Effectiveness of visual instruction skit and sign language on oral health status among 5-18-year-old hearing-impaired children in South India: A cluster randomized clinical trial.

Vaishnavi Kondepudi, R V S Krishna Kumar, Gomasani Srinivasulu, Punamalli Symon Prasanth
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Abstract

Background: Literature on the effectiveness of theory-based oral health education on the oral hygiene status of hearing-impaired children is limited.

Aim: To determine the effectiveness of a school oral health education intervention on oral hygiene status and oral health-related knowledge among 5-18-year-old children in Andhra Pradesh, India.

Materials and methods: A cluster randomized clinical trial was conducted among all institutionalized hearing-impaired children and young adults residing in various special care schools in Nellore district. Plaque Control record, gingival index (GI), and Decayed Missed Filled Teeth/ decayed extracted filled teeth and Decayed Missed Filled surfaces/ decayed extracted filled surfaces (DMFT/deft, and DMFS/defs) index were recorded; participants were selected and were randomly allocated to two groups using lottery method with 50 subjects in each group, Group I: sign language and Group II: video skit.

Results: In all the age groups, preintervention DMFT and postintervention GI, DMFT, and DMFS were statistically significant in the sign language group and in the video skit group. Postintervention DMFS shows a significant difference.

Conclusion: When compared with video instruction skit, sign language shows significant improvement in the oral hygiene status of CHI.

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视觉教学短剧和手语对南印度 5-18 岁听障儿童口腔健康状况的影响:分组随机临床试验。
背景:理论口腔健康教育对听障儿童口腔卫生状况影响的文献有限。目的:确定学校口腔健康教育干预对印度安得拉邦5-18岁儿童口腔卫生状况和口腔健康相关知识的影响。材料与方法:采用整群随机临床试验的方法,对Nellore区各特护学校的机构型听障儿童和青少年进行研究。记录菌斑控制记录、牙龈指数(GI)、龋缺补牙/龋拔补牙、龋缺补面/龋拔补面(DMFT/deft、DMFS/defs)指数;采用摇号法将参与者随机分为两组,每组50人,第一组为手语组,第二组为视频小品组。结果:各年龄组干预前DMFT、干预后GI、DMFT、DMFS在手语组和视频小品组均有统计学意义。干预后DMFS差异有统计学意义。结论:与视频教学小品相比,手语对CHI患儿口腔卫生状况有显著改善。
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