Effectiveness of Animated Video-Based Oral Health Education on Toothbrushing Skills among Preschool Children
https://doi.org/10.33860/bpk.v54i1.4428
Keywords:
Oral health, animated video, toothbrushing skill, preschool children, health educationAbstract
Background: Poor oral hygiene in preschool children remains a common public health problem and may lead to dental caries, gingivitis, pain, and impaired quality of life. Inadequate toothbrushing skills are an important contributing factor. Educational media such as animated videos may help children learn correct brushing techniques in an engaging way. This study aimed to evaluate the effect of animated video-based oral health education on toothbrushing skills among preschool children.
Methods: This study used a pre-experimental one-group pretest-posttest design conducted at TK Khalifah Jambi, Jambi City, Indonesia, from January to March 2025. A total of 50 preschool children aged 4–6 years were selected using purposive sampling. Participants received a seven-minute animated oral health education video followed by demonstration and supervised toothbrushing practice. Toothbrushing skills were assessed using a structured observational checklist before the intervention and seven days afterward. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05.
Results: The mean pretest toothbrushing skill score was 52.3 ± 10.6, which increased to 82.7 ± 8.4 at posttest. There was a statistically significant improvement in toothbrushing skill scores after the intervention (p < 0.001). Improvements were observed in brushing sequence, brushing duration, tongue cleaning, and rinsing practices.
Conclusion: Animated video-based oral health education combined with demonstration and supervised practice was associated with improved toothbrushing skills among preschool children. This approach may be considered as a practical strategy for early childhood oral health promotion programs.
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References
Alzena, Z. Failasufa, H. (2024). The influence of animated video “Dokter Gigi Kimi” on improving children’s toothbrushing skills. Media Keperawatan Indonesia, 7(4), 255–262. https://doi.org/10.26714/mki.7.4.2024.306-312
Blinkhorn, F. … Blinkhorn, A. S. (2014). Developing leaflets to give dental health advice to Aboriginal families with young children. International Dental Journal, 64(4), 195–199. https://doi.org/10.1111/idj.12108
Celikel, P. … Bas, A. (2025). Effectiveness of motivational interviewing , animation videos , and jaw model instruction on oral hygiene in 4 – 6 years old children : a randomized controlled trial. Journal of Clinical Pediatric Dentistry, 49(3), 119–126. https://doi.org/10.22514/jocpd.2025.058
Colleen, E., Huebner, C. E., & Riedy, C. A. (2010). Behavioral determinants of brushing young children’s teeth. Pediatric Dentistry, 32(1), 48–55. https://doi.org/https://pubmed.ncbi.nlm.nih.gov/20298653/
Davies, G. M., Worthington, H. V., Ellwood, R. P., Bentley, E. M., Blinkhorn, A. S., Davies, R. M., & Robinson, P. G. (2003). A randomised controlled trial of the effectiveness of providing free fluoride toothpaste from the age of 12 months on reducing caries in 5-6- year old children. Community Dentistry and Oral Epidemiology, 31(2), 231–235. https://doi.org/10.1111/j.1600-0528.1998.tb01948.x
Freeman, R. (2001). The psychology of dental patient care: Barriers to accessing and accepting dental care. British Dental Journal, 187(2), 81–84. https://doi.org/10.1038/sj.bdj.4800208
Gholami, M., Knoll, N. and Schwarzer, R. (2015). A Brief Self-Regulatory Intervention Increases Dental Flossing in Adolescent Girls. International Journal of Behavioral Medicine, 645–651. https://doi.org/10.1007/s12529-014-9459-6
Gurav KM, Shetty V, Vinay V, Bhor K, Jain C, D. P. (2022). Effectiveness of Oral Health Educational Methods among School Children Aged 5-16 Years in Improving their Oral Health Status: A Meta-analysis. Int J Clin Pediatr Dent., 15(3), 338–349. https://doi.org/10.5005/jp-journals-10005-2395
