to apply the cluster effect. Descriptive and analytical analyses were performed using SPSS 22 software. Results: Overall, 701 subjects were re-examined (response rate of 95%). At the one-month follow-up, being in the intervention group (P<0.001, B=-0.028, 95% confidence interval (CI)=-0.33, -0.23) and having higher socioeconomic status [P=0.01, B=-0.12, 95% CI=-0.22, -0.03) were significantly associated with improved oral hygiene status. In the post-test evaluation, parents’ knowledge improvement score regarding oral health in the intervention group was not statistically different from that of the controls (0.51 vs. 0.23). However, the ∆OHI-S improved in the post-test evaluation (-0.27±0.02 vs. 0.02±0.02; P<0.001). Conclusion: Children showed improved oral hygiene status, as measured by the OHI-S, after the program consisting of supervised toothbrushing.

2020 ◽  
Author(s):  
Mei-Wen Kuo ◽  
Shu-Hui Yeh ◽  
Heng-Ming Chang ◽  
Po-Ren Teng

Abstract Objective: To evaluate the effectiveness of a composite oral health promotion program designed to reduce dental plaque among persons with severe mental illness in a psychiatric institution. Methods: A cluster randomized controlled study was carried out in chronic psychiatric wards of a general hospital in central Taiwan. Sixty-eight eligible male individuals admitted to 2 wards were randomly assigned to an experimental and a control group. Participants in the experimental group underwent an oral health promotion program that consisted of biweekly group education sessions, and a 12-week individual behavioral modification for oral hygiene course. The participants in the control group received usual care only. Dental plaque (measured by the Plaque Control Index) was examined by a single dentist before and after the experiment. Each participant responded to a questionnaire regarding oral health knowledge, attitude and behavior before and after the experiment. Results: Fifty-eight individuals completed the study. Before the experiment, the plaque index was similar between the intervention group (68.9; N=27) and the control group (69.8; N=31). After the experiment, the plaque index was significantly better in the intervention group than in the control group (42.6 vs. 61.8; P<0.001). Participants in the intervention group also demonstrated better oral health knowledge, attitude and behavior than those in the control group after the experiment. Conclusions: A composite oral health promotion program using both group education and individual behavioral methods over a 12-week period was effective in both reducing dental plaque and improving the oral health knowledge of persons with severe mental illness in the institution.


2020 ◽  
Author(s):  
Mei-Wen Kuo ◽  
Shu-Hui Yeh ◽  
Heng-Ming Chang ◽  
Po-Ren Teng

Abstract ObjectiveTo evaluate the effectiveness of a composite oral health promotion program designed to reduce dental plaque among persons with severe mental illness in a psychiatric institution.MethodsA cluster randomized controlled study was carried out in chronic psychiatric wards of a general hospital in central Taiwan. Sixty-eight eligible male individuals admitted to 2 wards were randomly assigned to an experimental and a control group. Participants in the experimental group underwent an oral health promotion program that consisted of biweekly group education sessions, and a 12-week individual behavioral modification for oral hygiene course. The participants in the control group received usual care only. Dental plaque (measured by the Plaque Control Index) was examined by a single dentist before and after the experiment. Each participant responded to a questionnaire regarding oral health knowledge, attitude and behavior before and after the experiment.ResultsFifty-eight individuals completed the study. Before the experiment, the plaque index was similar between the intervention group (68.9; N=27) and the control group (69.8; N=31). After the experiment, the plaque index was significantly better in the intervention group than in the control group (42.6 vs. 61.8; P<0.001). Participants in the intervention group also demonstrated better oral health knowledge, attitude and behavior than those in the control group after the experiment. ConclusionsA composite oral health promotion program using both group education and individual behavioral methods over a 12-week period was effective in both reducing dental plaque and improving the oral health knowledge of persons with severe mental illness in the institution. Trial registration: This study was retrospectively registered in Clinicaltrials.gov, with number NCT04464941, dated 7/7/2020. http://register.clinicaltrials.gov/RD103035018.


2019 ◽  
Vol 10 (2) ◽  
pp. 469-477
Author(s):  
Jennifer B McClure ◽  
Melissa L Anderson ◽  
Chloe Krakauer ◽  
Paula Blasi ◽  
Terry Bush ◽  
...  

