The sampling method in this study will be a multi-stage cluster. Based on the education division, Hamadan is divided into two educational regions (regions one and two). First, from each educational region, based on the level of access to health services, 3 girls first grad high schools, 3 girls second grade high schools, 3 boysfirst grade high schools, and 3 boys second grade high schools (one school each from the well-off, semi-well-off, and under-well-off regions) will be randomly selected.
Then, from the class list, one class from each of the sixth, seventh, eighth or ninth, tenth, and twelfth grades will be selected at simple random from each school. After the initial assessment of plaque levels, periodontal health, oral hygiene status, and completion of the questionnaire, the schools will be randomly assigned to the intervention and control groups. A total of 50 students will be placed in the intervention group and 50 students in the control group.