This study aims to assess the impact of oral health education on the oral health knowledge and status of 12 and 15 year old private school children in Hyderabad, India. 750 children will be randomly selected from private schools across zones in Hyderabad and assessed at baseline and 4 weeks following an oral health education presentation. Oral health knowledge will be evaluated through a questionnaire and oral health status through the Simplified Oral Hygiene Index and WHO criteria. The results will be analyzed to see if oral health education improved knowledge and oral health status. This could help promote better oral health attitudes and behaviors from an early age.

1. TITLE OF STUDY
,
Impact Of Oral Health Education On Oral Health
Knowledge And Oral Health Status Among 12 &15 Yrs
Old Private School Children In Hyderabad City.
PRESENTED BY
S.SWAPNA
PG I ST YEAR
DEPT OF PHD
GUIDED BY
DR.SUHAS KULKARNI
HEAD OF DEPT, PHD

2. CONTENTS
 INTRODUCTION
 REVIEW OF LITERATURE
 AIM & OBJECTIVES
 MATERIALS & METHODS
 LIST OF REFERENCES
 PROFOMA

3. INTRODUCTION
 Oral health as fundamental to health is influenced by individual’s perceptions,
experience & knowledge. It is apparent that individuals with strong knowledge
exhibit better oral care practices. Various studies proved that Oral health education is
effective tool in enhancing attitudes and practices towards oral health.
 Schools are powerful places to shape the health education and well being of our
children.

4.  Majority of the health surveys conducted in school going children due to their
accessibility and promoting dental health at early stages will reduce the prevalence
of dental diseases and helps in maintaining these health related attitudes and
behaviors’ into adulthood.
 The extent of change of knowledge and oral health status as a result of educational
program among school children of Hyderabad city was not reported till now.

5. Aim:
To Assess The Impact of Oral Health Education On Oral Health Knowledge And
Oral Health Status Among 12 & 15 Yrs Old Private School Children In Hyderabad
City.
Objectives:
• To evaluate the Oral Health Knowledge using self reported questionnaire.
• To evaluate the Oral Hygiene Status using Simplified – Oral Hygiene Index (OHI –
S) and Dentition Status using WHO Proforma (2013).
• To compare the impact of Health Education on Knowledge and Oral health status .

6. Review Of Literature
1. D’ Cruz AM et al (2013) has done study to assess effectiveness of an oral health
education(OHE) program on oral hygiene knowledge and practices and oral health
status of 13-15 years old school children in Bangalore city. There were significant
differences nine month post -intervention, with a significant improvement in oral
hygiene knowledge and practices in experimental groups.
2. Bharadwaj VK et al (2013) conducted a study to evaluate the impact of oral health
education on the status of plaque, gingival health and dental caries among 12 &15
yrs old school children attending government school in simla. The study revealed
that short term oral health education program may be useful in improving oral
hygiene and gingival health but not effective in improving caries status.

7. 3.Haque SE et al (2015) conducted a study to assess effectiveness of Oral Health
Education program in increasing oral health knowledge, attitude and practices
among school students of Bangladesh. This study concluded that OHE intervention
was effective in increasing knowledge, attitude and practice towards oral health, it
also significantly reduced the prevalence of untreated dental caries among school
aged adolescents.
4.Alsaffan et al (2017) conducted a study to assess effect of oral health education on
oral health knowledge of primary and intermediate school students of private
schools( n =1279) by using pre-post questionnaires in Riyadh city. Oral health
education was given using a power point presentation for 30 min. Females, non-
Saudi nationals and students in primary level of education level showed significantly
high mean knowledge.

8. MATERIALS AND METHODS:
Method of collection of data:
The study sample will be obtained from 12 & 15 year old private school children in
Hyderabad city.
Study sample: the list of private schools was obtained from District Education Officer
of Hyderabad which revealed that 1221 private schools were present.
 The list of zones in Hyderabad city was obtained from Greater Hyderabad
Municipal Corporation (GHMC).They are South zone(244 schools), East zone (256
schools) West zone(217 schools), North zone(236 schools) and central Zone (268
schools).
 3-4 schools are randomly selected from each zone based on sample size.
Sample size; expected proportion of 1.96 and with a confidence level of 95 % with a
minimum precision of 5 % the estimated sample size is 750,(375 each group).

