scholarly journals Pengaruh edukasi kesehatan gigi dan mulut berbasis buku Braille terhadap tingkat kebersihan gigi dan mulut penyandang tunanetra di SLB-A TPA dan SLB Negeri JemberThe effect of oral health education in the form of Braille book towards the oral hygiene status of visually impaired student attending Special School-A TPA and Public Special School of Jember

2020 ◽  
Vol 32 (2) ◽  
pp. 139
Author(s):  
Adilia Putri Istadi ◽  
Niken Probosari ◽  
Sulistiyani Sulistiyani

Pendahuluan: Tunanetra merupakan istilah yang digunakan untuk kondisi seseorang yang mengalami gangguan dalam indera penglihatannya. Keterbatasan fisik yang dialami oleh tunanetra menyebabkan pengetahuan tentang kesehatan gigi dan mulut sulit didapatkan dan cenderung memiliki tingkat kebersihan gigi dan mulut yang rendah. Oleh karena itu diperlukan pendekatan khusus agar pengetahuan dan kebersihan gigi dan mulut dapat meningkat. Tujuan penelitian ini untuk menganalisis pengaruh edukasi kesehatan gigi dan mulut berbasis Braille terhadap tingkat kebersihan gigi dan mulut penyandang tunanetra. Metode: Jenis penelitian ini merupakan pre-eksperimental dengan desain penelitian one-group pretest-posttest design. Subjek penelitian berjumlah 18 siswa penyandang tunanetra SLB-A TPA dan SLB Negeri Jember yang diberikan edukasi berupa buku panduan kesehatan gigi dan mulut berbasis buku Braille. Subjek diminta untuk menjaga kebersihan gigi dan mulut salah satunya dengan menyikat gigi dua kali sehari selama 21 hari. Pengukuran tingkat kebersihan gigi dan mulut dilakukan menggunakan indeks OHI-S Green dan Vermillion. Pengukuran dilakukan pada hari ke-1 (evaluasi 1) sebelum diberi perlakuan dan pelatihan sikat gigi, hari ke-10 (evaluasi 2), dan hari ke-21 (evaluasi 3). Data dianalisis dengan uji komparatif parametrik paired sample t-test. Hasil: Distribusi data adalah normal dengan p-value (p>0,05) sebesar 0,200 (evaluasi 1), 0,126 (evaluasi 2), dan 0,118 (evaluasi 3). Edukasi yang diberikan selama 10 hari tidak menurunkan indeks OHI-S dengan p-value 0,317 (p>0,05). Edukasi selama 21 hari dapat menurunkan indeks OHI-S dengan p-value sebesar 0,000 (p<0,05). Simpulan: Pemberian edukasi kesehatan gigi dan mulut berbasis buku Braille pada penyandang tunanetra di SLB-A-TPA dan SLB Negeri   Jember berpengaruh terhadap peningkatan kebersihan gigi dan mulut.Kata kunci: Tunanetra, edukasi, Braille, kebersihan gigi dan mulut, OHI-S. ABSTRACTIntroduction: Visual impairment is a term used for the condition of a person who has a disturbance in the sense of sight. Physical limitations experienced by visually impaired individual make the knowledge regarding oral health difficult to obtain and tends to have a low level of oral hygiene. Therefore, a personal approach is needed so that the oral health knowledge and oral hygiene can be improved. This study was conducted to analyse the effect of Braille-based oral health education on the level of the visually impaired students’ oral hygiene. Methods: This research was pre-experimental research with a one-group pretest-posttest design. Research subjects were 18 students with a visual impairment from Special School-A TPA and Public Special School of Jember who were given education in the form of oral health manuals in the form of Braille books. Subjects were asked to maintain their oral hygiene by brushing their teeth twice a day for 21 days. Measurement of the oral hygiene level was carried out using the Green and Vermillion OHI-S index. Measurements were made on day 1 (evaluation 1) before being treated and trained in toothbrushes; day 10 (evaluation 2); and day 21 (evaluation 3). The data were analysed by the paired sample t-test parametric comparative analysis. Results: Data distribution was normal with p-value > 0.05 of (p = 0.200) (evaluation 1), 0.126 (evaluation 2), and 0.118 (evaluation 3). The counselling was conducted for ten days and had not reduced the OHI-S index, with a p-value of 0.317 (p > 0.05). Counselling then continued for 21 days and was able to reduce the OHI-S index with a p-value of 0.000 (p < 0.05). Conclusion: Providing Braille books-based oral health education to visually impaired students in Special School-A TPA and Public Special School of Jember improving their oral hygiene.Keywords: Visual impairment, education, Braille, oral hygiene, OHI-S.

