A systematic review to assess interventions delivered by mobile phones in improving adherence to oral hygiene advice for children and adolescents

Abstract

Background Mobile phones are potentially an invaluable tool in addressing the global challenge associated with dental caries as they may elicit behaviour change by incorporating numerous behaviour change techniques (BCTs) to address an individual's capability, opportunity and motivation.

Methods The methodology for this review is published on the PROSPERO database (CRD42017078414).

Results Two randomised controlled trials were included, both were undertaken with orthodontic patients and both reported significantly reduced plaque scores in the intervention group compared with the control at final follow-up. One study also reported statistically significantly lower gingival bleeding scores and caries in the intervention group at final follow-up. The risk of bias was 'unclear' for both studies and neither study intervention appeared to be based on specific theories of behaviour change. Of 93 BCTs available, only six were utilised across the two trials. The overall strength of evidence for the effectiveness of mobile phones in reducing plaque score was rated as moderate using GRADE, while the effectiveness in reducing bleeding scores was considered to be high.

Conclusion There is some evidence that mobile phones are effective in improving adherence to oral hygiene advice in orthodontic patients. The generalisability of this review is limited due to the small number of trials and the unclear risk of bias of included studies.

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Acknowledgements and Authors contributions

Acknowledgements

The authors would like to thank Helen Nield, BDA Head of Library and Knowledge Services for her expert advice in the conduct of searches for this review.

Authors contributions

MOS, TN and SJC conceived the study, assisted in its design and developed the original protocol, conducted the review and developed this manuscript. The guarantor of the review is MOS.

Author information

Correspondence to Mohammad Owaise Sharif.

Ethics declarations

Mohammad Owaise Sharif was awarded the Royal College of Surgeons of England Faculty of Dental Surgery 70th Anniversary Research Fellowship. This funding has supported this project.

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Sharif, M., Newton, T. & Cunningham, S. A systematic review to assess interventions delivered by mobile phones in improving adherence to oral hygiene advice for children and adolescents. Br Dent J 227, 375–382 (2019). https://doi.org/10.1038/s41415-019-0660-5

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