The COVID-19 Pandemic’s Effect on Dental Students’ Attitude and Habits About Oral Hygiene
Yıl 2026,
Cilt: 33 Sayı: 1, 21 - 31, 21.03.2026
Özlem Özişçi
,
Yard. Doç. Dr. H. Cenker Küçükeşmen
Öz
Objective
This study aimed to evaluate the oral hygiene
behaviors and associated factors, such as COVID-19
infection history, vaccination status, smoking habits,
and gender, among young adults during the COVID-19
pandemic.
Material and Method
A cross-sectional survey was conducted with 328
participants aged 18–25 years. Data were collected
through a structured online questionnaire that
included demographic information, smoking behavior,
COVID-19 history, and oral hygiene practices.
Results
Of the participants, 56.4% were female, and the
mean age was 21.74 ± 2.21 years. A majority (87.8%)
reported brushing twice daily, while only 30.5%
changed their toothbrush after a COVID-19 infection.
Smoking was significantly more prevalent among
males (p < 0.001) and was associated with poorer
oral hygiene practices. Dental floss and toothbrush
cover usage were higher among females (p < 0.001
and p = 0.017, respectively). Participants who had
experienced COVID-19 were more likely to adopt postinfection
toothbrush replacement (p < 0.001). Most
participants (76.8%) believed that good oral hygiene
helps reduce the risk of COVID-19 transmission.
Conclusion
Although oral hygiene awareness was generally high
among young adults during the pandemic, important
behavioral gaps remain, particularly in post-infection
hygiene practices and among smokers. Gender
differences in hygiene behavior were notable, with
females demonstrating more preventive habits.
Public health strategies should promote targeted oral
health education focusing on infection prevention and
hygiene reinforcement.
Etik Beyan
Ethics committee approval (dated 24.03.2025
and decision number 94/7) from the Non-Invasive
Clinical Research Ethics Committee of the Suleyman
Demirel University, and written informed consent
was obtained from the individuals participating in
the study. Participants were given the necessary
information about the purpose of the research and
the scientific evaluation of the data. The study was
conducted in accordance with the principles outlined
in the Declaration of Helsinki. Written informed consent to participate and publish was obtained from all individual participants included in the study.
Destekleyen Kurum
The author(s) received no financial support for the research, authorship, and/or publication of this article.
Kaynakça
-
1. Pragi, Kumar V, Monika. Effects of COVID-19 on Oral Health
Status: A Review. New Emirates Medical Journal. 2025;21:e02506882347799.
-
2. World Health Organization. WHO Coronavirus Disease (COVID-
19) Dashboard. 2024. Available from: https://covid19.who.int/
-
3. González-Olmo MJ, Delgado-Ramos B, Ruiz-Guillén A, Romero-
Maroto M, Carrillo-Díaz M. Oral hygiene habits and possible transmission of COVID-19 among cohabitants. BMC Oral Health.
2020;20(1):286. doi:10.1186/s12903-020-01274-5
-
4. Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12(1):9. doi:10.1038/s41368-020-0075-9
-
5. Hirota Y, Adachi N, Ito K, Shinada K, Kabasawa Y. Relationship
between oral health literacy and changes in self-assessment of
oral health during COVID-19. J Dent Sci. 2025;20(1):569-577.
doi:10.1016/j.jds.2024.04.015
-
6. Wen PYF, Chen MX, Zhong YJ, Dong QQ, Wong HM. Global Burden and Inequality of Dental Caries, 1990 to 2019. J Dent Res. 2022;101(4):392-399. doi:10.1177/00220345211056247
-
7. Wdowiak-Szymanik A, Wdowiak A, Szymanik P, Grocholewicz K. Pandemic COVID-19 Influence on Adults' Oral Hygiene, Dietary Habits and Caries Disease-Literature Review. Int J Environ Res Public Health. 2022;19(19):12744. doi:10.3390/ijerph191912744
-
8. Kinane DF, Stathopoulou PG, Papapanou PN. Periodontal diseases. Nat Rev Dis Primers. 2017;3:17038. doi:10.1038/nrdp.2017.38
-
9. Souza NS, Magalhães AN, de Souza Damas AL, Dias AP, Versiani IG, Haikal DS. Changes in the frequency of oral hygiene during the COVID-19 pandemic among teachers. Arquivos em Odontologia. 2023;8:59:3-13
-
10. World Health Organization. WHO global report on trends in prevalence of tobacco use 2000–2025. 3rd ed. Geneva: WHO; 2019.
