Effectiveness of supervised toothbrushing and oral health education in improving oral hygiene status and practices of urban and rural school children: A comparative study

Abstract Background: School aged adolescents are in particular need of preventive program to ensure positive long-term oral health and hygiene. However, due to lack of health education and insufficient preventive measures, the oral health status of these students is not always good resulting in high morbidity. The objective of this study was to assess the effectiveness of an oral health education intervention on oral hygiene knowledge, attitude and practices (KAP), plaque control and gingival health among 12-15 years old school children in Dharan sub-metropolitan city, Nepal.Methods: A randomized controlled trial was conducted with parallel study groups, comprising 12-15-year-old school children, 120 in each group (experimental and control group). Interview of the participants were done using a 23-item questionnaire for assessment of oral hygiene knowledge, attitude and practices (KAP). Oral examination was done using mouth mirror and WHO probe to record Turesky-Gilmore-Glickman modification of the Quigley-Hein plaque index (1970), Gingival index (Loe H and Silness J 1963) and Dentition status and treatment needs at baseline and third and sixth months of the study period. Analysis was done using chi-square test for categorical data and Independent t test, repeated ANOVA, Kruskal-Wallis test, Friedman test, Mann-Whitney U test for quantitative data. The level of significance was set at p<0.05.Results: There was 54.58% improvement in overall oral hygiene KAP in experimental group (p=0.001) whereas no improvement was seen in control group after 6 months of intervention. The mean plaque score was improved by 57.67% (p=0.001) in experimental group in comparison to 4.56% in control group. Gingival index was improved by 49.90% (p=0.001) in experimental group in comparison to 0.7% (p=0.05) in control group. Caries experience was increased in both groups but no significant difference was seen.Conclusions: The study concluded that oral health education was effective in improving oral hygiene KAP, plaque control and gingival health.Trial registration: The trial was retrospectively registered with Clinical Trial Registry India (CTRI) with identifier no. CTRI/2018/05/013985, registered on 05/21/2018. (http://www.ctri.nic.in/Clinicaltrials/pdf_generate.php?trialid=23651&EncHid=&modid=&compid=%27,%2723651det%27). Institutional Review Committee, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal provided the ethical approval (Ref. No.: 292/074/075-IRC).

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Impact of oral health education on oral hygiene knowledge, practices, plaque control and gingival health of 13- to 15-year-old school children in Bangalore city

International Journal of Dental Hygiene ◽

10.1111/j.1601-5037.2012.00563.x ◽

2012 ◽

Vol 11 (2) ◽

pp. 126-133 ◽

Cited By ~ 20

Author(s):

AM D'Cruz ◽

S Aradhya

Keyword(s):

Oral Health ◽

Health Education ◽

School Children ◽

Oral Hygiene ◽

Oral Health Education ◽

Knowledge Practices ◽

Bangalore City ◽

Gingival Health ◽

Plaque Control

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Effectiveness of Oral Health Education Intervention among 12-15-Year-Old School Children in Dharan, Nepal: A Randomized Controlled Trial

10.21203/rs.3.rs-56726/v2 ◽

2021 ◽

Author(s):

Krishna Subedi ◽

Ashish Shrestha ◽

Tarakant Bhagat ◽

Dharanidhar Baral

Keyword(s):

