EDUCATIONAL TECHNOLOGIES IN ORAL HEALTH FOR ADOLESCENTS: AN INTEGRATIVE REVIEW IN THE CONTEXT OF HEALTH LITERACY

Authors

  • Fabíola Belkiss Santos de Oliveira Author
  • Élida Lúcia Ferreira Assunção Author
  • Júlia Maria Moreira Santos Author
  • Soraya Mameluque Author
  • Andréa Maria Eleutério de Barros Lima Martins Author

DOI:

https://doi.org/10.56238/arev7n10-172

Keywords:

Dental Care, Health Literacy, Oral Health, School Dental Services, Educational Technology

Abstract

This study evaluated the use of educational technologies in oral health (OH) for adolescents in the context of health literacy (HL). An integrative review was conducted in the Web of Science, Scopus, and PubMed databases from 2017 to 2021. The inclusion criteria for this study were mention of an educational technology (ET) aimed at OH for adolescents, provided it was published in Portuguese and English. Book chapters, theses, abstracts, technical reports, letters to the editor, book reviews, reports, reviews, meta-analyses, and those without full texts were excluded. A summary was prepared to report the study results and recognized standards. Of the 279 references identified, 13 studies met the criteria. Cell phones (videos, apps, reminders, games) were the most common method for implementing oral hygiene interventions, due to their widespread adoption and portability. After these interventions, improvements in knowledge, self-efficacy, and hygiene practices were observed. Despite the significant importance of adolescent oral health and its positive effects on their future health, the use of ET for adolescents in the context of oral hygiene literacy is still very limited.

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References

AGUIRRE, P. E. A. et al. The effectiveness of educational mobile messages for assisting in the prevention of early childhood caries: protocol for a randomized controlled trial. JMIR Research Protocols, v. 8, n. 9, p. e13656, 2019. DOI: https://doi.org/10.2196/13656

ALKADHI, O. H. et al. The effect of using mobile applications for improving oral hygiene in patients with orthodontic fixed appliances: a randomised controlled trial. Journal of Orthodontics, v. 44, n. 3, p. 157-163, 2017. DOI: https://doi.org/10.1080/14653125.2017.1346746

ALRMALY, B. A.; ASSERY, M. K. Need of oral health promotion through schools among developing countries. Journal of International Oral Health, v. 10, n. 1, p. 1-14, 2018. DOI: https://doi.org/10.4103/jioh.jioh_242_17

ANGELOPOULOU, M. V.; OULIS, C. J.; KAVVADIA, K. Schoolbased oral health-education program using experiential learning or traditional lecturing in adolescents: a clinical trial. International Dental Journal, v. 64, n. 5, p. 278-284, 2014. DOI: https://doi.org/10.1111/idj.12123

APOLINARIO, D. et al. Detecting limited health literacy in Brazil: development of a multidimensional screening tool. Health Promotion International, v. 29, n. 1, p. 5-14, 2014. DOI: https://doi.org/10.1093/heapro/dat074

ÁRIAS, C., et al. Smartphone-based exposure therapy for dental phobia: feasibility and acceptability. Community Dent Health. 2020.

BABAEI HATKEHLOUEI, M. et al. Decayed, missing, and filled teeth (DMFT) index among first-grade elementary students in Mazandaran province, Northern Iran. International Journal of Pediatrics, v. 5, p. 50-77, 2017.

BASKARADOSS, J. K. Relationship between oral health literacy and oral health status. BMC Oral Health, v. 18, n. 1, p. 1-6, 2018. DOI: https://doi.org/10.1186/s12903-018-0640-1

BATISTA, M. J.; LAWRENCE, H. P.; DE SOUSA, M. L. R. Oral health literacy and oral health outcomes in an adult population in Brazil. BMC Public Health, v. 18, n. 1, p. 1-9, 2018. DOI: https://doi.org/10.1186/s12889-017-4443-0

BECK, F. et al. Use of the internet as a health information resource among french young adults: results from a nationally representative survey. Journal of Medical Internet Research, v. 16, n. 5, p. e128, 2014. DOI: https://doi.org/10.2196/jmir.2934

CAMPOS, L. F. et al. Development and evaluation of a mobile oral health application for preschoolers. Telemed e Health, v. 25, n. 6, p. 492-498, 2019. DOI: https://doi.org/10.1089/tmj.2018.0034

CAUHI, Letícia de Paula. Letramento em saúde bucal e impacto familiar em cuidadores de crianças e adolescentes com paralisia cerebral. Tese. PUC Goias. 2023.

