SynthesisClinical oral investigations2021
Facilitators and barriers to home-based toothbrushing practices by parents of young children to reduce tooth decay: a systematic review.
Synthesis in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Facilitators and Barriers That Influence Oral Health Behaviours Among Adolescents: A Systematic Review.International dental journal · 2026Pooled it
- Supervised toothbrushing programs: evaluating impact, barriers, and facilitators - a mixed-method umbrella review.Evidence-based dentistry · 2025Pooled it
- Factors influencing oral health behaviours, access and delivery of dental care for autistic children and adolescents: A mixed-methods systematic review.Health expectations : an international journal of public participation in health care and health policy · 2022Pooled it
- Development and evaluation of the effectiveness of a gamified oral health promotion app-happy teeth- in schoolchildren: a randomized controlled trial.BMC oral health · 2025Trial
- Impact of Oral Health Chatbot With and Without Toothbrushing Training on Childhood Caries.International dental journal · 2025Trial
- Changes in toothbrushing and factors associated with less than twice daily toothbrushing by the age of four in the FinnBrain Birth Cohort Study.Acta odontologica Scandinavica · 2026Article
- A Theory-Based Digital Intervention to Improve Maternal Oral Health Behaviors for Young Children: Quasi-Experimental Study.JMIR mHealth and uHealth · 2026Article
- Comparing the effectiveness of yoga with supervised tooth brushing on oral health maintenance among adolescents of Irular tribes: A cluster randomized trial.Journal of family medicine and primary care · 2026Article
- Parental health belief and behavioral factors influencing oral health behaviors of preschoolers in shanghai: a cross-sectional study.Scientific reports · 2025Article
- Evaluating an early childhood caries prevention strategy: a study protocol for a stepped-wedge cluster randomised controlled trial.BMJ open · 2025Article
- Development and validation of the health belief model scale for early childhood caries prevention behaviors of parents.BMC oral health · 2025Article
- Exploring child and family-level influences on oral hygiene practices (OHP)-a qualitative study from South India.The Journal of clinical pediatric dentistry · 2025Article
- Oral health among children participating in an extended home visiting programme-a case‒control study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025Article
- Parents' perceived barriers and enablers to providing optimal infant oral care.BMC public health · 2025Article
- A qualitative study on the factors influencing oral health care for young children in Belgium.BMC public health · 2025Article
- A Narrative Review on Advancing Pediatric Oral Health: Comprehensive Strategies for the Prevention and Management of Dental Challenges in Children.Children (Basel, Switzerland) · 2025Review
- Early childhood caries risk prediction using machine learning approaches in Bangladesh.BMC oral health · 2025Article
- Parental perceptions of an oral health promotion program in early childhood education and care settings: A qualitative study.Journal of public health dentistry · 2024Article
- Cross-cultural adaptation and psychometric properties of the Malay version of parenting and child tooth brushing assessment (M-PACTA).BMC oral health · 2024Article
- Maternal perceptions of assisting preschool-aged children with toothbrushing.Journal of the American Dental Association (1939) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesParental supervised toothbrushing (PSB) is a collection of behaviours recommended by national guidance to improve oral health. This systematic review aimed to identify the barriers and facilitators to PSB. MATERIALS AND
methodsStudies investigating parental involvement in home-based toothbrushing in children under 8 years old and the impact on tooth decay were included. Electronic databases, references and unpublished literature databases were searched. The Theoretical Domains Framework (TDF) was used to code barriers/facilitators to PSB.
resultsOf the 10,176 articles retrieved, 68 articles were included. Barriers and facilitators were found across all 12 TDF domains. Barriers included an inadequate toothbrushing environment and resources, knowledge of what PSB entails and child behaviour management. Facilitators were increased oral health knowledge, the adaption of the social environment to facilitate PSB and positive attitudes towards oral health. When only high-quality articles were synthesized, knowledge was not a common barrier/facilitator.
conclusionsThere are a comprehensive range of barriers/facilitators to PSB acting across all domains and at multiple levels of influence. This review identifies the most popular domains, thus informing the focus for supporting resources to supplement oral health conversations. CLINICAL RELEVANCE: PSB is a complex behaviour. Practitioners need to understand and be able to explore the wide range of potential barriers and have practical suggestions to enable PSB. This review provides pragmatic examples of different barriers and facilitators and emphasises the importance of listening to parents and exploring their story to identify the barriers and solutions that are relevant to each family.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.