Dental Health Behavior Research Articles

A Real-World Study on the Quality of Life of Consumers with Dentine Hypersensitivity and the Benefits of Hypersensitivity Toothpaste Use

Dentine hypersensitivity (DH) causes pain from exposed dentine, triggered by external stimuli. Limited evidence exists on its impact on quality of life (QoL), the effectiveness of hypersensitivity toothpaste (HT) and the dental behaviors of DH sufferers. This study therefore aimed to generate evidence to address these evidence gaps and validate the existing science behind the effectiveness of HT. An observational retrospective cross-sectional survey was conducted in Indonesia, which included the Dentine Hypersensitivity Experience Questionnaire-15 (DHEQ-15), items related to the perceived effectiveness of HT and self-reported dental health behaviors. A total of 511 respondents completed the survey. The mean (standard deviation) DHEQ score of participants was 82.44 (14.41), showing the substantial impact of DH on QoL. Nearly all HT users (97.7%) reported relief from DH, with additional benefits like long-lasting fresh breath (96.4%) and cleaner teeth (97.1%), with regular HT users experiencing greater benefits such as improvements in DH (R-HT users [4.65 (0.55)] vs. E-HT users [4.46 (0.65)], p < 0.01). Compared to HT users, mainstream toothpaste (MT) users were significantly less likely to brush their teeth at least three times a day (HT users [41.9%], MT users [18.7%], p < 0.05) and to have had a dental check-up within the past year (HT users [82.5%], MT users [47.3%], p < 0.05). This study found that DH significantly impacts QoL, and that HT effectively relieves DH symptoms, particularly for regular users, who also show better dental health behaviors than users of mainstream toothpaste. The preliminary results indicate that educating users about dental products, like hypersensitivity toothpaste, can improve oral health behaviors and outcomes.

Efforts to enhance dental health behavior and status of stunted toddlers through the utilization of the 'Towards Healthy Teeth Card' in integrated health posts across Taebenu Subdistrict, Kupang Regency

Dental and oral diseases, such as caries, pose risks to toddlers. The Indonesian government's Ministry of Health Regulation No. 89 of 2015 emphasizes community empowerment in dental health by involving local health cadres. The 'Towards Healthy Teeth Card' facilitates early detection and promotes community independence in dental health. Experimental studies on its effectiveness are needed, with parental involvement being vital to support toddler dental health. This study aims to determine the effect of the 'Towards Healthy Teeth Card' on improving stunted toddlers' dental health behavior and status. The research involved developing materials and concepts for the 'Towards Healthy Teeth Card' for toddlers and employed a pre-experimental one-group pretest-posttest design at Integrated Health Posts across Taebenu Subdistrict, Kupang Regency. The respondents were mothers and stunted toddlers, with total sampling used as the sampling method. The study assessed changes in behavior and dental health status using the def-t score. The Wilcoxon Signed Ranks Test analysis showed a significant effect of the 'Towards Healthy Teeth Card' on maternal behavior in maintaining dental health and the dental caries status of stunted toddlers, with a p-value of 0.000 (< 0.05).

Changes in Dental Care Use Following Marital Status Change in the Health and Retirement Study.

Previous studies have indicated that married people are generally healthier than unmarried people, with lower mortality rates. Most work in this area has employed cross-sectional data, and few studies have examined change in marital status from married to unmarried as a potential social ecological determinant of dental health behavior. Here, we used longitudinal data to examine change in dental behavior over time following marital status change, and to explore whether self-reported gender may play a modifying role in any behavioral change. Employing panel data from the Health and Retirement Study (1996-2018) to follow all individuals who entered the study in married/partnered status, and using both 2-way fixed effects and group-time average difference-in-difference models, we analyzed the association between any change in marital status and dental care use, compared with individuals who remained married. All analyses were stratified by gender. Both types of difference-in-difference analyses indicated that both widowhood and divorce were associated with a decrease in dental care use in both genders. Divorced men saw the greatest decrease in dental care use. We found gender had a moderating effect on strength of association in all analyses. This research suggests that any change in marital status from married to unmarried has a detrimental effect on dental health behavior for both genders. Future research might investigate other potential barriers to dental care access these populations might face, in order to develop effective interventions.

