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CTRI Number  CTRI/2025/12/098798 [Registered on: 10/12/2025] Trial Registered Prospectively
Last Modified On: 10/12/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Diagnostic
Preventive
Screening
Dentistry
Behavioral 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Gamifying oral health education using jigsaw puzzles and flash cards to improve knowledge, attitude, and practices among school children 
Scientific Title of Study   Gamifying oral health education by using jigsaw puzzle and flash cards to improve knowledge attitude and practice in school children 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrPrerna Mishra 
Designation  Pediatric dentistry resident 
Affiliation  Peoples College of Dental Sciences 
Address  Department of Pediatric and Preventive Dentistry, Peoples College of Dental Sciences and Research Centre, Bhanpur, Bhopal, Madhya Pradesh – 462037, India
Department of Pediatric and Preventive Dentistry, Peoples College of Dental Sciences and Research Centre, Bhanpur, Bhopal, Madhya Pradesh – 462037, India
Bhopal
MADHYA PRADESH
462037
India 
Phone  9579912790  
Fax    
Email  drprernamishra01@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrShikha Mali 
Designation  Professor 
Affiliation  Peoples College of Dental Sciences 
Address  Deparatment of pediatric and preventive dentistry,Peoples college of dental sciences and research centre,bhanpur ,bhopal
Deparatment of pediatric and preventive dentistry,Peoples college of dental sciences and research centre,bhanpur ,bhopal
Bhopal
MADHYA PRADESH
462037
India 
Phone  8120388393  
Fax    
Email  shikha9290@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrPrerna Mishra 
Designation  Pediatric dentistry resident 
Affiliation  Peoples College of Dental Sciences 
Address  Department of Pediatric and Preventive Dentistry, Peoples College of Dental Sciences and Research Centre, Bhanpur, Bhopal, Madhya Pradesh – 462037, India
Department of Pediatric and Preventive Dentistry, Peoples College of Dental Sciences and Research Centre, Bhanpur, Bhopal, Madhya Pradesh – 462037, India
Bhopal
MADHYA PRADESH
462037
India 
Phone  9579912790  
Fax    
Email  drprernamishra01@gmail.com  
 
Source of Monetary or Material Support  
Department of Pediatric and Preventive Dentistry, Peoples College of Dental Sciences and Research Centre, Bhanpur, Bhopal, Madhya Pradesh – 462037, India 
 
Primary Sponsor  
Name  Peoples College of Dental Sciences and Research Centre Bhopal India 
Address  Department of Pediatric and Preventive Dentistry, Peoples College of Dental Sciences and Research Centre, Bhanpur, Bhopal, Madhya Pradesh – 462037, India 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Archna iyyer  Podar international school  Podar international school ayodhya bypass road
Bhopal
MADHYA PRADESH 
7999467704

iyerarchna@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, People’s College of Dental Sciences and Research Centre, Bhopal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Oral health awareness and behavior improvement in school children 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intervention 1 (Test Group A)  Jigsaw Puzzle–Based Oral Health Education Frequency: Once daily Total Duration: 21 days Mode: Supervised small-group educational session using the jigsaw puzzle tool 
Intervention  Intervention 2 (Test Group B)  Flash Cards–Based Oral Health Education Frequency: Once daily Total Duration: 21 days Mode: Supervised small-group session using oral health flash cards 
Comparator Agent  Traditional Oral Health Education  Traditional Oral Health Education Frequency: Once daily Total Duration: 21 days Mode: Standard lecture and demonstration on oral hygiene practices 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  School children aged 8–12 years in mixed dentition stage

Children attending participating schools

Consent obtained from parents/guardians 
 
ExclusionCriteria 
Details  Children with systemic diseases or developmental disorders

Children previously exposed to structured oral health education programs 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Change in oral health knowledge, attitude, and practice (KAP) scores from baseline to post-intervention assessment.  Baseline, 4 weeks, and 8 weeks. 
 
Secondary Outcome  
Outcome  TimePoints 
Change in Oral Hygiene Index (OHI-S) scores  Baseline, 4 weeks, & 8 weeks. 
Change in Plaque Index (Silness & Löe) scores  Baseline, 4 weeks, & 8 weeks. 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   22/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response (Others) -  De-identified individual participant data that underlie the results reported in publications arising from the trial (including text, tables, figures, and appendices). Additional de-identified participant data such as questionnaire responses, oral hygiene scores, and plaque index scores may be shared upon reasonable request after publication.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response (Others) -  Study Protocol Statistical Analysis Plan Informed Consent Form Clinical Study Report
  3. Who will be able to view these files?
    Response (Others) -  Researchers who provide a methodologically sound proposal and whose proposed use of the data has been approved by the Institutional Review Committee of People’s College of Dental Sciences and Research Centre, Bhopal.

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - To gain access, data requestors will need to sign a data access agreement. Data are available for 5 years at a third party website (drprernamishra01@gmail.com).

  6. For how long will this data be available start date provided 01-07-2026 and end date provided 01-07-2031?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary   This randomized controlled trial aims to evaluate the effectiveness of gamified oral health education using jigsaw puzzles and flash cards in improving oral health knowledge, attitude, and practices among school children. The mixed dentition period is a crucial stage for establishing lifelong oral hygiene habits. Traditional teaching methods may have limited engagement and retention. Incorporating interactive tools such as puzzles and flash cards is expected to enhance learning, motivation, and behavioral outcomes. The study will compare gamified education with conventional teaching to assess improvements in knowledge, attitude, practices, and oral hygiene parameters. 
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