Oral Health ◽

Health Education ◽

School Children ◽

Oral Hygiene ◽

Controlled Trial ◽

Control Group ◽

Oral Health Education ◽

Gingival Health ◽

Health Education Intervention ◽

Experimental Group

Abstract Background: School aged adolescents are in particular need of preventive program to ensure positive long-term oral health and hygiene. The objective of this study was to assess the effectiveness of an oral health education intervention on oral hygiene knowledge, attitude and practices (KAP), plaque control and gingival health among 12-15 years old school children in Dharan sub-metropolitan city, Nepal.Methods: A randomized controlled trial was conducted with parallel study groups, comprising 12-15-year-old school children, 120 in each group (experimental and control group). Oral health education was given to the experimental group at baseline, third and sixth months. Oral health education was given after completion of the study to the control group. Interview of the participants were done using a 23-item questionnaire for assessment of oral hygiene knowledge, attitude and practices (KAP). Oral examination was done using mouth mirror and WHO probe to record Turesky-Gilmore-Glickman modification of the Quigley-Hein plaque index (1970), Gingival index (Loe H and Silness J 1963) and Dentition status and treatment needs at baseline and third and sixth months of the study period. Analysis was done using chi-square test for categorical data and Independent t test, repeated ANOVA, Kruskal-Wallis test, Friedman test, Mann-Whitney U test for quantitative data. The level of significance was set at p<0.05.Results: There was 54.58% improvement in overall oral hygiene KAP in experimental group (p=0.001) whereas no improvement was seen in control group after 6 months of intervention. The mean plaque score was improved by 57.67% (p=0.001) in experimental group in comparison to 4.56% in control group. Gingival index was improved by 49.90% (p=0.001) in experimental group in comparison to 0.7% (p=0.05) in control group. Caries experience was increased in both groups but no significant difference was seen.Conclusions: The study concluded that oral health education was effective in improving oral hygiene KAP, plaque control and gingival health.Trial registrationThe trial was retrospectively registered with Clinical Trial Registry India (CTRI) with identifier no. CTRI/2018/05/013985, registered on 05/21/2018. (http://www.ctri.nic.in/Clinicaltrials/pdf_generate.php?trialid=23651&EncHid=&modid=&compid=%27,%2723651det%27). Institutional Review Committee, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal provided the ethical approval (Ref. No.: 292/074/075-IRC).

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Effectiveness of oral health education intervention among 12–15-year-old school children in Dharan, Nepal: a randomized controlled trial

BMC Oral Health ◽

10.1186/s12903-021-01877-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Krishna Subedi ◽

Ashish Shrestha ◽

Tarakant Bhagat ◽

Dharanidhar Baral

Keyword(s):

Oral Health ◽

Health Education ◽

School Children ◽

Oral Hygiene ◽

Controlled Trial ◽

Control Group ◽

Oral Health Education ◽

Gingival Health ◽

Plaque Control ◽

Experimental Group

Abstract Background School-aged adolescents are in particular need of preventive program to ensure positive long-term oral health and hygiene. The objective of this study was to assess the effectiveness of an oral health education (OHE) intervention on oral hygiene knowledge, attitude and practices (KAP), plaque control and gingival health among 12–15 years old school children in Dharan sub-metropolitan city, Nepal. Methods A randomized controlled trial was conducted with parallel study groups, comprising 12–15-year-old school children, 120 in each group. OHE was given to the experimental group at baseline, third and sixth months and to the control group after completion of the study. Interview of the participants were done using a 23-item questionnaire for assessment of oral hygiene KAP. For each question, correct answer was scored as 1 and wrong answer was scored zero. An overall composite score was then created, by adding the individual scores. Oral examination was done using mouth mirror and WHO probe to record Turesky–Gilmore–Glickman modification of the Quigley-Hein plaque index, Gingival index and Dentition status and treatment needs. Analysis was done using chi-square test for categorical data and independent t test, Mann–Whitney U test, repeated measures ANOVA and post hoc Tukey’s test for quantitative data. The level of significance was set at P < 0.05. Results There was 54.58% improvement in overall oral hygiene KAP in experimental group (P = 0.001) whereas no improvement was seen in control group at the end of the study. The mean plaque score was improved by 57.67% (P = 0.001) in experimental group in comparison to 4.56% in control group. Gingival index was improved by 49.90% (P = 0.001) in experimental group in comparison to 0.7% in control group. Caries experience was increased in both groups but no significant difference was seen. Conclusions The study concluded that oral health education was effective in improving oral hygiene KAP, plaque control and gingival health. Trial registration The trial was retrospectively registered with Clinical Trial Registry India (CTRI) with identifier no. CTRI/2018/05/013985, registered on 05/21/2018. (http://www.ctri.nic.in/Clinicaltrials/pdf_generate.php?trialid=23651&EncHid=&modid=&compid=%27,%2723651det%27). Institutional Review Committee, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal provided the ethical approval (Ref. No.: 292/074/075-IRC).