Parental awareness and dental health behavior of children with congenital heart disease, with diabetes mellitus, or undergoing anti-cancer treatment, compared to healthy children.

Children with chronic diseases tend to experience a considerably higher burden of oral disease compared to their healthy peers. Low awareness of the impact of systemic diseases on oral health, lack of motivation, and discomfort may render the maintenance of good oral hygiene challenging. We conducted a study of four groups of parents: of children with congenital heart disease (CHD), with diabetes mellitus type 1 (DM), and undergoing anti-cancer treatment (ACT); and a control group of healthy children (C). We aimed to compare between the groups, parental attitudes and knowledge of their children's oral health, and their reports of their children's dental habits. Parents who arrived with their children for routine check-ups at three main clinics: cardiology, endocrinology, and hematology-oncology were asked to respond to a questionnaire regarding their children's oral and dental health. A total of 287 questionnaires were collected from 76 parents of children with CHD, 100 parents of children with DM, 50 parents of children undergoing ACT, and 61 parents who comprised group C. Compared to the CHD and DM groups, the ACT group demonstrated significantly more awareness of the importance of maintaining oral and dental health following diagnosis of their children's medical condition. Mothers' education was found to correlate with dental health knowledge. Most children in the DM and C groups had previous dental examinations, compared to only half in the CHD and ACT groups. A higher proportion of the children in the C than the other groups brushed teeth twice daily. The groups were similar in their consumption of sugary drinks, and of sweets and snacks. The children's specialist physicians were the main source of information on oral health, especially in the ACT group. Although most of the parents reported awareness to the oral health aspects of their children's disease, only part of them reported that their children visited dentists, and brushed their teeth twice daily. For the parents of children with CHD, DM, and ACT, their children's treating specialists were the primary source of information regarding oral health. This highlights the importance of clear and continuous communication between pediatric specialists and dentists.

Ethnicity-based analysis of supragingival plaque composition and dental health behaviours in healthy subjects without caries

Ethnicity-based analysis of supragingival plaque composition and dental health behaviours in healthy subjects without caries

Toothbrushing Behavior and The Incidence of Dental Caries In Children

One of the most common children's dental health problems is dental caries. Childhood is the beginning of behavior formation, therefore it is hoped that parents can educate their children to behave correctly in maintaining healthy teeth and mouth.This research used descriptive survey research methods. The design of this research is cross sectional. The research was conducted at MIS Cempaka Putih and MIS Sungai Baru, South Kalimantan. The population in this study was all students in grades 4-6 at MIS Cempaka Putih and MIS Sungai Baru, there are 41 people. The sampling technique in this research used the total sampling method. The variables in this study are children's dental health behavior and the DMF-T index. The data that has been collected will be processed through editing, coding, tabulation and descriptive data analysis. This research was conducted at MIS Cempaka Putih and MIS Sungai Baru Banjarmasin in February 2022. Respondents were 10-12 years old. The dental health behavior of children in the good category was 14 people (34.15%), 15 people (36.58%), and 12 people less (29.27%). DMF-T index in the very high category was 3 people (7.32%), high was 4 people (9.76%), medium was 18 people (43.90%), low was 13 people (31.70%), and very low 3 people (7.32%). Based on the research results, it can be concluded that the dental health behavior of children in grades 4-6 at MIS Cempaka Putih and MIS Sungai Baru is mostly adequate for 15 people (36.58%). The class 4-6 DMF-T index in MIS Cempaka Putih and Sungai Baru has an average value of 3.5, including the medium category.