CAUHI, Letícia de Paula; Almeida, Rogério José de. Letramento em saúde bucal e impacto familiar em cuidadores de crianças e adolescentes com paralisia cerebral. Revista Ciências e Odontologia, v. 7, n. 2, p. 125-142, 2023.

D'CRUZ, A.; ARADHYA, S. Impact of oral health education on oral hygiene knowledge, practices, plaque control and gingival health of 13- to 15-year-old school children in Bangalore city. International Journal of Dental Hygiene, v. 11, n. 2, p. 126-133, 2013. DOI: https://doi.org/10.1111/j.1601-5037.2012.00563.x

DEN BOER, J. C. et al. Collecting standardised oral health data via mobile application: a proof of concept study in The Netherlands. PLoS One, v. 13, n. 2, p. e0191385, 2018. DOI: https://doi.org/10.1371/journal.pone.0191385

DETSOMBOONRAT, P.; PISARNTURAKIT, P. P. Development and evaluation: the satisfaction of using an oral health survey mobile application. Telemed e Health, v. 25, n. 1, p. 55-59, 2019. DOI: https://doi.org/10.1089/tmj.2017.0288

DICKSON-SWIFT, V. et al. Measuring oral health literacy: a scoping review of existing tools. BMC Oral Health, v. 14, n. 1, p. 1-13, 2014. DOI: https://doi.org/10.1186/1472-6831-14-148

ENG, T. R. Population health technologies: emerging innovations for the health of the public. American Journal of Preventive Medicine, v. 26, n. 3, p. 237-242, 2004. DOI: https://doi.org/10.1016/j.amepre.2003.12.004

FERREIRA, Francisco Valdicélio et al. Interdisciplinaridade entre nutrição e odontologia: análise das publicações disponíveis na biblioteca virtual em saúde. SANARE-Revista de Políticas Públicas, v. 14, n. 1, 2015. file:///D:/user/Downloads/618-Texto%20do%20Artigo-1157-1353-10-20150615.pdf

GHAHREMANI, L.; FARYABI, R.; KAVEH, M. H. Effect of health education based on the protection motivation theory on malaria preventive behaviors in rural households of Kerman, Iran. International Journal Of Preventive Medicine, v. 5, n. 4, p. 463-471, 2014.

GULLIKSEN, J. Institutionalizing human-computer interaction for global health. Global Health Action, v. 10, n. sup3, p. 1344003, 2017. DOI: https://doi.org/10.1080/16549716.2017.1344003

HAERIAN, A. A. M. S.; REZAPOUR, Y.; POURGHAYUMI, A. A. Investigation of the relationship of oral health literacy and oral hygiene self-efficacy with DMFT and gingival index in students of Ardakan University. Payesh, v. 14, n. 3, p. 351-362, 2015.

HIRVONEN, N. et al. Socio-demographic characteristics associated with the everyday health information literacy of young men. An International Electronic Journal, v. 20, n. 1, p. n1, 2014.

HOROWITZ, A. M.; KLEINMAN, D. V. Oral health literacy: a pathway to reducing oral health disparities in Maryland. Journal of Public Health Dentistry, v. 72, p. S26-S30, 2012. DOI: https://doi.org/10.1111/j.1752-7325.2012.00316.x

HOTWANI, K. et al. Smartphones and tooth brushing: content analysis of the current available mobile health apps for motivation and training. European Archives of Paediatric Dentistry, v. 21, n. 1, p. 103-108, 2020. DOI: https://doi.org/10.1007/s40368-019-00457-1

ISMAIL, A. F. et al. Association between parental oral health literacy and children’s oral health status. Revista Latinoamericana de Hipertensión, v. 13, n. 3, p. 312-316, 2018.

