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Effectiveness of different parenting interventions on oral hygiene of cerebral palsy children: A randomized
Vedha Vpk1, Vikrant R Mohanty1, Aswini Y Balappanavar1
1Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India.
Insights
Video-based dental health education significantly improved oral hygiene in children with cerebral palsy (CP). This intervention, combined with reinforcement, showed better results than conventional methods for CP oral care.
Area of Science:
- Pediatric Dentistry
- Public Health Interventions
- Cerebral Palsy Management
Background:
- Children with cerebral palsy (CP) often face challenges in maintaining optimal oral hygiene.
- Parenting interventions are crucial for managing the oral health of children with CP.
Purpose of the Study:
- To evaluate the efficacy of video-based dental health education (DHE) compared to conventional DHE for improving oral hygiene in children with CP.
- To assess the impact of parenting interventions on the oral health status of children with CP aged 4-12 years.
Main Methods:
- A randomized controlled trial involving 60 children with CP and their parents.
- Experimental group received video-based DHE and telephonic reinforcements; control group received conventional DHE.
- Oral hygiene status was assessed using simplified oral hygiene index (OHI-S), plaque index (PI), and gingival index (GI) at baseline and 3-month follow-up.
Main Results:
- The video-based DHE group showed statistically significant reductions in OHI-S, PI, and GI scores (P < .05).
- Conventional DHE also led to significant reductions in OHI-S and PI, but not significantly in GI (P = .6).
- Video-based DHE demonstrated superior effectiveness in improving oral hygiene parameters for children with CP.
Conclusions:
- Video-based dental health education is an effective parenting intervention for enhancing oral hygiene in children with cerebral palsy.
- This approach significantly improves oral hygiene status and overall oral health outcomes in the CP population.
Aim:
To assess the effectiveness of different parenting interventions for improving oral hygiene of cerebral palsy (CP) children aged 4-12 years.
Methodology And Results:
A randomized controlled trial was done among 60 CP children and parents visiting a tertiary care center in New Delhi. The study population was randomly assigned to experimental or control group (30 in each group). Parents/caregivers in the experimental group (Group 1) received video-based dental health education (DHE) and the control group (Group 2) received conventional DHE. Each group also received two telephonic reinforcements at fourth and eighth week after the first intervention at baseline. The groups were assessed for sociodemographic, familial factors, medical history, oral hygiene practices, and oral hygiene status. At 3-month follow-up, the mean reduction in simplified oral hygiene index (OHI-S), plaque index (PI), and gingival index (GI) scores was 0.27, 0.17, and 0.09, respectively, in Group 1 (P-value < .05). The mean reductions seen in Group 2 were 0.03 in OHI-S, 0.14 in PI, and 0.04 in GI index (P-value < .05, except for GI score: P-value = .6).
Conclusion:
Video-based DHE is effective and brings about significant improvement in oral hygiene status and oral health among CP children.
