A Novel Music based Tooth Brushing System for Blind Children

To assess the Oral Health Status (OHS) of visually impaired children in South India, to devise and implement a specially designed Oral Health Education (OHE) program for them and to assess its efficacy in improving their OHS. Study design: OHS of 98 institutionalized visually impaired children aged 6 to 14 years were evaluated at the start of the study (Pre-OHE level) using the Modified Gingival Index (MGI), the Turesky-Gilmore-Glickman modification of the Quigley Hein Plaque Index (MQHPI) and Streptococcus mutans colony count. Oral Health Education was imparted with the help of specially designed models and tooth-brushing taught with specially formulated music aided instructions in a song format. These parameters were re-evaluated after a period of reinforced (two weeks and one month) and non-reinforced (two months) tooth-brushing. Results: Mean values of MGI and MQHPI showed a statistically very highly significant drop from the Pre-OHE level to the end of both the periods of reinforcement and non-reinforcement. There was a significant decrease in the S.mutans counts from the Pre-OHE levels to the period of non-reinforcement (p < 0.0005). Conclusion: The OHE program specially formulated for the visually impaired children was effective in improving their OHS significantly.

Visually impaired, Oral Health Status, Oral Health Education

1. Mitrea AG, Karidis AG. Oral health status in greek children and teenagers with disabilities. J Clin Pediatr Dent; 26:118-8. 2001.

2. Tesini, DA Sanford J, Fenton. Oral health needs of persons with physical or mental disabilities. Dent Clin North Ame – vol 38, Nov 3 July 1994.

3. Storhaug K, Holst D. Caries experience of disabled school age children. Comm Dent Oral Epidemiol; 15: 144-149.1987.

4. Gizani S, Deelerek, Martens L, Marks L. Oral health condition of 12- yearold handicapped children in Flanders (Belgium). Comm Dent Oral Epidemiol; 25: 352-7. 1997.

5. Dinesh RB, Amitha HM, Munshi AK. Periodontal status of disabled chil - dren in South Canara, Karnataka. J Indian Dent Assoc; 74 : 559-562.2003.

6. Decks JL, Till MJ. Dental care for mentally retarded children. Northwest Dent.; 52 : 234-239 . 1973.

7. Lebowitz EJ. An introduction to dentistry for the blind. Dent clin North Am; 18 : 651-669.1974.

8. Winstanley ML. A synopsis of the project to evaluaute the use of a Braille text and tactile aids when teaching dental health to blind children. Brit Dent Surg Assistant; 43 : 20-23.1983.

9. Morsey SL. Communicating with and treating the blind child. Dental Hygiene 1980; 54: 288-290

10. Lobene RR, Weatherford T, Ross NM et al: A modified gingival index for use in clinical trials. Clin.Prev.Dent 8:3,1986.

11. Turesky S, Gilmore ND, Glickman I. Reduced plaque formation by chloro - methyl analogue of vitamine C. J Periodontol; 41:41-43.1970

12. Jenen B, Bratthal D. A new method for the estimation of m.Streptococci in human saliva. J. Dent. Res; 68: 468-471.1989.

13. Per Axelson. Diagnosis and risk prediction of dental caries. Volume II. Quintessence Publishing Co. Inc; Sweden 1993; 156-168

14. Nandini N S. New insights into improving the oral health of visually impaired children. J. Indian Soc. Pedod Prev Dent; 2(14): 142-3. 2003.

15. Wong M.C.M, Tan H, Chan T.S.L. Oral health education for visually impaired children. Community Health Project Report Series.; 136: 1-22.2005.

16. Sanchez-Perez L, Acosta-Gio AE, Mendez-Ramirez I. A cluster analysis model for caries risk assessment. Arch Oral Biol.; 49: 719-25,2004.

17. Schaeken M. J. M, Creugers T.J. Relationship between dental plaque indices and bacteria in dental plaque and those in saliva. J. Dent. Res 66 (9): 1499-1502,1987.