Preventive
Subeena Thomas, DMD
Pediatric Dental Resident
University of Illinois at Chicago
University of Illinois at Chicago
Libertyville, Illinois, United States
David Avenetti, DDS, MSD, MPH
University of Illinois at Chicago
Judy Yuan, DDS, MS
University of Illinois at Chicago
Bhakti Desai, DMD, MS
University of Illinois at Chicago
Cortino Sukotjo, DDS, PhD
Associate Professor of Restorative Dentistry, Director of Pre-Doctoral Implant Clinic
University of Illinois at Chicago, Department of Restorative Dentistry
Chicago, Illinois, United States
Brittaney J. Hill, DDS, MS, MPH
Clinical Assistant Professor and Program Director, Department of Pediatric Dentistry
University of Illinois at Chicago
University of Illinois at Chicago
Chicago, Illinois, United States
Purpose: The aim of this randomized control study was to compare the effectiveness of comic book instruction on functional oral health literacy for children and caregivers in Chicago, IL.
Methods: Children (7 - 12 years old) due for recall were recruited for this pilot study. Children and caregivers dyads were randomly assigned to the control group (verbal instruction only) or intervention (use of comic book) group. Plaque disclosing solution was used to measure baseline plaque levels. Caregivers and patients completed a survey before and after reading the oral health instruction comic book. Participants will return for a 6-month recall to assess oral health information retention and plaque levels as a measure of improved functional oral health literacy. Data was analyzed using univariate and bivariate statistics (Wilcoxon and Mann Whitney U tests) with α = 0.05.
Results: Sixty one dyads (average child age 9.66 years ± 1.64 years) were enrolled and randomized. Thirty dyads were assigned to the intervention group, and 31 dyads were assigned to the control group. There was no statistically significant difference in oral health knowledge following use of comic book instruction at the baseline visit. Overall, positive changes in oral health beliefs were observed for caregivers with respect to diet and for children with respect to appropriate oral hygiene practices.
Conclusion: Comic book oral health instruction demonstrated greater effectiveness in positively influencing oral health beliefs. At 6-month recall, plaque levels and oral health knowledge will be re-evaluated to assess sustained improvement in oral health beliefs.
Identify Supporting Agency and Grant Number: N/A