Effectiveness of Mystery Card Media of DentalHealth Knowledge Among Preschool Children inSurabaya

Helly Lailiyah Mufarikhah Mufarikhah(1) , Isnanto(2) , Ratih Larasati(3) , Husnul Wafa(4)
(1) Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(2) Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(3) Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(4) Department of Pancasila and Civic Education, Universitas Negeri Surabaya, Surabaya, Indonesia

Abstract

Dental health problems remain highly prevalent among preschool children, largely due to inadequate knowledge of
proper oral hygiene practices. Preliminary findings at Maryam Islamic Kindergarten, Surabaya, showed that most children exhibited
poor dental health knowledge and high caries risk, highlighting the need for more engaging and developmentally appropriate
educational media. This study aimed to evaluate the effectiveness of the Mystery Card media, an interactive learning tool integrating
printed cards with technology, in improving dental health knowledge among preschool children. A quasi-experimental pretest–
posttest control group design was conducted from December 2024 to March 2025, involving 46 preschool children selected through
simple random sampling. Participants were divided into intervention and control groups. The intervention group received education
using Mystery Card media, while the control group received conventional instruction through PowerPoint presentations.
Knowledge data were collected using a validated questionnaire and analyzed using the Wilcoxon and Mann-Whitney tests with a
significance level of α = 0.05. The results demonstrated a substantial improvement in the intervention group, where the proportion
of children in the “good” knowledge category increased from 0% at pretest to 95.7% at posttest (p = 0.000). The control group showed improvement only to the “adequate” category, with no children reaching the “good” category (p = 0.037). The Mann-
Whitney analysis confirmed a significant posttest difference between the two groups (p = 0.000), indicating the superior effectiveness of the Mystery Card media. In conclusion, Mystery Card media significantly enhances dental health knowledge among
preschool children, outperforming traditional instructional methods. Its interactive features, combining visual and auditory stimuli,
create a more engaging learning experience that supports better comprehension and retention. The findings suggest the potential of
Mystery Card media as an innovative strategy for early oral health education.

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References

[1] O. O. Olamide, A. Oyapero, N. K. Onyejaka, and G. O. Boyede,

“Maternal knowledge, dental service utilization and self-reported oral

hygiene practices in relation to oral health of preschool children in

Lagos, Nigeria,” PAMJ - One Health, vol. 2, 2020, doi:

10.11604/pamj-oh.2020.2.10.22850.

[2] M. A. Al-Mutairi, “Parental Knowledge, Attitudes, and Practices of

Oral Healthcare among Preschool Children in Riyadh City, Saudi

Arabia,” Journal of Research in Medical and Dental Science, vol. 9,

no. 3, pp. 17–23, 2021.

[3] M. K. S. Alsharif, A. I. N. Mohd Nazan, and S. Ismail, “Association

of parental knowledge, attitude, and practice of oral health with early

childhood caries among preschool children: A systematic review,”

Malaysian Journal of Medicine and Health Sciences, vol. 16, no. 2,

pp. 300–307, 2020.

[4] M. Ladera-Castañeda et al., “Impact of Puppet Theater on Oral Health

Knowledge and Oral Hygiene in Preschoolers,” Journal of

International Society of Preventive and Community Dentistry, vol.

12, no. 1, pp. 28–37, 2022.

[5] U. Canli et al., “Motor competence and physical fitness predicting

inhibitory control in preschool children,” BMC Pediatrics, vol. 25, p.

153, 2025.

[6] F.-C. Cheng, Y.-L. Wang, and C.-P. Chiang, “Dental use for dental

caries under the National Health Insurance system in Taiwan in

2020,” Journal of Dental Sciences, vol. 18, no. 1, pp. 330–337, 2023.

[7] L. D. Rajab and R. B. Abdullah, “Impact of Dental Caries on the Quality of Life of Preschool Children,” Oral Health & Preventive

Dentistry, vol. 18, no. 1, pp. 571–582, 2020.

[8] A. Riolina, S. Hartini, and S. Suparyati, “Dental and oral health

problems in elementary school children: A scoping review,” Pediatric

Dental Journal, vol. 30, no. 2, pp. 106–114, 2020.

[9] S. N. B. Mohd Jaini et al., “Effectiveness of Educational Videos

Comparing Single vs. Multiple Topics,” Cureus, 2024, doi:

10.7759/cureus.64028.

[10] A. Murariu et al., “Impact of Mobile Applications on Improving Oral

Hygiene Knowledge and Skills of Adolescents,” Journal of Clinical

Medicine, vol. 14, no. 9, p. 2907, 2025.

[11] R. K. et al., “Effectiveness of a Visual Interactive Game on Oral

Hygiene Knowledge,” Children, vol. 9, no. 12, p. 1828, 2022.

[12] B. Santoso, M. C. Anwar, and M. Muliadi, “Monopoly Game as

Android-Based Dental Health Education Media,” Journal of Applied

Health Management and Technology, vol. 1, no. 1, pp. 7–15, 2019.

[13] E. Rani, C. I, and N. Clement, “Effectiveness of Video Assisted

Teaching Program on Oral Hygiene Among Preschool Children,”

RGUHS Journal of Nursing Sciences, vol. 13, no. 2, 2023.

[14] P.-Y. Lin et al., “The use of augmented reality and virtual reality in

dental education,” Journal of Dental Sciences, vol. 19, pp. S91–S101,

2024.

