Online Oral Hygiene Instructions for Orthodontic Patients in Malaysian Population

Online Oral Hygiene Instructions for Orthodontic Patient
Vol. 16 No. 1 : 2021 (223-236)

Malini A Malini A
ASMA AAA ASMA AAA
yahya na yahya na

Abstract
Fixed orthodontic appliances causes plaque accumulation, which leads to the formation of dental caries and gingivitis. Therefore, concise oral hygiene instructions (OHI) is necessary to avoid the occurrence of these diseases. Massive Open Online Course (MOOC) ensures interactive learning to improve knowledge retention. MOOC transfers the responsibility of learning OHI to the patients with remote guidance from the clinician, thus reduces clinical time. This research aimed to develop the MOOC learning content on OHI in orthodontic practice. The secondary aim was to assess the overall analytics data among learners enrolled for the completion rate and time taken to complete the MOOC. The ADDIE principles which were, "Analyse, Design, Develop, Implement and Evaluate", were used to develop the MOOC. The contents were based on a published pamphlet of OHI from the Ministry of Health, Malaysia. The MOOC was pre-tested, and content was improved based on the feedback from users and experts. The MOOC named “Penjagaan Kebersihan Pendakap Gigi” utilises the Bahasa Melayu language to educate learners regarding oral care with orthodontic appliances. Sixty-two learners joined the MOOC, with 77.4% achieving a high rate of completion of the MOOC learning content. There were forty-six female learners (74.2%), while male learners comprised sixteen (25.8%). The median (interquartile range) time taken to complete MOOC learning content were 31.50 minutes, (13.00 minutes to 55.50 minutes). This shows that MOOC could be an alternative platform to instruct patients on OHI with fixed appliances. MOOC can potentially reduce clinical time to teach OHI to patients.

Keywords : Online Education, Oral Hygiene, Orthodontic Appliances,

Correspondance Address
Nurul Asyikin Yahya. Department of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia. Tel: +603-92896621 Email: nurulasyikin@ukm.edu.my


References
Alkadhi, O.H., Zahid, M.N., Almanea, R.S., Althaqeb, H.K., Alharbi, T.H., Ajwa, N.M. 2017. The effect of using mobile applications for improving oral hygiene in patients with orthodontic fixed appliances: A randomised controlled trial. J Orthod 44(3): 157-63. Asma, A. 2017. Bersih Braces. www.openlearning.com/courses/bersih-braces/homepage/ [23 June 2020] Davis, D., Jivet, I., Kizilcec, R.F., Chen, G., Hauff, C., Houben, G. 2017. Follow the successful crowd : raising mooc completion rates through social comparison at scale. In Proceedings of the Seventh International Learning Analytics & Knowledge Conference; 454-63 Day-Black, C., Merrill, E.B., Konzelman, L., Williams, T.T., Hart, N. 2015. Gamification: An innovative teaching-learning strategy for the digital nursing students in a community health nursing course. ABNF J 26(4): 90-4. Fadzil, M., Abdol Latif, L., Munira, T.A. 2015. MOOCs in Malaysia: A preliminary case study. E-ASEM Forum: Renewing the Lifelong Learning Agenda for the Future. 1-17. Fidalgo-Blanco, Á., Sein-Echaluce, M.L., García-Peñalvo, F.J. 2015. Methodological approach and technological framework to break the current limitations of MOOC model. J Univers. Comput Sci 21(5): 712-34. Hew, K.F., Cheung, W.S. 2014. Student’s and instructors’ use of massive open online courses (MOOCs): motivations and challenges. Educ Res Rev 12: 45-58. Lees, A., Rock, W.P. 2000. A comparison between written, verbal, and videotape oral hygiene instruction for patients with fixed appliances. J Orthod 27(4): 323-8. Manallack, D.T., Yuriev, E. 2016. Ten Simple Rules for Developing a MOOC. PLoS Comput Biol 12(10): 4-7. Moe, R. 2015. The brief & expansive history (and future) of the MOOC: Why two divergent models share the same name. Current Issues in Emerging eLearning (CIEE) 2(1): 1-24. MOE. 2015. Malaysia Education Blueprint 2015-2025 (Higher Education). http://medcontent.metapress.com/index/A65RM03P4874243N.pdf [21 June 2021] Moshkelgosha, V., Sh-Mehrvarz, M. Saki., Golkari, A. 2017. Computer-based oral hygiene instruction versus verbal method in fixed orthodontic patients. J Dent Biomater 4(1): 353-60. Nawrot, I., Doucet, A. 2014. Building engagement for MOOC students. In Proceedings of The Companion Publication of The 23rd International Conference on World Wide Web Companion; 1077-82. Nordin, N., Embi, M.A., Norman, H. 2016. Towards Envisioning the Future of Learning in Malaysia: Development of a Malaysia MOOC Based on the Iterative ADDIE Instructional Design Framework. In Envisioning the Future of Online Learning. Edited by Luaran J, Sardi J, Aziz A, Alias N.. Springer, Singapore; 269-79. Nordin, N., Norman, H., Embi, M.A. 2015. Technology Acceptance of Massive Open Online Courses in Malaysia. Malaysian Journal of Distance Education 17(2): 1-16. Puustinen, M., Pulkkinen, L. 2010. Models of self-regulated learning : A review. Scand J Educ Res 45(3): 296-86. Richter, A.E., Arruda, A.O., Peters, M.C., Sohn, W. 2011. Incidence of caries lesions among patients treated with comprehensive orthodontics. Am J Orthod Dentofacial Orthop 139(5): 657–664. Shaari, R., Ismail, Y., Kok, R.A. 2018. Introduction to Massive Open Online Course (MOOC): The Issues and Challenges Using MOOC as A teaching and Learning Method in Malaysian Polytechnic. Advanced J Tech and Vocational Educ 1(2): 1–8. 1 Sridharan, B., Kinshuk. 2003. Reusable Active Learning System for Improving Knowledge Retention and Better Knowledge Management. In Proceedings 3rd IEEE International Conference on Advanced Learning Technologies; 72-5 Stathakarou, N., Zary, N., Kononowicz, A.A. 2014. Beyond xMOOCs in healthcare education: Study of the feasibility in integrating virtual patient systems and MOOC platforms. Peer J 2: e672. Thickett, E., Newton, J.T. 2006. Using written material to support recall of orthodontic information : a comparison of three methods. Angle Orthod 76(2): 243-50. Thomson, A.M., Cunningham, S.J., Hunt, N.P. 2001. A comparison of information retention at an initial orthodontic consultation. Eur J Orthod 23(2): 169-78. Villagrasa, S., Fonseca, D., Redondo, E., Duran, J. 2014. Teaching case of gamification and visual technologies for education. J Cases Inform Technol 16(4): 38-57. Yahya, N.A., Rani, H., Cheen, L.K., Khee, H.T. 2019. The development of a Massive Open Online Course (MOOC) in mastering smoking cessation intervention in dentistry. Asean J Teaching Learning Higher Educ 11(1): 58-71. Zachrisson, S., Zachrisson, B.U. 1972. Gingival condition associated with orthodontic treatment. II. Histologic findings. Angle Orthod 42(4): 353-7.