Change in periodontal status, oral health knowledge, attitude, and practices following video-based counseling: A cross-sectional study

K. Shivaranjani, B. Pratebha, Jananni Muthu, R. Saravanakumar, I. Karthikeyan
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Abstract

Background: Periodontal disease is one among the most common oral health problems which are prevalent among the adult population throughout the world. There is a notable lack of awareness related to oral hygiene-related practice among transgenders, a vulnerable group of population who face social stigma. Materials and Methods: 156 participants comprising 52 each of transgenders (Group T), males (Group M,) and females (Group F) were recruited. The oral health-related knowledge, attitude, and practices were estimated by means of a prevalidated questionnaire. The periodontal status, in terms of modified gingival index (MGI) and modified Community Periodontal Index (M-CPI), probing pocket depth (PPD), and clinical attachment loss (CAL), was estimated pre- and post-video counseling. Wilcoxon signed-rank test and Kruskal–Wallis test were used to compare scores. Results: The MGI scores were comparatively higher among Group T when compared to groups M and F before (1.72 ± 0.8) and after (0.93 ± 0.9) the video intervention (P T > F while PPD followed F > T > M. Conclusion: The periodontal disease was marginally high among females, while the oral hygiene-related knowledge, attitude, and practices were observed to be poor among them. Video-based education improved the periodontal status, oral hygiene related knowledge, attitude, and practices of all male, female, and transgender populations.
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视频咨询后牙周状况、口腔健康知识、态度和实践的变化:一项横断面研究
背景:牙周病是最常见的口腔健康问题之一,在世界各地的成年人中普遍存在。跨性别者是面临社会污名的弱势群体,他们明显缺乏与口腔卫生有关的实践意识。材料与方法:共招募了156名参与者,其中变性人(T组)、男性(M组)和女性(F组)各52人。通过预验证问卷对口腔健康相关知识、态度和行为进行评估。评估视频咨询前后患者的牙周状况,包括改良牙龈指数(MGI)和改良社区牙周指数(M-CPI)、探诊袋深度(PPD)和临床附着损失(CAL)。采用Wilcoxon sign -rank检验和Kruskal-Wallis检验比较得分。结果:视频干预前(1.72±0.8)和干预后(0.93±0.9),T组的MGI得分均高于M组和F组。结论:女性牙周病发生率略高,但口腔卫生知识、态度和行为较差。基于视频的教育改善了所有男性、女性和跨性别人群的牙周状况、口腔卫生相关知识、态度和实践。
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