Abstract Smokers are at high risk of oral disease and report sub-optimal oral hygiene. Improving smokers’ oral hygiene could reduce their future disease risk. The purpose of this study is to assess the effects of a novel, multi-modal oral health promotion program (Oral Health 4 Life; OH4L) targeted to socioeconomically disadvantaged smokers and delivered through state-funded tobacco quitlines. Smokers (n = 718) were randomized to standard quitline care or standard care plus OH4L. OH4L recipients received a comprehensive behavioral intervention and were advised of the benefits of routine oral hygiene, encouraged to brush and floss daily (for better oral health and to manage cigarette cravings), and provided a toothbrush and floss. Participants were followed for 6 months to assess the intervention effects on routine oral hygiene (brushing and flossing) and changes in motivation and self-efficacy. Data were collected between 2015 and 2017. At 2-month follow-up, OH4L participants were more likely to meet the American Dental Association (ADA) recommendations for brushing twice daily (adjusted RR = 1.15 [1.04, 1.27], p = .006), flossing daily (adjusted RR = 1.20 [1.03, 1.39], p = .02), and for both brushing and flossing (adjusted RR = 1.33 [1.10, 1.61], p = .003). Daily flossing was more likely at 6-month follow-up (adjusted RR = 1.21 [1.04, 1.42], p = .02) among OH4L participants. The change in self-efficacy and motivation for daily flossing from baseline to 2 months was significantly greater among OH4L participants and mediated the intervention effect on flossing at 6 months. Integrating oral hygiene promotion with standard tobacco quitline services improved oral health self-care.


2015 ◽  
Vol 7 (2) ◽  
pp. 55-59
Author(s):  
KK Shashibhushan ◽  
P. Poornima ◽  
Sathyaki Arora

Abstract Background and Objectives Dental care is the most common unmet health care need of children in India. The study was undertaken to test lecture method for providing oral health education to 12 year old school going children. Methods A sample size of 200 was selected randomly from 6 different schools of Davangere district. Students who were of chronological age of 12 year from the selected schools were included in the study. Before giving lecture aid, the study group IS assessed about their self-implemented oral hygiene practices through questionnaire. The study groups were assessed immediately and 6 months after given lecture aid through a questionnaire which was designed to evaluate the knowledge, attitude, and practices of 12 year old school children regarding their oral health. The data thus collected was tabulated, assessed and statistically analyzed using student paired T-test and McNemar test. Results There was statistically significant (P<0.001) improvement in the knowledge and behavior regarding oral health amongst study group with the overall improvement in correct answers. There was a significant reduction (P<0.001) in the memory among the study group after 6 months of oral hygiene instruction. Interpretation and Conclusion The lecture method was effective in improving oral hygiene attitudes and skills. After 6 months, there was a significant reduction in memory gained after interventional program which dictates the need for regular reinforcement of educational and motivational programs. How to cite this article Poornima P., Arora S, Neena IE, Shashibhushan KK, Nagaveni NB. An Effectiveness of Oral Health Promotion Program on 12 Year old School Going Children of South Indian Children. CODS J Dent 2015;7:55-59.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mei-Wen Kuo ◽  
Shu-Hui Yeh ◽  
Heng-Ming Chang ◽  
Po-Ren Teng

Abstract Objective To evaluate the effectiveness of a composite oral health promotion program designed to reduce dental plaque among persons with severe mental illness in a psychiatric institution. Methods A cluster randomized controlled study was carried out in chronic psychiatric wards of a general hospital in central Taiwan. Sixty-eight eligible male individuals admitted to 2 wards were randomly assigned to an experimental and a control group. Participants in the experimental group underwent an oral health promotion program that consisted of biweekly group education sessions, and a 12-week individual behavioral modification for oral hygiene course. The participants in the control group received usual care only. Dental plaque (measured by the Plaque Control Index) was examined by a single dentist before and after the experiment. Each participant responded to a questionnaire regarding oral health knowledge, attitude and behavior before and after the experiment. Results Fifty-eight individuals completed the study. Before the experiment, the plaque index was similar between the intervention group (68.9; N = 27) and the control group (69.8; N = 31). After the experiment, the plaque index was significantly better in the intervention group than in the control group (42.6 vs. 61.8; P < 0.001). Participants in the intervention group also demonstrated better oral health knowledge, attitude and behavior than those in the control group after the experiment. Conclusions A composite oral health promotion program using both group education and individual behavioral methods over a 12-week period was effective in both reducing dental plaque and improving the oral health knowledge of persons with severe mental illness in the institution. Trial registration: This study was retrospectively registered in Clinicaltrials.gov, with number NCT04464941, dated 7/7/2020. https://register.clinicaltrials.gov/RD103035018.


2017 ◽  
Vol 7 (3) ◽  
pp. 435-443 ◽  
Author(s):  
Mary E. Northridge ◽  
Rucha Kavathe ◽  
Jennifer Zanowiak ◽  
Laura Wyatt ◽  
Hardayal Singh ◽  
...  

2005 ◽  
Vol 53 (1) ◽  
pp. S166.3-S166
Author(s):  
J. Ho ◽  
Y. H. Lai ◽  
D. Benton ◽  
D. Duffy ◽  
R. Harrison ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document