{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:12:16Z","timestamp":1789168336203,"version":"build-2803163510"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Literature on the effectiveness of theory-based oral health education on the oral hygiene status of hearing-impaired children is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To determine the effectiveness of a school oral health education intervention on oral hygiene status and oral health-related knowledge among 5\u201318-year-old children in Andhra Pradesh, India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A cluster randomized clinical trial was conducted among all institutionalized hearing-impaired children and young adults residing in various special care schools in Nellore district. Plaque Control record, gingival index (GI), and Decayed Missed Filled Teeth\/ decayed extracted filled teeth and Decayed Missed Filled surfaces\/ decayed extracted filled surfaces (DMFT\/deft, and DMFS\/defs) index were recorded; participants were selected and were randomly allocated to two groups using lottery method with 50 subjects in each group, Group I: sign language and Group II: video skit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In all the age groups, preintervention DMFT and postintervention GI, DMFT, and DMFS were statistically significant in the sign language group and in the video skit group. Postintervention DMFS shows a significant difference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>When compared with video instruction skit, sign language shows significant improvement in the oral hygiene status of CHI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_222_24","type":"journal-article","created":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T13:00:33Z","timestamp":1736600433000},"page":"316-321","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of visual instruction skit and sign language on oral health status among 5\u201318-year-old hearing-impaired children in South India: A cluster randomized clinical trial"],"prefix":"10.4103","volume":"42","author":[{"given":"Vaishnavi","family":"Kondepudi","sequence":"first","affiliation":[{"name":"Department of Public Health Dentistry, Narayana Dental College, Nellore, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. V. S. Krishna","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Narayana Dental College, Nellore, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gomasani","family":"Srinivasulu","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Narayana Dental College, Nellore, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Punamalli Symon","family":"Prasanth","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Narayana Dental College, Nellore, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,11]]},"reference":[{"key":"R1-20250111","doi-asserted-by":"crossref","first-page":"39","DOI":"10.4103\/0970-4388.127053","article-title":"Impact of visual instruction on oral hygiene status of children with hearing 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