-
11. Vardavas CI, Nikitara K. COVID-19 and smoking: A systematic review of the evidence. Tob Induc Dis. 2020;18:20. doi:10.18332/tid/119324
-
12. Preshaw P, Chambrone L, Holliday R, Ambalavanan N. Smoking
and periodontal disease. In: Newman MG, Takei H, Klokkevold PR, Carranza FA, editors. Carranza’s Clinical Periodontology. 13th ed. St Louis: Elsevier; 2018. p. 267–273.
-
13. Simons D, Shahab L, Brown J, Perski O. The association of smoking status with SARS-CoV-2 infection, hospitalization and mortality from COVID-19: a living rapid evidence review with Bayesian meta-analyses (version 7). Addiction. 2021;116(6):1319-1368. doi:10.1111/add.15276
-
14. Naghibi Sistani MM, Yazdani R, Virtanen J, Pakdaman A, Murtomaa H. Determinants of oral health: does oral health literacy
matter? ISRN dentistry 2013;2013:249591. doi:10.1155/2013/249591
-
15. Rajeh MT. Gender Differences in Oral Health Knowledge and Practices Among Adults in Jeddah, Saudi Arabia. Clin Cosmet Investig Dent. 2022;14:235-244.
-
16. Polack FP, Thomas SJ, Kitchin N, et al. Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine. N Engl J Med. 2020;383(27):2603-2615.
-
17. Nazir M, Al-Ansari A, Al-Khalifa K, Alhareky M, Gaffar B, Almas
K. Global Prevalence of Periodontal Disease and Lack of Its Surveillance. Scientific World Journal. 2020;2020:2146160.
doi:10.1155/2020/2146160
-
18. Peltzer K, Pengpid S. Oral health behaviour and social and health factors in university students from 26 low, middle and high income countries. Int J Environ Res Public Health. 2014;11(12):12247-12260.
-
19. American Dental Association. Oral health and COVID-19: FAQs and guidelines. 2021 [cited 2025 Apr 4]. Available from: https://www.ada.org
-
20. American Dental Association. Toothbrush care and hygiene. 2020. Available from: https://www.ada.org/resources/research/
science-and-research-institute/oral-health-topics/toothbrush-care
-
21. Centers for Disease Control and Prevention (CDC). Hand hygiene
recommendations. Atlanta (GA): CDC; 2020. Available from: https://www.cdc.gov/handwashing/
-
22. Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with
biocidal agents [published correction appears in J Hosp Infect. 2020;104(3):246-251. doi:10.1016/j.jhin.2020.01.022
-
23. Buunk-Werkhoven YA, Dijkstra A, van der Schans CP. Determinants of oral hygiene behavior: a study based on the theory
of planned behavior. Community Dent Oral Epidemiol. 2011;39(3):250-259. doi:10.1111/j.1600-0528.2010.00589.x
-
24. Borges Tássia Silvana, Cardoso Moisés Zacarias, Fortuna Mixianni Justo, Reuter Cézane Priscila, Imperatore Simone, Franke
Silvia Isabel Rech, et al. Oral hygiene, dietary habits and prevalence
of dental caries in adolescents from rural and urban areas in Rio Grande do Sul, Brazil. SciELO journals. Dataset 2017;65(2):139-147. Doi:10.6084/m9.figshare.7515371.v1
-
25. Meiller TF, Silva A, Ferreira SM, Jabra-Rizk MA, Kelley JI, DePaola LG. Efficacy of Listerine Antiseptic in reducing viral contamination of saliva. Journal of clinical periodontology 2005;32(4):341–346. Doi:10.1111/j.1600-051X.2005.00673.x
-
26. Coulthard P. Dentistry and coronavirus (COVID-19) - moral decision-making. British dental journal 2020;228(7):503–505. Doi:10.1038/s41415-020-1482-1
-
27. Sampson V, Kamona N, Sampson A. Could there be a link between oral hygiene and the severity of SARS-CoV-2 infections?
British dental journal 2020;228(12):971–975. doi: 10.1038/s41415-020-1747-8.
