SYSTEMATIC REVIEW
Effect of mHealth in improving oral hygiene: A systematic review with meta-analysis
Mirian P. Toniazzo,
Daniela Nodari,
Francisco Wilker Mustafa Gomes Muniz,
Patricia Weidlich,
Mirian P. Toniazzo
Department of Periodontology, Federal University Rio Grande do Sul, Porto Alegre, Brazil
Search for more papers by this authorDaniela Nodari
Department of Periodontology, Federal University Rio Grande do Sul, Porto Alegre, Brazil
Search for more papers by this authorFrancisco Wilker Mustafa Gomes Muniz
Department of Periodontology, Federal University Pelotas, Pelotas, Brazil
Search for more papers by this authorCorresponding Author
Patricia Weidlich
Department of Periodontology, Federal University Rio Grande do Sul, Porto Alegre, Brazil
Correspondence
Patricia Weidlich, Department of Conservative Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Email: [email protected]
Search for more papers by this authorMirian P. Toniazzo,
Daniela Nodari,
Francisco Wilker Mustafa Gomes Muniz,
Patricia Weidlich,
Mirian P. Toniazzo
Department of Periodontology, Federal University Rio Grande do Sul, Porto Alegre, Brazil
Search for more papers by this authorDaniela Nodari
Department of Periodontology, Federal University Rio Grande do Sul, Porto Alegre, Brazil
Search for more papers by this authorFrancisco Wilker Mustafa Gomes Muniz
Department of Periodontology, Federal University Pelotas, Pelotas, Brazil
Search for more papers by this authorCorresponding Author
Patricia Weidlich
Department of Periodontology, Federal University Rio Grande do Sul, Porto Alegre, Brazil
Correspondence
Patricia Weidlich, Department of Conservative Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Email: [email protected]
Search for more papers by this authorAbstract
Aim
To evaluate the effectiveness of mobile applications and text messages, compared with conventional oral hygiene instructions, for improving oral health knowledge and/or reducing gingival inflammation, when delivered to adolescents, adults and mothers of young children.
Methods
Randomized clinical trials evaluating the use of mobile applications or text messages related to oral hygiene and/or oral health education were screened. A search was performed in the Medline-PubMed, Scopus and Embase databases and the grey literature. The eligible studies comprised those related to plaque, gingival bleeding and/or oral health knowledge as outcomes. The risk of bias was assessed with the Cochrane tool and the GRADE system. Two meta-analyses were carried out.
Results
Among the fifteen studies selected, twelve (80%) used text messages and thirteen (87%) showed better results when mobile technology was used. The pooled SMD for the dental plaque index (n = 10 studies) was −9.43 (95% CI −14.36 to −4.495; I2 = 99%, p < 0.001), and that of gingival bleeding (n = 7 studies) was −8.54 (95% CI −13.16 to −3.91; I2 = 99%, p < 0.001), indicating significant improvement in dental plaque control and gingival bleeding for groups that received the mobile health (mHealth) strategy.
Conclusion
mHealth can be used as an adjunct component in managing gingivitis, acquiring oral health knowledge and improving oral hygiene.
CONFLICTS OF INTEREST
The authors have no conflicts of interest related to this article.
Supporting Information
| Filename | Description |
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| jcpe13083-sup-0001-FigS1.tifTIFF image, 237 KB | |
| jcpe13083-sup-0002-FigS2.tifTIFF image, 128.1 KB | |
| jcpe13083-sup-0003-TableS1.docxWord document, 17.7 KB |
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