Theory-Based Digital Intervention for Low-Income Caregivers of Young Children Encourages Short-Term Improvements in Diet Quality and Dental Health Behaviors

Theory-Based Digital Intervention for Low-Income Caregivers of Young Children Encourages Short-Term Improvements in Diet Quality and Dental Health Behaviors

Assessing the effect of education on the level of awareness about preventive orthodontics among school hygiene instructors in Sari

Background: Proper education in oral and dental health behaviors and preventive orthodontics is vital for preventing dental diseases and orthodontic abnormalities. Since children spend much time in schools and in contact with their teachers, the current study aimed to assess the level of awareness about preventive orthodontics among school hygiene instructors in Sari, Iran. Methods: Seventy-one hygiene instructors were included in this semi-experimental study with a pre-test and post-test design. The participants completed a questionnaire before any intervention. A one-day workshop about preventive orthodontics was held for the instructors, and an educational CD and pamphlet were provided for them. The participants were asked to answer the same questions after a month. Data were compared and analyzed with SPSS 22, using paired t-test and chi-squared test. Results: The findings revealed that the training could significantly increase the level of orthodontic awareness among hygiene instructors (P<0.001). However, the participant’s level of education and years of experience was not significantly associated with their level of awareness (P>0.05). Conclusion: Considering the importance of health education, efficient training should be provided for school hygiene instructors to increase their awareness in the field of preventive orthodontics.

Potential Factors of Dental Health Behavior as a Predictor of Dental Caries Status in Visually Impaired Children: A Pilot Study.

This study aimed to explain the potential factors of dental and oral hygiene behavior as a predictor of dental caries status in children with visual impairments. The prevalence of dental caries in visually impaired children was investigated through a cross-senal study conducted at a visually impaired special needs elementary school in Jakarta, Indonesia. The study included 25 visually impaired children aged 6-12 years, with dental caries status examined using the decayed, missing, and filled teeth (DMFT)/dmft index according to World Health Organization (WHO) criteria. Data were collected through comprehensive interviews involving the completion of 13 WHO Annex questions. The result showed that the overall prevalence of dental caries in visually impaired children was 64%, with an average dmft/DMFT of 2.24/0.96. Some of the factors that significantly influence the dental caries status in children with visual impairments aged 6-12 years include visiting the dentist [p = 0.029, 0.05, Pearson's Chi-square, confidence interval (CI) 95%] and the need for care (p = 0.002, 0.05, Pearson's Chi-square, CI 95%). In conclusion, the majority of visually impaired children have dental caries, which is influenced by factors, such as visiting the dentist and the need for treatment. Visiting the dentist regularly and knowing the need for the treatment are the important factors in preventing of dental caries. How to cite this article: Darwita RR, Mayasari Y, Danaswari PVS, et al. Potential Factors of Dental Health Behavior as a Predictor of Dental Caries Status in Visually Impaired Children: A Pilot Study. J Contemp Dent Pract 2024;25(2):174-179.

Self-assessment of dental health status, behaviours and oral health risk factors among adolescents from public schools in Maputo City-Mozambique

Self-assessment of dental health status may have an impact on the oral health behaviour of adolescents which could impact their oral health. Oral health has been linked to various medical health conditions, thus eliminating oral health diseases can improve general health. The present study aimed to assess the association between behaviours and risk factors (oral hygiene habits, sugar intake, urban/rural status) and negative self-perception of dental health status among adolescents attending public schools in Maputo City.Method An analytic cross-sectional study, conducted in three Primary public schools from urban and peri-urban areas in Maputo City selected by convenience due to their geographic location was included. The size of the sample was 236 12-year-olds. Data was collected using a self-completion questionnaire designed by the World Health Organization (WHO). Chi-square tests or Fishers’ Exact tests were used for associations. A simple and multiple logistic regression was used to determine the strength of these associations using backward elimination (p < 0.05). Results: The sample consisted of 221 adolescents, with 114 (51.6%) residing in urban areas and 107 (48.4%) in peri-urban areas. More than half of the participants (111 individuals) reported having a negative perception of their dental health. In the urban location, a higher percentage of participants had a “negative” perception of dental health (57.9%, n = 66), while in the peri-urban location, more participants perceived their dental health as “positive” (57.9%, n = 62). Participants residing in an urban setting were 82% more likely to have a negative perception of dental health (AOR = 1.82 [95% C.I.: 1.05 to 3.14]). Those who had experienced dental pain tended to report a higher proportion of negative dental perception (57.2%, n = 91), with 2.7 times more likely to report a negative perception of dental health (AOR = 2.72 [95% C.I.: 1.46 to 5.08]). The majority (n = 139; 63.2%) claimed to clean their teeth twice a day.Conclusion There was a higher negative perception of dental health in urban areas. The need to strengthen oral health promotion in urban schools is high since schools play such a significant role in oral health promotion.