JACOBSON, D. et al. Evaluating child toothbrushing behavior changes associated with a mobile game app: a single arm pre/post pilot study. Pediatric Dentistry, v. 41, n. 4, p. 299-303, 2019.

KACZMARCZYK, K. H. et al. Oral health promotion apps: an assessment of message and behaviour change potential. International Journal for Quality in Health Care, v. 33, n. 1, p. 1-15, 2021. DOI: https://doi.org/10.1093/intqhc/mzaa112

KASSEN, A. et al. Mobile health intervention (MuMi app) improves oral health literacy in adults with migration background: Randomized controlled trial. JMIR Form Res, v. 7, e36815, 2023. DOI: https://doi.org/10.2196/36815

KAUR, N.; KANDELMAN, D.; POTVIN, L. Effectiveness of “safeguard your smile,” an oral health literacy intervention, on oral hygiene self-care behaviour among Punjabi immigrants: a randomized controlled trial. Canadian Journal of Dental Hygiene, v. 53, n. 1, p. 23-32, 2019.

LI, L.; WANG, Y. et al. Effect of a smart toothbrush on oral microbiota and dental plaque: Randomized controlled trial. J Med Internet Res, v. 27, e65128, 2025. DOI: https://doi.org/10.2196/65128

MARCHETTI, G. et al. Improving adolescents’ periodontal health: evaluation of a mobile oral health App associated with conventional educational methods: a cluster randomized trial. International Journal of Paediatric Dentistry, v. 28, n. 4, p. 410-419, 2018. DOI: https://doi.org/10.1111/ipd.12371

MARTINO, Mariana Campos Hueb; MARTINO NETO, Ezio; SIQUEIRA, Alexandra Bujokas. Tecnologias digitais na educação e saúde: identificação e análise de boas práticas. Ensino e Tecnologia em Revista, v. 9, n. 1, p. 265-277, 2025.

MARTINS, Leticia Pereira et al. Determinantes sociais do letramento em saúde bucal de pais/responsáveis por crianças. 2023.

NAYAK, P. et al. Smartphone apps: a state-of-the-art approach for oral health education. Journal of Oral Research, v. 8, n. 5, p. 386-393, 2019. DOI: https://doi.org/10.17126/joralres.2019.060

NOLEN, S. L. et al. Development and testing of a smartphone application prototype for oral health promotion. Journal of Dental Hygiene, v. 92, n. 2, p. 1-14, 2018.

OLIVEIRA, F.B.S. et al. Jogos digitais para o letramento em saúde bucal de adolescentes: uma revisão de literatura narrativa. Revista FT Ciências da Saúde, v.28 – Ed. 134/mai 2024. https://revistaft.com.br/jogos-digitais-para-o-letramento-em-saude-bucal-de-adolescentes-uma-revisao-de-literatura-narrativa/

OLIVEIRA, Daniela Aguiar Melo; SANCHES, Izabella Pereira Ribeiro; RODRIGUEZ, Larissa Santana. Nutrição, alimentação e saúde bucal: trilogia para uma melhor qualidade de vida. Anais de odontologia do Unifunec-sem circulação, v. 3, n. 3, 2016. file:///D:/user/Downloads/administrador,+Gerente+da+revista,+NUTRI%C3%87%C3%ADO,+ALIMENTA%C3%87%C3%ADO+E+SA%C3%9ADE+BUCAL+TRILOGIA+PARA+UMA+MELHOR+QUALIDADE+DE+VIDA.pdf

OLIVEIRA AMORIM, Breno de et al. Tecnologias digitais e cidadania: desafios e oportunidades para a inclusão digital no Brasil-uma revisão sistemática da literatura. REVISTA DELOS, v. 18, n. 63, p. e3527-e3527, 2025. DOI: https://doi.org/10.55905/rdelosv18.n63-046

PAULA, Yasmin Netto de et al. Atendimento odontológico humanizado para criança: importância do letramento oral em saúde bucal. 2022.