Author(s):  
Ishita Chandarana ◽  
Pratik B. Kariya ◽  
Sweta Singh ◽  
Adrija Buch

Introduction: Cerebral palsy [CP] is a group of neuromuscular disorders which affects the development of movement and posture, limiting normal functional activity. Thus, it is presumed to establish an early contact with CP children to diagnose oral diseases and to introduce certain preventive home care measures to maintain good oral health. This study was conducted to check the effectiveness of three different oral health education modalities among cerebral palsy patients. Methodology: A cross-sectional interventional study was conducted among 60 Cerebral Palsy children aged 8 to 15 years from the selected residential schools for neurodevelopmental disabilities of Vadodara. Participants from a particular school were divided randomly into 3 groups based on different oral health education modalities. Group A: These children and their caretaker were given normal verbal instruction on how to brush their teeth by Fone’s technique on a one-to-one basis. Group B: These children and their caretaker were given a tooth brushing demonstration on a tooth model. Group C: These children and their caretaker were shown an audiovisual clip showing how to brush. The oral hygiene practice was reinforced every visit. OHI-S index was recorded on the day of the demonstration, 7 days and 14 days by the principal investigator, and analyzed. Results: The audio-visual method group showed a marked reduction in the OHI-S score measured from baseline to day 14 when compared to the verbal and model group that is 1.76±0.96 when compared to other two groups that are group A with OHI-S score 2.36±0.96 and GROUP B with OHI-S score 2.51±0.87.  The confidence of the interval was -CI=0.044-1.470. The results were the statistically significant result. (p value<0.035)Also, Group C showed a significant reduction in the DI scores as compared to the other two groups. Conclusion: The audiovisual method with brushing video can be effectively used to maintain the good oral hygiene and gingival health of children with Cerebral Palsy. The audiovisual method helps to overcome their motor difficulties and their limited ability to perform dental plaque control.


Background. Poor oral health among children is common finding in the rural regions of India. But if the existent structure of primary health care is used, favourable oral health habits and importance of oral health can be instilled in the children and their parents at a very early stage. Objective. To evaluate the effectiveness of Anganwadi workers (AWWs) in improving the oral hygiene of the preschool children through oral health education. Material and methods. 250 children in the age group of 2.5-6 years, were included in the study. The study was conducted in three phases over a period of 8 months which included a follow up of six months. Baseline oral health was determined using a questionnaire assessing the oral hygiene practices and DMFT Index, Plaque Index and Gingival Index. This was re-assessed after 6 months using the same questionnaire and indices. Statistical significance was fixed at p value Ł 0.05. Chi square and paired ‘t’ test were used to assess the difference in the variables after providing oral health education. Results. Out of 250 children, with mean age of 4.24 years, majority were girls (142, 56.8%). The use of fluoridated toothpaste among the study population significantly increased from 34.4% to 41.5% (p=0.001) with the intervention of oral health education (OHE). Decrease in consumption of sticky sugar, addition of sugar in the night-feeds and cleaning of teeth after night-feeds were also found to change significantly. Gingival index showed significant reduction after OHE (p=0.001). Conclusion. The study revealed that training of Anganwadi workers (AWWs) could be used to improve the oral health of the Anganwadi children. They represent an untapped source for delivering oral care to rural communities that otherwise have limited access.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sheida Masoumi ◽  
Nahid Askarizadeh ◽  
Mahmoud Ghasemi

Background: Conventional oral health education is not suitable for visually impaired children. Objectives: Considering the importance of oral health, this study aimed to investigate the effectiveness of different educational methods on oral hygiene status. Methods: Following a clinical trial design, 88 visually impaired children, aged 7 to 13 years, living in Tehran were recruited and randomly allocated to four groups of verbal-tactile, verbal-braille, multisensory, and control. Initially, all children were well informed about the importance of oral hygiene; then, the baseline levels of plaque score and gingivitis were recorded by Silness & Loe plaque index and Loe & Silness gingival index, respectively. Experimental groups received oral health education through different methods. The instructions were repeated after one month, and plaque and gingival indices were reevaluated after two months. Data analysis was administered by analysis of variance (ANOVA) and posthoc tests using SPSS 20.0. Results: After receiving the intervention, all groups showed a decrease in plaque and gingival indices, with the most reduction in the multisensory group (with a statistically significant difference (P = 0.0001) between multisensory & control for both plaque & gingival indices). The least change was observed in the verbal-braille group compared to the control (for plaque index and gingival index after two months (P = 0.04) and (P = 0.17), respectively). Conclusions: This study demonstrated that the multisensory method (verbal-tactile-braille) is the best option to educate visually impaired children, with significantly more acceptable results.


2017 ◽  
Vol 41 (4) ◽  
pp. 271-274 ◽  
Author(s):  
S Mudunuri ◽  
A Sharma ◽  
P Subramaniam

Aim: To evaluate the perception of visually impaired children to three different methods of oral health education. Study design: Sixty total visually impaired children were divided into three groups of 20 children each. Children in group-I received oral health education through a lecture. Children in group II received Demonstration on a Model by Tell and Touch method (DMTT) and children in group III were self trained on oral hygiene skills. All children received written instructions in Braille. Their knowledge and practice of oral hygiene methods were recorded by a questionnaire and their method of brushing and rinsing was assessed during a personal interview. Data obtained was subjected to statistical analysis. Results: Children in group II were able to brush and rinse significantly better (p &lt;0.05) as compared to the other groups. Demonstration on a Model by Tell and Touch method was found to be the most preferred method of oral health education. Conclusion: Oral health education given through DMTT method was perceived well by the visually impaired children.