Knowledge, Awareness and Practice of Interdental Aids among Dentists in Bangalore City - A Questionnaire Based Study

Background and Aim Dental plaque is key in periodontitis development making plaque control crucial for successful periodontal therapy. Brushing alone often falls short in removing all plaque highlighting the importance of interdental cleaning aids for maintaining good oral hygiene. While many studies have examined dental professionals oral health behaviours few have focused on their knowledge and use of interdental aids. Therefore this study was undertaken with the objective of assessing the knowledge attitude and practice of interdental aids among dentists in Bangalore city.Methods A questionnaire-based study was conducted involving 100 subjects comprising 24 male and 76 female dentists. Data collection was facilitated through an online Google form. The questionnaire comprised 15 questions with five questions each focusing on knowledge attitude and practice. Chi square test of independence was employed to examine the distribution of responses to all questions.Results The average knowledge scores for male and female dentists were 4.83plusmn0.483 and 4.51plusmn0.931 respectively. Similarly the mean attitude scores were 4.08plusmn1.1 and 3.29plusmn1.198 while the mean practice scores were 3.667plusmn1.37 and 3.355plusmn1.4 for male and female dentists respectively. Notably there was a statistically significant difference P 0.005 in attitude towards interdental aids between the two groups.Conclusion The investigation into oral hygiene aids among dentists unveiled a predominantly sound grasp and implementation of interdental aids despite the identification of knowledge gaps in specific areas. The practice regarding interdental aids should be improved. Dentists should adhere to recommended oral self-care practices and set an example for their patients.

TRAINING OF TRAINERS METHOD FOR ELEMENTARY SCHOOL TEACHERS TO IMPROVE DENTAL HEALTH KNOWLEDGE

Introduction: Many school children suffered from dental caries, which causes children to skip school because of toothache. The involvement of teachers in schools is considered important. The teacher is a model for children who can provide motivation for proper dental health behavior. The purpose of this study is to provide training to elementary school teachers, to increase their dental health knowledge, in order to educate their students. Materials and Methods: This is a pre-experimental design study, which provides dental health training to teachers. This activity involved 4 dentists as trainers, who had previously performed calibration. There are 2 schools involved, namely Saraswati 1 Elementary School and Saraswati 2 Elementary School in Denpasar Bali. A total of 31 teachers who signed the informed consent were included as samples. Dental health education materials are in the form of power points, animated educational videos, dental models, fluoridated toothpaste and toothbrush for children. The questionnaires were used as an instrument. The educational theme is "prevent cavities by brushing your teeth morning and night. Visit the dentist before it's too late". Data were analyzed using Wilcoxon signed rank test. \ Results and Discussion: At the beginning of the study, it was found that 25.81% of teachers had the poor knowledge category, and 74.19% were in the middle category. There was no teacher with good knowledge category. However, at the end of the study, 100% of the teachers had good dental health knowledge. There are differences in knowledge of teachers before and after receiving training. Conclusion: Dental and oral health training method for elementary school teachers can improve dental health knowledge, so that teachers are worthy to teach dental health to their students.

