scholarly journals Effectiveness of Different Educational Methods on Oral Health in 7-13-year-old Visually Impaired Children in Tehran: A Randomized Trial

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 <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.


2013 ◽  
Vol 37 (3) ◽  
pp. 251-256 ◽  
Author(s):  
V Shetty ◽  
AM Hegde ◽  
E Varghese ◽  
V Shetty

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.


2012 ◽  
Vol 36 (4) ◽  
pp. 411-415 ◽  
Author(s):  
S Bhandary ◽  
V Shetty ◽  
AM Hedge ◽  
K Rai

Objective: To assess the awareness of care providers of visually impaired children regarding their oral hygiene. Method: A simple pre-structured questionnaire was given to the care providers and the awareness regarding their oral health was assessed. Results: There was a general lack of awareness among the care providers of these children regarding dental diseases and its prevention. Furthermore, the importance of oral hygiene was found to be very low. Conclusion: The results obtained showed that most of the caretakers were unaware of the difficulties faced by these children in the maintenance of their oral health.


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.


2021 ◽  
Vol 45 (1) ◽  
pp. 15-21
Author(s):  
Devika J Nair ◽  
Amarshree A Shetty ◽  
Amitha M Hegde

Objective: We assessed the effectiveness of a modified audio-tactile performance (ATP) technique with braille (ATPb) on the oral health statuses of visually-impaired children. Study design: Ninety visually-impaired institutionalized children received oral hygiene instructions using audio (AM), ATP or ATPb techniques. Plaque scores were assessed at baseline and after reinforcement and non-reinforcement periods. Results: In the totally visually-impaired, mean reductions in plaque scores in the ATPb, ATP and AM groups during the reinforcement period were 1.119 ± 0.260, 0.654 ± 0.239 and 0.237 ± 0.255, respectively (p &lt;0.001), worsening to 0.107 ± 0.160, 0.083 ± 0.193 and −0.208 ± 0.267 during the non-reinforcement period (p &lt;0.001), before culminating at 6 months at 1.227 ± 0.261, 0.737 ± 0.317 and 0.029 ± 0.108 (p &lt;0.001). In partially visually-impaired children, reductions during the reinforcement period were 0.934 ± 0.279, 0.762 ± 0.270 and 0.118 ± 0.237, respectively, dropping to 0.176 ± 0.166, 0.083 ± 0.169 and −0.128 ± 0.114 without reinforcement and culminating at 1.109 ± 0.258, 0.845 ± 0.292 and −0.010 ± 0.226 (p &lt;0.001). There were significant inter-group differences during the three periods (p &lt;0.001), except in the ATP and ATPb groups during the non-reinforcement period for totally impaired (p = 0.157) and during reinforcement (p = 0.155) and non-reinforcement (p = 0.051) periods for partially impaired children. Conclusions: All three techniques were successful when reinforced periodically. However, only ATP and ATPb were successful during periods without reinforcement. The modified audio-tactile performance technique with braille (ATPb) was most effective, allowing visually-impaired children to retain oral hygiene information without intervention.


Sign in / Sign up

Export Citation Format

Share Document