2021 ◽  
Vol 15 (9) ◽  
pp. 2961-2965
Author(s):  
Faisal Izhar ◽  
M. Saleem Rana ◽  
Maha Tanvir ◽  
Shafia Hasan ◽  
Muhammad Azizullah ◽  
...  

Oral health in the nation’s evolution, especially in this globalization, an absence of illness in the population plays a key role for a fecund and well established society. Purpose: To see the impact of oral health education intervention to improve oral health practices along-with formation of new carious lesions after oral health education after 3 months of intervention. Study Design: Cross sectional study. Methodology: Children (n=383) were included in present study through non-probability, convenient sampling technique. Children who fulfilled the inclusion criteria were examined with the examination tools on the dental unit office in the RHC for caries risk using a pre-validated caries risk assessment checklist and dental caries detection form. Statistical analysis: Data analyzed by SPSS 21.0v. Results: Majority of respondents (383) 100% didn’t have access to fluoridated water supply. Only 23.5% of the respondents have literate parent’s majority of them (76.5%) have illiterate parents. All the respondents 100% were at moderate risk. In comparison of risk associated with teeth missing due to caries in past 36 months, the respondents at low risk were 63.2%, High risk were 25.3% and moderate risk were 11.5%. Conclusion: This study concluded that intervention of oral hygiene instruction has produced significant results in motivating people for cleaning teeth regularly and avoiding the use of sugary foods and beverages to maintain their oral and general health. The study has interventions of tooth brush with paste and oral hygiene instruction for motivating and treating people. Key Words: Early Childhood Caries, Risk Assessment, Health Education and Oral Hygiene.


Author(s):  
Prahi Nayak ◽  
Aditi Mathur ◽  
Neema Shetty ◽  
Barkha Makhijani ◽  
Ashish Bali ◽  
...  

Introduction: Good oral hygiene provides a basis for good oral health and is important for prevention and treatment of oral conditions in children. Hence, it is essential to provide knowledge and treatment at regular intervals to the visually impaired individuals. Objective: To evaluate the oral hygiene practices of visually impaired students attending a blind school with the help of a questionnaire. Methods: The oral hygiene practices were evaluated in visually impaired students between the ages of 6 years to 22 years. A total of 92 students were enrolled from a blind school in Udaipur. The oral hygiene practice was assessed by a questionnaire survey. Results: About 96.7% of the students brushed their teeth daily out of which 94.3% brushed their teeth with the help of a toothbrush and toothpaste. Majority of them brushed once a day in the morning. A total of 39.1% of the students cleaned their tongue also. All the students brushed alone without any guidance or supervision. Conclusion: Although the blind students cannot see, they still practice good oral hygiene.


2019 ◽  
Vol 39 (2) ◽  
pp. 97-107 ◽  
Author(s):  
Barkha S. Tiwari ◽  
Anil V. Ankola ◽  
Sagar Jalihal ◽  
Pratibha Patil ◽  
Roopali M. Sankeshwari ◽  
...  

Author(s):  
Ni Zhou ◽  
Hai Ming Wong ◽  
Colman Patrick McGrath

Background: Young children with special needs greatly rely on their parents to support their daily living activities; parental compliance may have great impact on the implementation of health promotion activities among those children. This study aimed to investigate the parental compliance towards oral health education (OHE) among children with special healthcare needs (SHCN). Method: The participants were 306 parents whose children had participated in a 24-month OHE program for preschool children with SHCN. The primary outcome of this cross-sectional study was parental compliance towards the OHE program. Parents’ oral health literacy (OHL) was assessed by a validated tool. Parents’ socioeconomic status, attitudes towards OHE topics, perceptions of children’s oral hygiene status, and usefulness of OHE materials were collected via questionnaires. Results: A higher dropout rate was observed among parents who perceived that their children had unfavorable oral hygiene status (p = 0.038), or parents who had poor OHL skills (p = 0.015). Parental noncompliance was more likely to be observed among parents who perceived that the OHE materials were not useful for their children (OR = 3.63, 95% CI 1.56 to 8.47, p = 0.003), or parents whose children had been diagnosed with developmental delays (OR = 5.45, 95% CI 1.59 to18.74, p = 0.007). Conclusion: Non-compliance existed among parents whose children had received OHE intervention. Parental compliance towards OHE intervention might be associated with parents’ OHL skills, usefulness of OHE materials, and children’s developmental conditions. OHE programs should be individually tailored to support children whose parents are at a higher risk of noncompliant behaviors.


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