The Use of Monitoring Cards is Effective In Improving Dental And Mouth Cleanliness and The Behavior of Deaf Children

Problem statement : The limitations that deaf children have in hearing, result in cognitive information processing disorders, namely limitations in receiving, storing, and re-disclosing information as an understanding, being able to explore and add information about something (especially about dental and oral health. The role of people Parents are very necessary in maintaining children's health, especially dental and oral hygiene because deaf children are still dependent on their parents. Method: Pre Test and Post Test Control Group Design. The study population was students of Prof. Dr. Sri Soedewi Mschjun Sofwan, SH and their parents as the intervention group and students of SLB Negeri 1 Jambi City and their parents as the control group. In the intervention group, counseling was given and Monitoring Cards, while the control group was only given counseling. The measuring instrument used is PHPM. Children's behavior is seen by using a questionnaire. Analysis of the data to see the status of oral hygiene and student behavior in maintaining oral health with a pair t-test. Scientific finding results: The results showed that dental health education using a monitoring card was more effective in improving the status of dental and oral hygiene and dental health behavior in SLB children than not using a monitoring card. A short conclusion: The recommendation from this study is for parents to be more active in motivating their children to maintain oral and dental health by using a monitoring card so that the way their children brush their teeth will be better and correct.

RELATIONSHIP BETWEEN LIFESTYLE AND ORAL HEALTH

Many cultural practices, conventions, and tenets make up people's lifestyles. Healthful behaviors are necessary for good health. Poor nutrition, inactivity, smoking, obesity, and diabetes are major causes of tooth decay and gum disease. This study compared the dental health of affluent and underprivileged people by examining their lifestyles. A cross-sectional study was conducted between November 2020 and January 2021 to compare the dental health and lifestyle behaviors of people from different socio-economic classes. Low-SEC students were selected from a public university in Lyari, while high-SEC students were selected from a private medical school. The study used a standardized questionnaire to assess socio-economic status and lifestyle behaviors such as sleep and leisure and conducted thorough extra- and intra-oral examinations to report dental caries prevalence. The data was analyzed using SPSS 23. The most significant factor in the high prevalence of dental caries (p&lt;0.05) in the low socio-economic group was the time spent watching television. There was also no correlation between the other factors, such as interest in reading or computer use. This study suggested examining lifestyle and socio-economic status's effects on oral health. Health awareness, dental treatment availability, and socio-economic level affect oral health practices and lifestyle. TV harms teeth. Thus, oral health and disease prevention require healthy and active lifestyles in young children and adults. This study linked dental health to socio-economic status. Income and education are risk factors for poor oral health.

Motivation and Dental Health Self-Care Behavior with Adolescent Quality of Life using OHIP-14

Background: The prevalence of dental and oral disease in Indonesia is still high (57.6%) and the most cases are dental caries and periodontal disease. Adolescents during puberty are prone to oral health problems, so they need attention from dental and oral health care programs. Preventive measures against dental and oral diseases need to be carried out in adolescents so that there are no disturbances in function, activity, and work productivity which will affect quality of life. Technological developments require innovation to detect oral health-related quality of life (OHRQoL) in adolescents early. Objective: To determine the relationship between motivation and dental health self-care behavior with the quality of life of adolescents using the Oral Health Impact profile-14 or OHIP-14 questionnaire. Method: This type of research is observational analytic with a cross sectional design. The research location is at the Junior High School in the Sleman Regency area. The sample was 100 teenagers aged 12-15 years. The sampling technique was carried out using purposive sampling. The data analysis used was bivariate analysis using chi-square correlation to determine the relationship between motivation and dental health behavior and quality of life in adolescents. Results: There is a significant relationship between motivation and quality of life (p=0.004; OR=4.74). Adolescents with low motivation have a tendency to have a low quality of life 4.74 times compared to adolescents with high motivation. There is a significant relationship between dental health self-care behavior and quality of life (p=0.041; OR= 5.47). Adolescents with bad behavior tend to have a lower quality of life 5.47 times compared to adolescents with good dental health behavior. Conclusion: There is a relationship between motivation and dental health self-care behavior and quality of life in adolescents. Keywords: Motivation, Behavior, Quality of Life of Adolescents

