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Table 1 Risk of bias assessment

From: Association of oral health awareness and practice of proper oral hygiene measures among Saudi population: a systematic review

Author(s), year

Compliance

Blinding

Incomplete outcome data

Similarity of groups at baseline

Control of confounding

Moawed et al., 2019 [42]

Self-administered

No

N/M

N/A (Cross-sectional design)

No

Abullais et al., 2020 [31]

Self-administered

No

Of the randomly selected sample of 205 caregivers, 164 completed the study. The response rate was 80%.

N/A (Cross-sectional design)

No.

1- The inter-group statistical comparison for the distribution of categorical variables is done using the Chi-Square test.

2- The inter-group statistical comparison for distribution of means of continuous variables is done using an independent sample t-test for two groups and by an analysis of variance (ANOVA) procedure for more than two groups.

3- The underlying normality assumption was tested before subjecting the study variables to t-test and ANOVA.

Almas et al., 2003 [15]

Self-administered

No

Response rate of 85.5%.

N/A (Cross-sectional design)

No. The data were generated for frequency distributions and Chi-square tests for comparisons.

Kotha et al., 2003 [50]

Self-administered

No

No;

To overcome certain rejections, our target was marginally increased to get more than the prescribed sample size.

N/A (Cross-sectional design)

No.

1- An independent sample t-test was used to analyze between the parents (mothers and fathers) regarding their knowledge, dietary, and hygiene practices.

2- One-way ANOVA for the other demographic factors was used to analyze the relationship of the parental practices followed by a post hoc analysis to analyze the intragroup influence within mean demographic variables.

3- Chi-square analysis was done to assess how the child was taken to a dentist in relation to demographic variables. Pearson’s correlation was used to correlate parental knowledge and their practices to estimate the interrelationships within themselves.

Al-Abdaly et al., 2019

[49]

??

(Interview and clinical examination)

No

No

N/A (Cross-sectional design)

No.

1- Analysis of variance (ANOVA) was utilized to assess the variations in the mean and standard deviation (± SD) of PLI, GI, PPD, GR and CAL.

2- The Chi-square test was applied to evaluate the relationship between periodontal and oral hygiene status of patients.

Gaffar et al., 2016 [24]

Self-reported

No

197/217 (91%)

N/A (cross-sectional design)

No.

Aldosari et al.,

2019 [40]

Self-reported

No

257/469 (55%)

N/A (cross-sectional design)

No. Chi-square test.

Ismaeil et al.,

2013 [55]

Self-reported

No

612 (N/M)

N/A (cross-sectional design)

No. Comprehensive descriptive statistics were produced for all demographics and KAP variables.

Srivastava, 2019 [23]

Self-reported

No

228 (N/M)

N/A (cross-sectional design)

No. Post hoc analysis and Chi-square test.

Al-Zahrani et al., 2014 [52]

Self-reported

No

101 (N/M)

N/A (cross-sectional design)

No. Chi-Square test.

Farsi et al.,

2020 [22]

Self-reported

No

2586 (N/M)

N/A (cross-sectional design)

No. Paired, unpaired and chi-square test. Tucky’s paired comparison procedures, and correlation coefficients. Wilcoxon-rank sum test and multiple logistic regressions were used to assess the probability of having the disease and risk factor under study.

Al Subait et al.,

2016 [21]

Self-reported

No

202/250 (80.8%)

N/A (cross-sectional design)

No. Chi-square test, ANOVA, Bonferroni post-hoc tests and T-test

Al-Shammery et al., 2018 [53]

No

No

813/2200(N/M)

N/A (cross-over design)

No. Nonparametric Mann–Whitney Utest and Wilcoxon’s signedrank test. Shapiro–Wilk test was performed to check the normality distribution

Halawany et al., 2018 [67]

Self-reported

No

1661/1835 (N/M)

N/A (cross-sectional design)

No. One-way ANOVA, Greenhouse-Geisser test, and Wilks’ Lambda. Paired T-test, post-hoc tests. Subtracting the mean difference in the pre- and post-intervention in each class groups.

Mustafa et al., 2018 [16]

Self-reported

No

240/240 (100%)

N/A (cross-sectional design)

No. A simple descriptive analysis was done, and the data were expressed in terms of frequencies and percentages. The collected data were appropriately arranged and analyzed through different computer software applications.

Alshehri et al., 2015 [7]

Self-reported

No

301/425 (93.19%)

N/A (cross-sectional design)

No.

Elsabagh et al., 2018 [48]

Self-reported

No

278/300 (92.6%)

N/A (cross-sectional design)

No. All data was tabulated with frequencies and percentages of answers. Descriptive statistics were performed for the questionnaire items.