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Effectiveness of Oral Health Education on Oral Hygiene Knowledge, Practices of Lower Secondary School Children in Kathmandu District

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v16i4.30256 ◽

2020 ◽

Vol 16 (4) ◽

pp. 215-221

Author(s):

Sunita Khanal ◽

Rosina Bhattarai ◽

Sujita Shrestha ◽

G. Nagaraja Rao

Keyword(s):

Oral Health ◽

Health Education ◽

Secondary School ◽

School Children ◽

Oral Hygiene ◽

Dental Health ◽

Linear Regression Analysis ◽

Lower Secondary School ◽

Oral Health Education ◽

Knowledge Practices

Background: An important goal of health system is health promotion and disease prevention. In order to enable people to develop personal skills in managing their own oral health, there is a recognized need to deliver oral health information to people during clinical encounters. To ensure positive, long term dental health and hygiene, good oral hygiene practices are necessary from young age. The present study was conducted to assess the effectiveness of oral health education on oral hygiene knowledge, practices of lower secondary school children in Kathmandu district. Methods: A quasi -experimental study was conducted among lower secondary school children of Kathmandu district. Altogether 400 students participated in the study. Structured questionnaire was used for data collection purpose which contained 15 knowledge questions and 10 practice questions. The data was analysed by using SPSS version 20 software. Multiple linear regression analysis was used at ≤0.05 level of significance. Results: Altogether 400 students participated in all three visits of the study. The participants were divided into two experimental groups i.e. audio-visual and chart and model groups. The knowledge level increased in both the experimental groups after subsequent health education. Audio-visual method was found to be more effective in improving knowledge (p≤0.001) and practice. Conclusions: The oral health education was found to be effective in increasing oral health related knowledge and practices of students.

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Impact of Oral Health Educational Intervention for Reduction in New Lesions of Dental Caries: Cross Sectional Study

10.53350/pjmhs211592961 ◽

2021 ◽

Vol 15 (9) ◽

pp. 2961-2965

Author(s):

Faisal Izhar ◽

M. Saleem Rana ◽

Maha Tanvir ◽

Shafia Hasan ◽

Muhammad Azizullah ◽

...

Keyword(s):

Oral Health ◽

Health Education ◽

Oral Hygiene ◽

Cross Sectional Study ◽

Sectional Study ◽

Caries Risk ◽

Moderate Risk ◽

Cross Sectional ◽

Oral Health Education ◽

Oral Hygiene Instruction

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.

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Effectiveness of different oral health education interventions in visually impaired school children

Special Care in Dentistry ◽

10.1111/scd.12356 ◽

2019 ◽

Vol 39 (2) ◽

pp. 97-107 ◽

Cited By ~ 2

Author(s):

Barkha S. Tiwari ◽

Anil V. Ankola ◽

Sagar Jalihal ◽

Pratibha Patil ◽

Roopali M. Sankeshwari ◽

...

Keyword(s):

Oral Health ◽

Health Education ◽

School Children ◽

Visually Impaired ◽

Oral Health Education ◽

Education Interventions ◽

Health Education Interventions

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Parental Compliance towards Oral Health Education among Preschoolers with Special Healthcare Needs

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18147323 ◽

2021 ◽

Vol 18 (14) ◽

pp. 7323

Author(s):

Ni Zhou ◽

Hai Ming Wong ◽

Colman Patrick McGrath

Keyword(s):

Oral Health ◽

Health Education ◽

Oral Hygiene ◽

Dropout Rate ◽

Cross Sectional Study ◽

Cross Sectional ◽

Parental Compliance ◽

Oral Health Education ◽

Healthcare Needs ◽

Developmental Conditions

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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