Storgi Media as an effort to Improve Dental Health Behavior in Orphanage Children

Background: Orphanage children can also be classified as one of the groups that are vulnerable to dental disease, this is due to a lack of dental health maintenance behavior due to low socioeconomic status. To improve dental and oral health maintenance behavior, dental health promotion can be done with interesting and appropriate media. Storgi media is one of the outreach media that is integrated with tooth brushing facilities in the form of toothbrush lockers. Objective: The research aims to analyze the effectiveness of Storgi Media as an effort to Improve Dental Health Behavior in Orphanage Children. Method: This research used a quasi-experimental design with a pretest and posttest control group design. The research sample was 50 children from orphanages taken using purposive sampling technique. The intervention group was given dental health education using storgi media, while the control group was given dental health education using flipcharts. The data was tested using paired sample t-test/Wilcoxon analysis, namely a pre-post design, while to compare the means of the treatment and control groups, the independent t-test/Mann Whitney test was used. Results: The results of the test of differences in knowledge, attitudes and actions of brushing teeth show that the p-value between the intervention group and the control group is 0.000 (p &lt;0.05), meaning that there is a difference between the values of knowledge, attitudes and actions of brushing teeth after dental health education with children's storgi media and dental health education with filpchart. Conclusion: dental health education using storgi media is more effective in increasing the knowledge, attitudes and actions of brushing teeth in in orphanage children Keywords: Storgi, media, dental health education, behavior, orphanage

Stair poster media as an effort to improve the dental health behavior of elementary school children

The prevalence rate of dental caries has experienced an increasing trend from year to year, so that the condition of dental and oral health problems in Indonesia is still worrying, especially for elementary school children. The high number of dental health problems is caused by many factors, one of which is the low level of dental health maintenance behavior. Promotive and preventive measures are needed to prevent dental and oral health problems, namely by providing dental and oral health education. Poster media is a medium or prop/tool that can be used to convey messages from communicators to the audience. Staircase poster media is a development of general poster media, this media is designed for the sequence/stages of maintaining dental health which are attached to the school steps. Objective: This research is to analyze the effectiveness of stair poster media in improving the dental health behavior of elementary school children. Method: This research used a non-equivalent control group quasi-experimental design. The research sample was 125 people taken using purposive sampling technique. The intervention group was given dental health education using posters, while the control group was given dental health education using filpchart. Data were tested using Wilcoxon test analysis, namely a pre-post design, while to compare the means of the treatment and control groups, the Mann Whitney test was used. Results: The results of the test of differences in knowledge, attitudes and actions of brushing teeth show that the p-value between the intervention group and the control group is 0.000 (p &lt;0.05), meaning that there is a difference between the values of knowledge, attitudes and actions of brushing teeth after dental health education with children's poster media. steps and dental health education with filpchart. Conclusion: dental health education using stair poster media is more effective in increasing the knowledge, attitudes and actions of brushing teeth in elementary school children compared to dental health education using flipcharts Keywords: Stair poster, media, dental health, behavior

Android-Based Dental Disease Education Model in Improving Adolescent Dental Health Maintenance Skills

Background: Dental and oral health is critical to pay attention to in addition to other general body health. Students who experience caries and gingivitis in industrialized countries by 60-90%. Efforts to overcome these problems through the UKGS program. However, the program still has obstacles, including the health education media provided is still conventional. Educational media that are currently developing among adolescents are technology-based. Purpose: Produce an android-based dental and oral disease education model that effectively improves adolescent dental health behaviour. Methods: Research and Development (R&amp;D) and model testing using a quasi-experiment design (pre and post-test with control group design), model feasibility measurement instruments and skills using a questionnaire. Data were tested using the Wilcoxon test and the Mann-Whitney test. The study subjects were divided into two groups, namely the intervention group of 45 children and the control group of 45 children. Result: Android-based education model is feasible as a medium for dental health education (p = 0.004) and effective in improving adolescent skills (p = 0.000). Conclusion: Android-based education can potentially improve adolescents' dental and oral health maintenance skills.

