Santhosh Varkey Nadakkavukaran, Shankkari Siva, Coutinho David, Ankola Anil V, Sankeshwari Roopali M, Hampiholi Vinuta, Varghese Anu Sara, Parimala Yuvarani Kandasamy
Department of Public Health Dentistry, KLE VK Institute of Dental Sciences, KLE Academy of Higher Education and Research (KLE University), India.
Department of Periodontology, KLE VK Institute of Dental Sciences, KLE Academy of Higher Education and Research (KLE University), India.
Przegl Epidemiol. 2024 Dec 10;78(3):318-325. doi: 10.32394/pe/195139. Epub 2024 Nov 4.
Maintaining good oral hygiene through effective toothbrushing is crucial for preventing dental issues in adolescents. Conventional oral health education (OHE) and video demonstration approach are passive means of OHE, that often fail to engage this age group. This study introduced an innovative approach to OHE by combining jigsaw puzzle and visual aids to improve oral health outcomes among adolescents.
To assess the effectiveness of Jigsaw Puzzle-assisted Visual Reinforcement (JPVR) technique on toothbrushing knowledge, practices, and clinical oral health parameters compared to conventional OHE and video demonstration among adolescents.
This single-blind randomized controlled trial involved 195 adolescents aged 12-15 years randomly allocated to three groups: conventional OHE (control), video demonstration and JPVR. Interventions were administered, and assessments were carried out at baseline, 1 month, and 3 months. Prior to the start of the study, the oral hygiene aids used were standardized. Outcomes were measured using a self-designed, validated closed-ended questionnaire to assess the toothbrushing knowledge and practices. This was followed by clinical examination carried out using gingival and plaque indices by a blinded examiner.
At baseline, groups had comparable knowledge, practices, and clinical parameters. At 3 months, the JPVR group demonstrated significantly higher knowledge, better practices, lower plaque, and reduced gingival scores compared to other groups.
The JPVR technique improved toothbrushing knowledge, practices, and clinical oral health parameters among adolescents. This approach fostered active learning and knowledge retention and is a cost-effective strategy for promoting positive oral health outcomes among children.
通过有效的刷牙保持良好的口腔卫生对于预防青少年牙齿问题至关重要。传统的口腔健康教育（OHE）和视频演示方法是被动的OHE手段，往往无法吸引这个年龄段的人群。本研究引入了一种创新的OHE方法，将拼图游戏和视觉辅助工具相结合，以改善青少年的口腔健康状况。
与传统的OHE和视频演示相比，评估拼图游戏辅助视觉强化（JPVR）技术对青少年刷牙知识、实践和临床口腔健康参数的有效性。
这项单盲随机对照试验涉及195名12至15岁的青少年，他们被随机分为三组：传统OHE（对照组）、视频演示组和JPVR组。在基线、1个月和3个月时进行干预和评估。在研究开始前，对使用的口腔卫生辅助工具进行了标准化。使用自行设计、经验证的封闭式问卷来评估刷牙知识和实践，以此测量结果。随后由一名盲法检查者使用牙龈指数和菌斑指数进行临床检查。
在基线时，各组在知识、实践和临床参数方面具有可比性。在3个月时，与其他组相比，JPVR组表现出显著更高的知识水平、更好的实践、更低的菌斑和更低的牙龈分数。
JPVR技术改善了青少年的刷牙知识、实践和临床口腔健康参数。这种方法促进了主动学习和知识保留，是促进儿童积极口腔健康结果的一种具有成本效益的策略。
