Noof Khaled A Alsahiem¹*, Khlood Mohammad Alasiri², Nourah Falah Al-Mutairi², Aljawharah Suliman Alomair³ and Nourah Nasserallah Alomran⁴

¹Dental Department, Senior Specialist Public Health, Armed Forces Hospital, Dhahran, Saudi Arabia
²Dental and Oral Health Specialists, Dental Department, King Fahad Military Medical Complex – Dhahran, Saudi Arabia
³Dental Hygienist, Dental Department, Armed Forces Hospital, Dhahran, Saudi Arabia
⁴Dental and Oral Health Specialist, Dental Department, Armed Forces Hospital, Dhahran, Saudi Arabia

*Corresponding Author: Noof Khaled A Alsahiem, Dental Department, Senior Specialist Public Health, Armed Forces Hospital, Dhahran, Saudi Arabia.

Received: May 05, 2025; Published: May 19, 2025

Abstract

Background: Oral diseases is a major global health concern, mainly in children and adolescents. Integrating educational interventions within health services can improve oral health behaviors and clinical outcomes. In this systematic review we aimed to evaluate the effectiveness of educational interventions integrated with health services to improve oral health behaviors and prevent oral diseases.

Methods: A literature search was conducted in PubMed, Scopus, Web of Science, and Google Scholar. We include studies with individual’s ≤19 years, include educational strategies linked to health systems, and report clinical oral health outcomes. Thirteen studies were included following PRISMA guidelines. Data were synthesized qualitatively. Methodological quality was assessed using the Joanna Briggs Institute (JBI) appraisal tools.

Results: Included interventions differ in type (digital tools, school-based sessions, visual aids) and delivery settings (schools, primary care, community clinics). Most interventions show improvements in knowledge, brushing behavior, plaque index, gingival health, or ECC reduction. Integration within health services and reinforcement by health professionals or teachers improve effectiveness.

Conclusion: Educational interventions integrated into health systems promot oral health behaviors and prevent disease. Implementation in school and primary care is recommended for long-term public health improvement.

 Keywords: Oral Health Education; Health Services Integration; Preventive Dentistry; Behavioral Intervention

References

1. Kay EJ and Locker D. “Effectiveness of oral health promotion: a review”. British Dental Journal5 (1997): 187-192.
2. Grover S and Luthra R. “Integration of oral health into primary health care: A systematic review”. Journal of Family Medicine and Primary Care6 (2019): 1838-1845.
3. Taiwo JO., et al. “The effectiveness of oral health education in improving oral hygiene knowledge and practices among market women in Nigeria”. Nigerian Medical Journal2 (2015): 118-123.
4. Suresh KS., et al. “Integration of oral health care within the healthcare system: An editorial”. International Society of Preventive and Community Dentistry1 (2023): 1-3.
5. Shrestha A., et al. “Effectiveness of oral health education intervention among 12-15-year-old school children in Nepal”. Journal of Nepal Medical Association (JNMA)236 (2021): 1002-1007.
6. Mohamadkhah F., et al. “The effect of digital media programs on the oral health promotion in the health office: a quasi-experimental study”. Shiraz E-Medical Journal1 (2013): 1-11.
7. Frohlich L., et al. “Comic-based oral health education for children: a randomized controlled trial”. International Journal of Paediatric Dentistry 1 (2022): 45-52.
8. Movaseghi Ardekani F., et al. “The Effect of an Educational Intervention on Oral Health Literacy, Knowledge, and Behavior in Iranian Adolescents: A Theory‐Based Randomized Controlled Trial”. Biomed Research International 1 (2022).
9. Lotto M., et al. “Parental-oriented educational mobile messages to aid in the control of early childhood caries in low socioeconomic children: A randomized controlled trial”. Journal of Dentistry 101 (2020): 103456.
10. Shirahmadi S., et al. “Effectiveness of theory-based educational interventions of promoting oral health among elementary school students”. BMC Public Health1 (2024): 130.
11. Blake H., et al. “School-Based Educational Intervention to Improve Children’s Oral Health-Related Knowledge”. Health Promotion Practice 4 (2015): 571-582.
12. Jafari A., et al. “Teacher-led toothbrushing program in rural Iranian schools: a community-based intervention”. Journal of Education and Health Promotion 9 (2020): 112.
13. Edvardsson V., et al. “Culturally adapted oral health education for immigrant children in Sweden: a pilot study”. European Archives of Paediatric Dentistry 4 (2022): 789-796.
14. Gholami M., et al. “Impact of peer-led oral health education on Iranian adolescents: a cluster randomized trial”. BMC Oral Health 17 (2017): 51.
15. Khudanov B., et al. “Effect of an oral health education program based on the use of quantitative light-induced fluorescence technology in Uzbekistan adolescents”. Photodiagnosis and Photodynamic Therapy 21 (2018): 379-384.
16. Moosavi H., et al. “Effectiveness of oral health education for hearing-impaired children: a randomized controlled trial”. Spec Care Dentist2 (2021): 123-129.
17. Khurana C., et al. “Effectiveness of oral health education program using braille text in a group of visually impaired children-before and after comparison trial”. Journal of Education and Health Promotion1 (2019): 50.
18. Mohebbi SZ., et al. “A Cluster Randomised Trial of Effectiveness of Educational Intervention in Primary Health Care on Early Childhood Caries”. Caries Research2 (2009): 110-118.
19. Menegaz AM., et al. “Intervenções educativas em serviços de saúde e saúde bucal: revisão sistemática”. Rev Saude Publica 52 (2018): 52.
20. Akera P., et al. “Effectiveness of primary school-based interventions in improving oral health of children in low- and middle-income countries: a systematic review and meta-analysis”. BMC Oral Health1 (2022): 264.
21. Chau RCW., et al. “A Systematic Review of the Use of mHealth in Oral Health Education among Older Adults”. Dental Journal8 (2023): 189.
22. Nakre P and Harikiran A. “Effectiveness of oral health education programs: A systematic review”. International Society of Preventive and Community Dentistry2 (2013): 103.

Citation

Citation: Noof Khaled A Alsahiem., et al. “Effectiveness of Educational Interventions Integration with Health Services in Improving Oral Health Behaviors and Preventing Oral Diseases; Systematic Review”.Acta Scientific Medical Sciences 9.5 (2025): 57-64.

Copyright

Copyright: © 2025 Noof Khaled A Alsahiem., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.