Text message reminders improve oral health in teenagers, study finds

Text message reminders can help to improve tooth brushing habits in teenagers, according to a new study.

Researchers from the University of Sheffield analysed the effectiveness of a new programme called the Bright trial, which involves a classroom lesson and twice-daily text messages about toothbrushing.

The researchers found that the trial helped to prevent tooth decay and improve tooth brushing habits in teenagers. It was also particularly effective on low-income families.

This comes after a report found that the likelihood of tooth decay is two and a half times higher in the most deprived areas in England.

In addition, children in deprived areas are three times more likely to have severe tooth decay resulting in extractions under general anaesthetic.

Funded by the National Institute for Health and Care Research (NIHR), the Bright trial was designed to reduce tooth decay and encourage better brushing habits in secondary school children.

In collaboration with researchers from the universities of Cardiff, Leeds, York and Dundee, the study involved 4,680 students from 42 different schools across the UK over two and a half years.

‘Critical stage’

Professor Zoe Marshman, from the University of Sheffield’s School of Clinical Dentistry, co-led the Bright trial. She said: ‘We checked almost 4,700 secondary pupils’ teeth at the start of the study and after two and a half years.

‘Pupils who received the lesson and text messages reported brushing their teeth more often after six months, but did not have less tooth decay or plaque after two and half years. Pupils eligible for free school meals, however, may have benefited more than others suggesting a potential for the programme to reduce inequalities in oral health. 

‘Tooth decay and all its negative consequences such as toothache, loss of sleep and problems eating are very common in children of secondary school age. While school-based initiatives for children between the ages of four to 11 have been delivered for decades, there is very little for secondary schools.

‘However, this is a critical stage for toothbrushing practices to become an established behaviour for adulthood. This is why it is vital to help young people to improve their understanding of the importance of toothbrushing and skills to prevent tooth decay.’

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