PAGE, M. J. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Systematic Reviews, v. 10, n. 1, p. 1-11, 2021.

SCHEERMAN, J. F. M. et al. A mobile app (WhiteTeeth) to promote good oral health behavior among Dutch adolescents with fixed orthodontic appliances: intervention mapping approach. JMIR mHealth and uHealth, v. 6, n. 8, p. e163, 2018. DOI: https://doi.org/10.2196/mhealth.9626

SCHEERMAN, J. F. M. et al. A mobile app (WhiteTeeth) to promote oral health in adolescents with fixed orthodontic appliances: Randomized controlled trial. Int Dent J, v. 70, n. 6, p. 433-442, 2020.

SOUZA, M. T. S; SILVA, M. D; CARVALHO, R. Revisão integrativa: o que é e como fazer. Rev. Einstein, (São Paulo) v. 8, n. 1, p. 102-106, 2010. Disponível em: https://www.scielo.br/pdf/eins/v8n1/pt_1679-4508-eins-8-1-0102.pdf . DOI: https://doi.org/10.1590/s1679-45082010rw1134

SOUSA, L. M. M; FIRMINO, C. F; MARQUES-VIEIRA, C. M. A; SEVERINO, S. S. P; PESTANA, H. C. F. C. Revisões da literatura científica: tipos, métodos e aplicações em enfermagem. Revista Portuguesa de Enfermagem de Reabilitação. v. 1, n.1, p. 45-54, 2018. Disponível em: https://dspace.uevora.pt/rdpc/bitstream/10174/25938/1/rperv1n1%2Cp.45-54.pdf . DOI: https://doi.org/10.33194/rper.2018.v1.n1.07.4391

SRILATHA, Y.; SHEKAR, B. R. C.; KRUPA, N. C. Effectiveness of school-based dental health education on knowledge and practices related to emergency management of dental trauma and tooth avulsion: An educational intervention study. International Journal of Academic Medicine, v. 7, p. 39-46, 2021. DOI: https://doi.org/10.4103/IJAM.IJAM_56_19

TAM, A. et al. The association of patients’ oral health literacy and dental school communication tools: a pilot study. Journal of Dental Education, v. 79, n. 5, p. 530-538, 2015. DOI: https://doi.org/10.1002/j.0022-0337.2015.79.5.tb05912.x

VIEIRA, A. M. et al. Gamification in oral health mobile applications: a scoping review. Int J Dent Hyg, v. 22, n. 1, p. 112-124, 2024.

WATANABE, K. et al. Effectiveness of eHealth and mHealth interventions for oral health: systematic review. Community Dent Oral Epidemiol, v. 53, n. 1, p. 25-39, 2025.

WEHMEYER, M. M. et al. The impact of oral health literacy on periodontal health status. Journal of Public Health Dentistry, v. 74, n. 1, p. 80-87, 2014. DOI: https://doi.org/10.1111/j.1752-7325.2012.00375.x

Published

2025-10-18

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How to Cite

DE OLIVEIRA, Fabíola Belkiss Santos; ASSUNÇÃO, Élida Lúcia Ferreira; SANTOS, Júlia Maria Moreira; MAMELUQUE, Soraya; MARTINS, Andréa Maria Eleutério de Barros Lima. EDUCATIONAL TECHNOLOGIES IN ORAL HEALTH FOR ADOLESCENTS: AN INTEGRATIVE REVIEW IN THE CONTEXT OF HEALTH LITERACY. ARACÊ , [S. l.], v. 7, n. 10, p. e9059, 2025. DOI: 10.56238/arev7n10-172. Disponível em: https://periodicos.newsciencepubl.com/arace/article/view/9059. Acesso em: 5 dec. 2025.