Association between acculturation, dental floss use, dental visits and unmet dental needs among Asians in the United States: Findings from National Health and Nutrition Examination Survey (NHANES) 2011-2018.

The objectives of this study were to examine the associations between acculturation and dental floss, regular dental visits and unmet dental care needs among Asian Americans, as well as the moderating effects of these associations. This study analysed national representative samples from the National Health and Nutrition Examination Survey (NHANES) 2011-2018. A total of 2763 Asian Americans aged 20 and older were included in this analysis. The primary predictor, acculturation score, was determined by three questions: (i) language spoken at home (higher score for English), (ii) country of birth (higher score for United States) and (iii) length of time in the United States. Dental floss use, dental visits and unmet dental care needs were included as outcomes in this study. Descriptive statistics and logistic regressions were used to analyse the samples. Acculturation was significantly associated with dental health behaviours: Individuals with higher levels of acculturation were more likely than less acculturated individuals to use dental floss (81.0% vs. 63.9%, respectively) and visit the dentist regularly (76.7% vs. 66.9% respectively). Insurance status moderated the association between acculturation and dental visits: Acculturation was significantly associated with dental visits in the past year among insured individuals (OR = 1.70, 95% CI: 1.29-2.23), but not among uninsured individuals. Unmet dental care needs were present in 11.1% of participants. While costs and insurance were the top two determinants of access to care, individuals with and without insurance differed with regard to their third major reason for unmet dental care needs: Being 'too busy' and not wanting to spend money on dental care. Among the Asian population in the United States, those with high acculturation scores were more likely to engage in dental flossing and visit the dentist regularly compared to those Asians with lower acculturation scores. To encourage dental flossing and regular dental visits among Asians with lower acculturation scores, cultural adaptation and language accessibility suggests being considered. Future research is necessary to confirm the moderating effect of insurance status on the association between acculturation and regular dental visits. Additionally, our findings emphasize the impact of costs and insurance on access to dental care among Asians in the United States, highlighting the importance of future public health programmes in addressing these barriers.

THE INFLUENCE OF 3D POP-UP STORYBOOK IN THE OHIS, DMFT, DMFT, DENTAL HEALTH KNOWLEDGE &amp; BEHAVIOR OF GRADE 1 STUDENT AT SDN BAKALANKRAJAN 2

Background: Caries is one of the serious health problems, especially in elementary school students. According to Riskesdas in 2018, Indonesian children aged 5-6 years categorized in severe early childhood caries. After the covid cases have decreased in Indonesia , health promotion was held again in the school. Storybook is one of the media that can be used for health promotion in children, with attractive storyline and pictures as well. Purpose: To identify the influence of “Si Gilang dan Ramuan Ajaib'' 3D Pop-Up storybook in the OHI-S, DMFT, dmft index, dental health knowledge and behavior of grade 1 students at SDN Bakalankrajan 2. Methods: This was a numerical comparative study with a cross-sectional approach. The population were grade 1 elementary school students in SDN Bakalankrajan 2 in Malang. Results: After 3D Pop-Up storybook intervention twice time and after 30 days follow-up, there is a change in the OHIS, DMFT, dmft, knowledge and tooth brushing behavior compare to the score before intervention. The OHIS index has increased (p=0,000), DMFT index has decreased (p=0,974), the dmft index have increase quite high (p=0,106), knowledge level and tooth brushing behavior has increased on average quite well (p=0,024). Conclusion: Education intervention using a 3D pop-up children's storybook entitled "Si Gilang dan Ramuan Ajaib" and introducing a 21-day morning and night toothbrush calendar to students contributed to increasing the oral hygiene index (OHIS), decreasing the caries index in permanent teeth (DMFT), increasing caries index in deciduous teeth (dmft), increasing dental health knowledge level and toothbrushing behavior of grade 1 students of SDN Bakalan Krajan 2.