Same question across reviews · CL0218

intervention :: Oral hygiene/education -> Caries increment (DMFS/DMFT)

ProposalThis cluster groups questions by review type, intervention category and outcome domain. It is a proposal pending human validation, so questions in it may differ in population, comparator or timing.
Reviews
4
Questions
26
current versions
GRADE rated
6
Review overlap (CCA)
0.010
over all included studies of these reviews, not this question only
QuestionEffectEvidenceStatus / GRADE
Theory-based oral health education/promotion interventions (HBM, TPB, SCT, HAPA, TTM, PMT, SOC, PRECEDE-PROCEED, MI) vs Control (waitlist, routine/standard oral health education, or minimal intervention)
DMFT scores (decayed, missing, filled teeth) · Children and adolescents aged 5-18 years · Post-intervention (follow-up 3 to 12 months, varies by study), Overall
Health promotion theory-based educational interventions for improving oral health in children and… (2025)
SMD -0.11 [-0.27, 0.04]4 studies · 2556 participantsLow
School-based supervised toothbrushing (STB) vs No intervention
Dental caries increment, DMFS/dmfs (tooth-surface level) · Children in school or kindergarten settings (aged 3-14 years) · 2-3 years follow-up
The effectiveness of school-based supervised tooth brushing intervention for preventing dental caries: a… (2025)
SMD -0.22 [-0.42, -0.01]3 studies · 1135 participantsUngraded
School-based supervised toothbrushing (STB) vs No intervention
Dental caries increment, DMFT/dmft (whole-tooth level) · Children in school or kindergarten settings (aged 3-14 years) · 3-4 years follow-up
The effectiveness of school-based supervised tooth brushing intervention for preventing dental caries: a… (2025)
SMD 0.05 [-0.27, 0.37]2 studies · 1239 participantsUngraded
Oral health education only (verbal, written, or audio-visual education) delivered by non-dental health workers vs Control (usual care, no intervention, or comparison group)
Caries experience at the tooth level (dmft) · Children (mean age newborn to ~5.2 years) and their parents/carers · Oral health education only (vs comprehensive intervention)
The effectiveness of behaviour change interventions delivered by non-dental health workers in promoting… (2022)
SMD -0.11 [-0.21, 0.00]2 studiesUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by DMFT scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), Age 6-8 years
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -0.11 [-0.17, -0.04]NRUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by net increment in DMFS scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), Intervention type: oral health education
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -1.05 [-2.03, -0.08]3 studiesUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries prevalence measured by dmft or DMFT/S score greater than one · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer)
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
RR 0.70 [0.53, 0.94]4 studies · 2968 participantsVery low
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by net increment in DMFS scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), WHO health-promoting-schools framework
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -0.57 [-1.56, 0.42]2 studiesUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by net increment in DMFS scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), Non-WHO-framework interventions
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -1.88 [-3.15, -0.60]NRUngraded
Oral health education only (verbal, written, or audio-visual education) delivered by non-dental health workers vs Control (usual care, no intervention, or comparison group)
Caries experience at the surface level (dmfs/defs) · Children (mean age newborn to ~5.2 years) and their parents/carers · Oral health education only (vs comprehensive intervention)
The effectiveness of behaviour change interventions delivered by non-dental health workers in promoting… (2022)
SMD -0.20 [-0.43, 0.03]2 studiesUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by DMFS scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), <=3 intervention activities
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -0.58 [-1.62, 0.45]NRUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by DMFT scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · <2 years, Intervention duration <2 years
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD 0.01 [-0.16, 0.18]3 studiesUngraded
Behaviour change / oral health promotion interventions delivered by non-dental professionals and health workers (nurses, midwives, health visitors, community health workers) vs Control (usual care, no intervention, or comparison group)
Caries experience at the surface level (dmfs/defs) · Children (mean age newborn to ~5.2 years) and their parents/carers
The effectiveness of behaviour change interventions delivered by non-dental health workers in promoting… (2022)
SMD -0.15 [-0.25, -0.04]12 studiesUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by DMFT scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), Age 8-15 years
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -0.41 [-0.50, -0.32]NRUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries prevalence measured by dmft or DMFT/S score greater than one · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · <2 years, Intervention duration <2 years
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
RR 0.95 [0.75, 1.21]2 studiesUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by net increment in DMFS scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), Intervention type: other (daily tooth brushing)
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -1.23 [-1.46, -1.00]1 studyUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by DMFT scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · >=2 years, Intervention duration >=2 years
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -0.49 [-0.79, -0.19]4 studiesUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by DMFT scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer)
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -0.33 [-0.56, -0.10]7 studies · 6766 participantsVery low
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by net increment in DMFT scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), Age 5-8 years
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -0.36 [-0.76, 0.04]5 studiesUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by DMFS scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer)
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -0.26 [-0.70, 0.18]5 studies · 3506 participantsVery low
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by net increment in DMFT scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer)
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -0.34 [-0.69, 0.02]5 studies · 5492 participantsVery low
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries prevalence measured by dmft or DMFT/S score greater than one · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · >=2 years, Intervention duration >=2 years
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
RR 0.58 [0.40, 0.84]2 studiesUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by DMFS scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), >3 intervention activities
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD 0.02 [-0.13, 0.17]NRUngraded
Behaviour change / oral health promotion interventions delivered by non-dental professionals and health workers (nurses, midwives, health visitors, community health workers) vs Control (usual care, no intervention, or comparison group)
Caries experience at the tooth level (dmft) · Children (mean age newborn to ~5.2 years) and their parents/carers
The effectiveness of behaviour change interventions delivered by non-dental health workers in promoting… (2022)
SMD -0.34 [-0.54, -0.13]6 studiesUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by net increment in DMFT scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), Age 9-12 years
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -0.20 [-0.44, 0.04]1 studyUngraded
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities
Dental caries measured by net increment in DMFS scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer)
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -1.09 [-1.91, -0.27]4 studies · 3755 participantsVery low

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