HalohoHaloho, D. N., Bintang, G. V., Widjaja, G. A., Sihombing, J. S., Abigayl, I., & Lesmana, D. (2025). Effectiveness of counseling using animated videos regarding proper tooth brushing among elementary school children. E-GiGi, 13(2), 101–108. https://doi.org/10.35790/eg.v13i2.60233
Jannah, S. N., Rismanudin, R., & Ongirwalu, Y. Y. (2024). The effect of animated videos on teeth brushing on school children’s knowledge of maintaining dental and oral health. Indonesian Journal of Global Health Research, 7(5), 1–8. https://doi.org/10.37287/ijghr.v7i5.7036
Jumriani, J., Liasari, I., Priyambodo, R. A., & Putri, A. M. (2025). Effectiveness of toothbrushing education using animated video media on dental and oral health knowledge in elementary school children. Media Kesehatan Gigi, 24(2), 67–73. https://doi.org/10.32382/mkg.v24i2.1936
Kay, E., & Locker, D. (1998). Is dental health education effective ? A systematic review of current evidence. Community Dentistry and Oral Epidemiology, 26(4), 231–235. https://doi.org/10.1111/j.1600-0528.1996.tb00850.x
Kitsaras, G., & Goodwin, M. (2023). Portrayal of oral hygiene and risk behaviours in animated movies. Frontiers in Oral Health, 4(July), 1–6. https://doi.org/10.3389/froh.2023.1116717
Koch, N. M., Raule, J. H., & Dotu, R. (2023). Media of video for enhancing knowledge of toothbrushing for children aged 8–9 years in Cempaka Village. Jurnal Kesehatan Gigi, 10(1), 21–28. https://doi.org/10.31983/jkg.v10i1.9786
Marinho, V. C., Higgins, J. P., Logan, S., & Sheiham, A. (2003). Fluoride toothpastes for preventing dental caries in children and adolescents ( Review ). Cochrane Database of Systematic Reviews, 1(CD002278). https://doi.org/10.1002/14651858.CD002278
Newton, J. T., & Bower, E. J. (2005). The social determinants of oral health : new approaches to conceptualizing and researching complex causal networks. Community Dentistry and Oral Epidemiology, 33(1), 25–34. https://doi.org/10.1111/j.1600-0528.2004.00190.x
Nordström, M. … Malele-kolisa, Y. (2025). Healthy family traditions and personal health assets – salutogenic resources for oral health among young adults in vulnerable communities in South Africa : a qualitative study. Nordström, M., Lindmark, U., Wolf, E. et Al., 25(1418). https://doi.org/10.1186/s12903-025-06941-z
Petersen, P. E., & Ogawa, H. (2012). The global burden of periodontal disease : towards integration with chronic disease prevention and control. Periodontology 2000, 60(1), 15–39. https://doi.org/10.1111/j.1600-0757.2011.00425.x
Petersen, P. E. (2003). The World Oral Health Report 2003 : continuous improvement of oral health in the 21st century ± the approach of the WHO Global Oral Health Programme. E-GiGi, 13(2), 101–108. https://doi.org/10.35790/eg.v13i2.60233
Prasetyowati, S., Saputri, M. Y., & Isnanto, I. (2025). Enhancing preschool children’s toothbrushing independence through video tutorial education: A study on knowledge and practices. International Journal of Advanced Health Science and Technology, 4(4), 233–241. https://doi.org/10.35882/ijahst.v5i6.366
Rad, Maryam; Shahravan, Arash; Haghdoost, A. A. (2015). Oral health knowledge, attitude, and practice in 12-year-old schoolchildren in Iran. Journal of International Society of Preventive and Community Dentistry, 5(5), 419–424. https://doi.org/10.4103/2231-0762.165926
Septa, B., Lesmana, H., Sitanaya, R., Supriatna, A., & Wulandari, N. (2024). Knowledge of toothbrushing patterns before and after using counseling animation videos. Media Kesehatan Gigi, 23(1), 45–52. https://doi.org/10.32382/mkg.v23i1.603
Tolvanen M, Lahti S, H. H. (2010). Changes in toothbrushing frequency in relation to changes in oral health- related knowledge and attitudes among children – a longitudinal study. Eur J Oral Sci., Juni; 118(3), 284–289. https://doi.org/10.1111/j.1600-0722.2010.00737.x.
Watt, R. G. (2005). Strategies and approaches in oral disease prevention and health promotion. Buletin of the World Health Organization, 83(9), 711–718. https://doi.org/https://pmc.ncbi.nlm.nih.gov/articles/PMC2626336/
Yulistina, Y., Zainab, Z., & Nurbaya, S. (2025). Effectiveness of animated video-based oral health education on toothbrushing skills among students of SD Negeri 2 Carawali. Media Kesehatan Gigi, 24(2), 80–86. https://doi.org/10.32382/mkg.v24i2.1959




