Effectiveness of mHealth vs. Conventional Oral Health Education Among Adolescents in Periodontal Disease: A Systematic Review and Meta-Analysis
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Abstract
Introduction: This paper aimed to evaluate the effectiveness of mobile health (mHealth) interventions in comparison to conventional health education in improving periodontal health among adolescents. Methods: This systematic review was performed according to Cochrane and PRISMA guidelines. Systematic searches were performed in several databases: PubMed, Scopus, Web of Science, Cochrane, ScienceDirect, EBSCO, LILACS, Google Scholar and a manual search for appropriate studies published until December 2022. The inclusion criteria were experimental studies carried out among adolescents aged 10-19 years old with the objective of improving periodontal health using mHealth interventions and conventional health education. Risk of bias assessments were done using the Critical Appraisal Skills Programme Randomized Controlled Trial (CASP-RCT). Meta-analysis, meta-regression and Egger’s test were performed to evaluate the impact of mHealth education on periodontal health outcomes. Results: Out of 8,061 titles and abstracts screened, three articles met the inclusion criteria. It was found that mHealth interventions demonstrated significant improvements in periodontal health compared to conventional health education. While conventional health education showed higher knowledge scores, mHealth interventions were superior in improving plaque scores and bleeding scores over extended follow-up periods. Subgroup analysis revealed no significant difference in knowledge scores between the two education modalities. Conclusion: mHealth interventions show promise in improving periodontal health awareness and outcomes among adolescents. However, variations in study quality, as assessed using the CASP-RCT checklist, limit confidence in the findings. With overall evidence rated as moderate, future research should prioritize high-quality randomized controlled trials.
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