Comparison between Conventional, Game-based, and Self-made Storybook-based Oral Health Education on Children's Oral Hygiene Status: A Prospective Cohort Study
Related Experiment Video
Updated: Oct 23, 2025

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
Shivangi Sharma1, Smriti Saxena2, Sathyajith N Naik1
1Department of Pedodontics and Preventive Dentistry, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India.
Introduction:
Dental caries is the most widespread disease affecting children worldwide. The reason for this increased prevalence is the use of more processed foods and beverages with the addition of refined sugars. General health affects oral health and its maintenance is of great importance. Lifestyle modifications and habits are formed at an early age therefore health education plays an important role in educating them about the prevention of problems related to oral health. Hence, the aim of this study was to assess and compare the effectiveness of conventional method, game-based and storybook-based oral health education on the oral hygiene status among 7-12-year-old schoolchildren.
Purpose:
To assess and compare the effectiveness of conventional method, game-based and storybook-based oral health education on the oral hygiene status among 7-12-year-old schoolchildren.
Materials And Methods:
A total of 300 children aged 7-12 years were divided into 3 groups. Each group had 100 children which were randomly assigned to each of the three groups. In group I, oral health education with the help of conventional method using educative posters was given to children once daily for a week. In group II, oral health education was imparted to children through play method (i.e., snakes and ladders game combined with flash cards) followed by group III, in which children were given education through self-made storybooks. The oral hygiene of all the children was estimated through Oral Hygiene Index-Simplified Debris (DI-S) score at day 1 and after 3 months after intervention.
Results:
In group III, storybooks showed maximum reduction in debris score which was found to be highly statistically significant followed by game based (group II) and conventional method (group I) of oral health education.
Conclusion:
The reduction in debris score was seen maximum in group III (storybooks). Hence, the use of storybooks should be encouraged for educating children regarding basic oral health concepts.
Clinical Significance:
There is important need to understand differences in the mental cognitive ability of the children at different ages and the need to develop different intervention programs for different age-groups. Rationalizing reading can be an intelligent initiative toward the development of good oral habits and transforming the outlook of oral healthcare system in years to come.
How To Cite This Article:
Sharma S, Saxena S, Naik SN, et al. Comparison between Conventional, Game-based, and Self-made Storybook-based Oral Health Education on Children's Oral Hygiene Status: A Prospective Cohort Study. Int J Clin Pediatr Dent 2021;14(2):273-277.
Related Concept Videos
Assessment of the Mouth
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Observational Studies
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
Handwashing II: Pre-procedure and Initial Procedure Steps
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
Handwashing III: During the Procedure and Post-Procedure Steps
Teeth
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
Oral Cavity
Teeth: The teeth are the hardest structures in our bodies. Humans have two sets of teeth throughout their lifetime: deciduous (baby) teeth and permanent teeth. Each tooth consists of several parts: the crown (visible part), the root (embedded in the jaw), enamel (hard outer...

