Meta-Analysis Study: Is Dental Health Education Effective to Improve Knowledge, Attitude, and Behavior in Adolescents?


  • Danti Narulita Health Polytechnics, Ministry of Health Surakarta
  • Danu Aprilianto Health Polytechnics, Ministry of Health Surakarta


Background: Good oral and dental health can help a person chew, talk and socialize with confidence without any discomfort. Teenagers are the next generation of the nation starting from the age of about 12 years to 20 years. At the age of adolescence, deciduous teeth have been replaced by permanent teeth so it is necessary to pay attention to the maintenance of teeth and mouth. This study aimed to analyze the effect of Dental Health Education (DHE) on the knowledge, attitudes and behavior of adolescents.

Subjects and Method: This research is a meta-analysis study using PRISMA flowchart guidelines. The search for articles was carried out by considering the eligibility criteria determined using the following PICO model: Population= teenagers, Intervention= DHE (dental health education), Comparison= without DHE, Outcome= Knowledge, attitudes and behavior The article search process was carried out between 2020-2021 using a database from PubMed, Google Scholar, Mendeley and the Wiley Online Library. Based on the database, there were 7 articles that met the inclusion criteria. The analysis was carried out using RevMan 5.3 software.

Results: A total of 7 articles reviewed in the meta-analysis showed that Dental Health Education (DHE) increased knowledge (SMD= 0.63; 95% CI= 0.53 to 0.73; p<0.001), attitudes (SMD= 0.41; 95% CI= 0.32 to 0.51; p<0.001) and behavior (SMD= 0.21; 95% CI= 0.11 to 0.32; p<0.001) adolescent.

Conclusion: The influence of dental health education increase knowledge, attitudes and behavior among adolescents.

Keywords: knowledge, attitude, practice, adolescent, dental health education


Danti Narulita. Health Polytechnics, Ministry of Health Surakarta. Jl. Letjen Sutoyo, Mojosongo, Jebres, Surakarta, Central Java 57127. Email: Mobile: +62821-3329-5468.

Journal of Health Promotion and Behavior (2022), 07(03): 197-207


Alrashdi M, Hameed A, Mendez MJC, Farokhi M (2020). Education intervention with respect to the oral health knowledge, attitude, and behaviors of refugee families: A randomized clinical trial of effectiveness. J Public Health Dent. 81(2):90-99. DOI:10.1111/jphd.12415.

Al-Saad RZ, Shaker AK, Dleikh FS, Makki Al-Hindy HAA (2020). Is there any association between highly sensitive C-reactive protein and dental-status in ischemic heart diseases?. Comparative-study. Biochem Cell Arch. 20 (2): 6069-75.

Dcruz AM (2012). 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. Int J Dent Hygiene. 11(2):126-33. DOI: 10.1111/j.1601-5037.2012.00563.x.

Garbin CA, Queiroz AP, Garbin AJ, Moimaz SA, Soares GB (2013). Comparison of methods in oral health education from the perspective of adolescents. Oral Health Prev Dent. 11(1): 39–47. DOI: 10.3290/j.ohpd.a29374.

Ghaderi N, Ahmadpour M, Saniee N, Karimi F, Ghaderi C, Mirzaei H (2017). Effect of education based on the health belief model (HBM) on anemia preventive behaviors among Iranian girl students. Int J Pediatr. 5(6):5043-52. DOI: 10.22038/ijp.2017.220¬51.1844.

Handayani H, Arifah AN (2016). Hubungan pengetahuan, sikap dan tindakan kesehatan gigi dan mulut terhadap sta¬tus kesehatan gigi siswa SMP/ MTs Pondok Pesantren Putri Ummul Mukminin (The relationship of knowledge, attitudes and actions of dental and oral health on the dental health status of SMP/MTs students at Pondok Pesantren Putri Ummul Mukmi-nin). Makassar Dent J. 5(2): 44-50.

Marchetti G, Fraiz FC, Nascimento WMD, Soares GM, Assuncao LR (2018). Improving adolescents’ periodontal health: Evaluation of a mobile oral health app associated with conventional educational methods: a cluster randomized trial. Int J Paediatr Dent. 28(4): 410-419. DOI: 10.1111/ipd.12-371.

Naidu R, Nunn J, Irwin JD (2015). The effect of motivational interviewing on oral healthcare knowledge, attitudes and behaviour of parents and care-givers of preschool children: an exploratory cluster randomised controlled stu¬dy. Biomed Central.15(101). DOI: 10.1186/s12903-015-0068-9.

Notohartojo IT (2013). Penilaian indeks dmft anak usia 12 tahun oleh dokter gigi di Kabupaten Ketapang Provinsi Kalimantan Barat (Assessment of the dmf-t index of 12-year-old children by dentists in Ketapang Regency, West Kalimantan Province). Media Litbangkes, 23(1): 41-46.

Naseri-Salahshour V, Abredari H, Sajadi M, Sabzaligol M, Karimy M (2019). The effect of oral health promotion program on early dental decay in students: a cluster randomized controlled trial. J Caring Sci. 8(2): 105-110. DOI: 10.15171/jcs.2019.015.

Subedi K, Shrestha A, Bhagat T, Baral D (2021). Efectiveness of oral health education intervention among 12–15-year-old school children in dharan, nepal: a randomized controlled trial. BMC Oral Health. 21(1): 525. DOI: 10.1186/s12903-021-01877-6.

Swe K, Soe AK, Aung SH, Soe HZ (2021). Effectiveness of oral health education on 8-to 10-year-old school children in rural areas of the Magway Region, Myanmar: A quasi experimental study. BMC Oral Health 21(1): 2. DOI: 10.1186/s12903-020-01368-0.

Ulliana, Santoso B, Utami U, Nurwanti W, Nurrochman A (2021). Brief motivational interviewing counseling to improve oral hygiene behavior among adolescent. PJMHS 15(10). DOI: 10.53350/pjmhs2115103103.

Vangipuram S, Jha A, Bashyam M (2016). Effectiveness of peer group and conventional method (dentist) of oral health education programme among 12-15 year old school children - a randomized controlled trial. J Clin Diagn Res. 10(5): ZC125-ZC129. DOI: 10.7860/jcdr/2016/17725.7844.




How to Cite

Narulita, D., & Aprilianto, D. (2022). Meta-Analysis Study: Is Dental Health Education Effective to Improve Knowledge, Attitude, and Behavior in Adolescents?. Journal of Health Promotion and Behavior, 7(3), 197–207. Retrieved from