9. Inclusion criteria:
• Subjects aged 12 &15 years.
• Subjects who gave verbal consent.
• Subjects present on the day of examination.
Exclusion criteria:
• Subjects who underwent dental treatment (oral prophylaxis) 3 months back.
• Unfilled or partially filled questionnaire.
• Subjects who were on antibiotic prophylaxis since 3 months.

10. Method :
All eligible subjects will be given oral and written information about the
purpose of the study. Permission and Inform consent will be obtained from
the respective schools. Written Informed consent will be obtained from the
study subjects.

14. Oral Health Knowledge will be evaluated using 18-item Self Reported Questionnaire,
as adopted from Al saffan et al. Each question will be scored 1 for correct response
and no score will be given for wrong response and don’t know response.
Oral Health Knowledge will be categorized as follows :
Low - 9 (< )
Medium – 10 -14
High -- 15 – 18.

17. Oral Examination :
• Oral hygiene status is recorded using Simplified Oral Hygiene Index (OHI-S) and
Dentition Status by Modified World Health Organization ( 2013).
• The Armamentarium includes Plane mouth mirror, tweezers, No.23 explore, WHO
probe, sterilized cotton rolls, gauze piece, kidney trays, disinfectant, cotton holder,
disposable mouth mask, sterile disposable gloves, data recording proforma and
necessary stationary.
..

20. Oral Health Education :
• Children will be a given 30 min power point presentation using computer and LCD
projector, the topics in presentation will be based on the questions used in the
questionnaire.
• The study will be conducted at baseline and at 4 weeks interval. At Baseline, the
students will fill the questionnaire followed by an oral examination and oral health
education. After 4 weeks the same subject will fill the questionnaire and undergo
clinical oral examination. The improvement in knowledge and oral health status will
be assessed by comparing the pre test and post test values.
Comparison Of Oral Hygiene Scores :
the oral hygiene index simplified ,scores are recorded post educational
intervention compared with pre test scores and accordingly the study result is
justified.

21. • List of references
• 1. D ‘Cruz AM, Aradhya S. Impact of oral health education on oral hygiene
knowledge , practices, plaque control and gingival health of 13 -15 year old school
children in bangalore city. Int J Dent Hyg2013; 11 (2): 126 -133.
• 2. Bharadwaj VK, Sharma KR, Luthra RP, Jhingta P, Sharma D, Justa A. Impact of
oral health education program on oral health of 12 & 15 yrs old school children. J
Edu Health Promo 2013; 2 :33.
• 3. Haque SE, Rahman M, Itusko K, Mutuhara M, Kayako S, Tsutsumi A et al. Effect
of a school based oral health education in preventing untreated dental caries and
increasing knowledge, attitude and practice among adolescents in Bangladesh. J of
Bio Medical Central Oral Health 2016; 16 :44.
• 4. Al Saffan AD, Basseer MA, Aishammary AA, Assery M, Kamel A, Rahman G.
Impact of oral health education on oral health knowledge of private school children
in Riyadh city, Saudi Arabia. J Int Soc Prevent Community Dent 2017; 7: 186-93.

22. Expected Outcome:
Oral Health Education will be effective tool in enhancing knowledge, attitude and
practices towards oral health.
Poor oral health knowledge can have adverse effect on children’s performance in
school and it may effect their self esteem and accomplishments.

25. SIMPLIFIED ORAL HYGIENE STATUS(OHI-S)

27. THANK YOU

28. Sample size estimation :
n = Z2X pq
d2
Z = 1.96 (95% confidence level )
p = 70 % 9 (impact of oral health education on oral
health knowledge )
q = 100 – p =30 %
d = error to be detected ( 5 % of p )
n = 660
considering 10 % follow up the final sample size is 726