Al-Mutairi et al., 2017 [51]

Self-reported

No

108 (54%)

N/A (cross-sectional design)

No.

Ahmad, 2015 [32]

Self-reported

No

114/120 (95%)

N/A (cross-sectional design)

No. Chi-square test.

Al Rasheed et al., 2017 [41]

Self-reported

No

1420/2000 (71%)

N/A (cross-sectional design)

No. Chi-square test.

Ansari et al., 2018 [37]

Self-reported

No

729 (N/M)

N/A (cross-sectional design)

No. Chi-square test.

Alshammary et al., 2019 [29]

Self-reported

No

223/250 (89.2%)

N/A (cross-sectional design)

No. Chi-square test.

Ashour, 2020 [39]

Self-reported

No

247/320 (77%)

N/A (cross-sectional design)

No. Chi-square and Kruskal-Wallis H tests.

Al-Shetaiwi et al., 2018 [28]

Self-reported

No

465/500 (N/M)

N/A (cross-sectional design)

No. ANOVA test.

Ansari et al., 2017 [46]

Self-reported

No

794 (N/M)

N/A (cross-sectional design)

No.

Hamasha et al., 2018 [44]

Self-reported

No

519/553 (94%)

N/A (cross-sectional design)

No. Chi square tests.

Mulla et al.,

2016 [13]

Self-reported

No

119 (N/M)

N/A (cross-sectional design)

No. Chi-square test.

Al-Johani et al., 2019 [36]

Self-reported

No

200/200 (100%)

N/A (cross-sectional design)

No.

Abu-Hammad et al., 2018 [30]

Self-reported

No

360 (N/M)

N/A (cross-sectional design)

No.

Assery, 2016 [25]

Self-reported

No

252/300 (84%)

N/A (cross-sectional design)

No. Chi square test and t-test.

Aljanakh et al.,

2016 [33]

Self-administered

No

The response rate in the study was 97%

N/A (cross-sectional design)

No. Chi-square tests were applied to check the association among genders.

Hamasha et al., 2019 [40]

Self-administered

No

Approximately the response rate of 84.5%.

N/A (cross-sectional design)

No.

1- one-way analysis of variance and Bonferroni tests were used to assess differences in the mean number of correct answers among demographic categories.

Sharanesha, 2020 [45]

Self-administered

No

No

N/A (cross-sectional design)

No. Chi-square test.

Aljrais et al., 2018 [38]

Self-administered

No

No

N/A (cross-sectional design)

No. Correlation bivariate test was performed to find the relationship between the DS and PS knowledge, attitude, and practice toward oral health.

Togoo et al., 2012 [2]

Self-administered

No

The response rate of 97%.

N/A (cross-sectional design)

No. Descriptive statistics were obtained and means, standard deviations, and frequency distribution were calculated.

Al-Kheraif et al., 2008 [18]

Clinical examination and

Self-administered questionnaire

No

The response rate of the study was 79.2%

N/A (cross-sectional design)

No. Frequency distributions and Chi-

square test for statistical evaluation of proportions of the two groups were obtained.

Baseer et al., 2018 [53]

Self-administered

No

No

N/A (cross-sectional design)

No. Kolmogorov–Smirnov and Shapiro– Wilk’s tests

Alshloul, 2021 [12]

 

No

No

N/A (cross-sectional design)

No. Different differential statistical tests

Wyne et al., 2004 [19]

Self-administered

No

No

N/A (cross-sectional design)

No. Chi-square test

Jaber et al., 2017 [47]

Self-administered

No

No

N/A (cross-sectional design)

No. Chi-square test

Baseer et al., 2012 [14]

Self-administered

No

The response rate of the study was 80.5%

N/A (cross-sectional design)

No. ANOVA, Chi-square tests and z-tests were performed.

Wyne et al., 2015 [34]

Self-administered

No

No

N/A (cross-sectional design)

No. Chi-square test

Wyne, 2007 [27]

Self-administered

No

No

N/A (cross-sectional design)

No. Pearson Chi-Square test and Fisher’s Exact Test

Al-Bader et al., 2006 [26]

Self-administered

No

Response rate of 50%.

N/A (cross-sectional design)

No.

Wyne, 2004 [20]

Self-administered

No

 

N/A (cross-sectional design)

No. Chi-square test

Awartani, 2009 [54]

Interview

No

  

No.

  1. KAP, knowledge, attuited and practice; PPD, probing pocket dept; GR, gingival recession; PLI, dental plaque index; GI, gingival index; CAL, clinical attachment loss