Research Summary
Analyzed using Evidence Intelligence™

Smartphone apps improve oral health and glycemic control in diabetes

Key finding

Mean HbA1c score post-intervention decreased from 9.3 ± 1.6 to 6.1 ± 0.4.

This study examined the effects of smartphone applications on oral hygiene and glycemic control in diabetic patients, finding significant improvements in HbA1c levels and oral health behaviors.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Extended (5–20+ y)

Some Concerns bias
Last updated July 7, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes

Intervention

Smartphone applications for oral hygiene and glycemic control

Study type

RCTs

Follow-up

Extended (5–20+ y)

Primary outcome

Glycated Hemoglobin (HbA1C)

Comparator

Usual care

Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

This study examined the effects of smartphone applications on oral hygiene and glycemic control in diabetic patients, finding significant improvements in HbA1c levels and oral health behaviors.

Clinical relevance

Improving glycemic control and oral hygiene in diabetic patients is crucial for preventing complications associated with diabetes. The findings suggest that integrating technology, such as smartphone applications, into patient care can enhance health outcomes and empower patients to manage their conditions more effectively.

Keep in mind

The study design was non-randomized, which may introduce bias. Sample size and demographic details were not specified, limiting generalizability. Some outcomes showed no significant change, indicating mixed effectiveness.

Published in

Journal Reference

Publication details and source links for this paper.

Nabila ES, Gehan AEAE, Enas EE, et al. The impact of health nursing guidance based on smartphone applications on oral hygiene and glycemic control among diabetic patients. Digital Health. 2026;12:20552076261444901. doi:10.1177/20552076261444901

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Main Effects

Mean HbA1c decreased from 9.3 ± 1.6 to 6.1 ± 0.4 (p=0.0001).

Mean total oral hygienic behaviors increased from 8.7 ± 0.8 to 11.8 ± 2.1 (p=0.0001).

Mean Dental Neglect score decreased from 18.8 ± 3.5 to 15.9 ± 4.1 (p=0.003).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Smartphone applications for oral hygiene and glycemic control and Dental Neglect Scale Score, HbA1c, Quality of life, and 2 more.

Primary intervention

Smartphone applications for oral hygiene and glycemic control

Primary outcomes

  • Dental Neglect Scale Score
  • HbA1c
  • Quality of life

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

5
Evidence pairs
5
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 63

1

Related topics

5

Evidence pairs

161

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

StrongDecrease

Dental Neglect Scale Score

Smartphone applications for oral hygiene and glycemic control → Dental Neglect Scale Score

Smartphone applications for oral hygiene and glycemic control → Dental Neglect Scale Score

Evidence profile

StrongDecreasePatient-Reported
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StrongDecrease

HbA1c

Smartphone applications for oral hygiene and glycemic control → HbA1c

Smartphone applications for oral hygiene and glycemic control → HbA1c

Evidence profile

StrongDecreaseGlycemic Control
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StrongIncrease

Quality of life

Smartphone applications for oral hygiene and glycemic control → Quality of life

Smartphone applications for oral hygiene and glycemic control → Quality of life

Evidence profile

StrongIncreasePatient-Reported
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NoneNo Change

Total Oral Health Value Scale

Smartphone applications for oral hygiene and glycemic control → Total Oral Health Value Scale

Smartphone applications for oral hygiene and glycemic control → Total Oral Health Value Scale

Evidence profile

NoneNo ChangePatient-Reported
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StrongIncrease

Total oral hygienic behaviors

Smartphone applications for oral hygiene and glycemic control → Total oral hygienic behaviors

Smartphone applications for oral hygiene and glycemic control → Total oral hygienic behaviors

Evidence profile

StrongIncreaseAdherence & Engagement
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evidence suggest

Evidence Suggest

  • HbA1c levels improved significantly by 3.2% (p=0.0001).
  • Total oral hygienic behaviors increased by 3.1 points (p=0.0001).
  • Dental Neglect scores decreased by 2.9 points (p=0.003).
who this applies

Who this applies to

  • Diabetic patients seeking to improve their glycemic control.
  • Individuals interested in enhancing their oral hygiene practices.
keep in mind

Keep in Mind

  • Results may not be applicable to all diabetic populations.
  • The study's non-randomized design limits causal inferences.
  • Further research is needed to confirm findings across diverse groups.
between the lines

Between the Lines

  • The study design was non-randomized, which may introduce bias.
  • Sample size and demographic details were not specified, limiting generalizability.
  • Some outcomes showed no significant change, indicating mixed effectiveness.

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Smartphone applications for oral hygiene and glycemic control and Dental Neglect Scale Score, Smartphone applications for oral hygiene and glycemic control and HbA1c.

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Smartphone applications for oral hygiene and glycemic control improve dental neglect scale score?

Emerging Evidence

Smartphone applications for oral hygiene and glycemic control appears to improve Dental Neglect Scale Score.

ConsensusScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Dental Neglect Scale Score

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | strong positive | ConsensusScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Smartphone applications for oral hygiene and glycemic control improve HbA1c?

Emerging Evidence

Smartphone applications for oral hygiene and glycemic control appears to improve HbA1c.

ConsensusScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | strong positive | ConsensusScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Smartphone applications for oral hygiene and glycemic control improve quality of life?

Emerging Evidence

Smartphone applications for oral hygiene and glycemic control appears to improve Quality of life.

ConsensusScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Quality of life

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | strong positive | ConsensusScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Smartphone applications for oral hygiene and glycemic control improve total oral hygienic behaviors?

Emerging Evidence

Smartphone applications for oral hygiene and glycemic control appears to improve Total oral hygienic behaviors.

ConsensusScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Total oral hygienic behaviors

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | strong positive | ConsensusScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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