[15] A. Nomair, M. Hamza, and W. Abdelaziz, “Effectiveness of

Motivational Interviewing and Games on Oral Hygiene of Children,”

Alexandria Dental Journal, 2020.

[16] D. Mona et al., “Digital educational game vs. PowerPoint video on

oral hygiene knowledge,” Padjadjaran Journal of Dentistry, vol. 36,

no. 2, pp. 242–249, 2024.

[17] S. D. Peris Celikel et al., “Animation videos and motivational

interviewing in oral health education,” Journal of Clinical Pediatric

Dentistry, 2025.

[18] M. Badrov and M. Matijevic, “Parental Knowledge of Nutrition and

Its Influence on Oral Health,” 2025.

[19] A. Drawanz, H. Ana, R. Romano, and M. Sousa, “Prolonged

Breastfeeding and Dental Caries,” Pediatric Dentistry, vol. 43, no. 2,

pp. 91–96, 2019.

[20] D. Kurniawati, J. R. Ningsih, F. Kirom, and A. Haya, “Impact of

School Dental Health Education Programme,” Journal of

International Dental & Medical Research, vol. 16, no. 3, pp. 1200–

1205, 2023.

[21] M. Dimopoulou et al., “Nutritional Factors Associated with Dental

Caries Across the Lifespan,” Applied Sciences, vol. 13, p. 13254,

2023.

[22] S. N. A. Ali and F. Alsineedi, “Risk Factors of Early Childhood

Caries,” Public Health Reports, vol. 104, no. 2, pp. 1–13, 2021.

[23] H. Nugraheni, A. Subekti, E. Ekoningtyas, and P. Prasko, “Dental

Health Education Using gigi.id Application,” Jurnal Kesehatan Gigi,

vol. 9, no. 1, pp. 30–35, 2022.

[24] I. Fadjeri, T. Purnama, and W. Nurwanti, “Dental Health Status of

Early Childhood Patients,” Journal of Drug Delivery and

Therapeutics, vol. 12, no. 2, pp. 48–50, 2022.

[25] S. Kumar, P. Gopalkrishna, A. Syed, and A. Sathiyabalan, “Impact of

Toothbrushing on Oral Health: A Narrative Review,” Healthcare, vol.

13, no. 10, p. 1138, 2025.

[26] F. Mulisa, “Sampling techniques involving human subjects,” Int. J.

Acad. Res. Educ., vol. 8, no. 1, pp. 74–83, 2022.

[27] S. Demir, “Comparison of normality tests under different sample

sizes,” Int. J. Assess. Tools Educ., vol. 9, no. 2, pp. 397–409, 2022.

[28] A. Tanhan et al., “Quasi-experimental pretest–posttest design in

educational research,” Int. J. Psychol. Educ. Stud., vol. 7, no. 3, pp.

58–69, 2020.

[29] P.-Y. Lin et al., “Use of AR/VR in dental education,” J. Dent. Sci.,

vol. 19, pp. S91–S101, 2024.

[30] H. Sharif Nia et al., “Psychometric evaluation of questionnaire tools,”

BMC Psychiatry, vol. 23, p. 45, 2023.

[31] S. N. B. Mohd Jaini et al., “Evaluation of educational videos in child

learning,” Cureus, 2024.

[32] D. Mona et al., “Digital game vs. PowerPoint in dental education,”

Padjadjaran J. Dent., vol. 36, no. 2, pp. 242–249, 2024.

[33] R. K. et al., “Interactive games for oral health education in children,”

Children, vol. 9, p. 1828, 2022.

[34] P. Yueh-Min et al., “Multisensory learning strategies for early

childhood education,” Early Child Educ. J., vol. 52, pp. 101–112,

2023.

[35] A. Murariu et al., “Impact of mobile applications on improving oral

hygiene knowledge,” J. Clin. Med., vol. 14, p. 2907, 2025.

[36] S. N. B. Mohd Jaini et al., “Effectiveness of educational videos for

oral health,” Cureus, 2024.

[37] P.-Y. Lin et al., “Use of AR and VR in dental surgery education,” J.

Dent. Sci., vol. 19, pp. S91–S101, 2024.

[38] A. Drawanz et al., “Prolonged breastfeeding and dental caries,”

Pediatr. Dent., vol. 43, pp. 91–96, 2020.

[39] A. Nomair et al., “Effectiveness of motivational interviewing and

games in oral hygiene,” Alexandria Dent. J., 2020.

[40] B. Santoso et al., “Android-based monopoly game for dental

education,” J. Appl. Health Manag. Technol., vol. 1, pp. 7–15, 2019.

[41] D. Kurniawati et al., “Impact of school dental health education

programme,” J. Int. Dent. Med. Res., vol. 16, pp. 1200–1205, 2023.

Authors

Helly Lailiyah Mufarikhah Mufarikhah
hellylailiyahmufarikhah@gmail.com (Primary Contact)
Isnanto
Ratih Larasati
Husnul Wafa
[1]
“Effectiveness of Mystery Card Media of DentalHealth Knowledge Among Preschool Children inSurabaya”, International Journal of Advanced Health Science and Technology, vol. 5, no. 6, pp. 316–321, Dec. 2025, doi: 10.35882/ijahst.v5i6.498.

Article Details

How to Cite

[1]
“Effectiveness of Mystery Card Media of DentalHealth Knowledge Among Preschool Children inSurabaya”, International Journal of Advanced Health Science and Technology, vol. 5, no. 6, pp. 316–321, Dec. 2025, doi: 10.35882/ijahst.v5i6.498.

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