The COVID-19 Pandemic’s Effect on Dental Students’ Attitude and Habits About Oral Hygiene
Yıl 2026,
Cilt: 33 Sayı: 1, 21 - 31, 21.03.2026
Özlem Özişçi
,
Yard. Doç. Dr. H. Cenker Küçükeşmen
Öz
Objective
This study aimed to evaluate the oral hygiene
behaviors and associated factors, such as COVID-19
infection history, vaccination status, smoking habits,
and gender, among young adults during the COVID-19
pandemic.
Material and Method
A cross-sectional survey was conducted with 328
participants aged 18–25 years. Data were collected
through a structured online questionnaire that
included demographic information, smoking behavior,
COVID-19 history, and oral hygiene practices.
Results
Of the participants, 56.4% were female, and the
mean age was 21.74 ± 2.21 years. A majority (87.8%)
reported brushing twice daily, while only 30.5%
changed their toothbrush after a COVID-19 infection.
Smoking was significantly more prevalent among
males (p < 0.001) and was associated with poorer
oral hygiene practices. Dental floss and toothbrush
cover usage were higher among females (p < 0.001
and p = 0.017, respectively). Participants who had
experienced COVID-19 were more likely to adopt postinfection
toothbrush replacement (p < 0.001). Most
participants (76.8%) believed that good oral hygiene
helps reduce the risk of COVID-19 transmission.
Conclusion
Although oral hygiene awareness was generally high
among young adults during the pandemic, important
behavioral gaps remain, particularly in post-infection
hygiene practices and among smokers. Gender
differences in hygiene behavior were notable, with
females demonstrating more preventive habits.
Public health strategies should promote targeted oral
health education focusing on infection prevention and
hygiene reinforcement.
Etik Beyan
Ethics committee approval (dated 24.03.2025
and decision number 94/7) from the Non-Invasive
Clinical Research Ethics Committee of the Suleyman
Demirel University, and written informed consent
was obtained from the individuals participating in
the study. Participants were given the necessary
information about the purpose of the research and
the scientific evaluation of the data. The study was
conducted in accordance with the principles outlined
in the Declaration of Helsinki. Written informed consent to participate and publish was obtained from all individual participants included in the study.
Destekleyen Kurum
The author(s) received no financial support for the research, authorship, and/or publication of this article.
Kaynakça
-
1. Pragi, Kumar V, Monika. Effects of COVID-19 on Oral Health
Status: A Review. New Emirates Medical Journal. 2025;21:e02506882347799.
-
2. World Health Organization. WHO Coronavirus Disease (COVID-
19) Dashboard. 2024. Available from: https://covid19.who.int/
-
3. González-Olmo MJ, Delgado-Ramos B, Ruiz-Guillén A, Romero-
Maroto M, Carrillo-Díaz M. Oral hygiene habits and possible transmission of COVID-19 among cohabitants. BMC Oral Health.
2020;20(1):286. doi:10.1186/s12903-020-01274-5
-
4. Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12(1):9. doi:10.1038/s41368-020-0075-9
-
5. Hirota Y, Adachi N, Ito K, Shinada K, Kabasawa Y. Relationship
between oral health literacy and changes in self-assessment of
oral health during COVID-19. J Dent Sci. 2025;20(1):569-577.
doi:10.1016/j.jds.2024.04.015
-
6. Wen PYF, Chen MX, Zhong YJ, Dong QQ, Wong HM. Global Burden and Inequality of Dental Caries, 1990 to 2019. J Dent Res. 2022;101(4):392-399. doi:10.1177/00220345211056247
-
7. Wdowiak-Szymanik A, Wdowiak A, Szymanik P, Grocholewicz K. Pandemic COVID-19 Influence on Adults' Oral Hygiene, Dietary Habits and Caries Disease-Literature Review. Int J Environ Res Public Health. 2022;19(19):12744. doi:10.3390/ijerph191912744
-
8. Kinane DF, Stathopoulou PG, Papapanou PN. Periodontal diseases. Nat Rev Dis Primers. 2017;3:17038. doi:10.1038/nrdp.2017.38
-
9. Souza NS, Magalhães AN, de Souza Damas AL, Dias AP, Versiani IG, Haikal DS. Changes in the frequency of oral hygiene during the COVID-19 pandemic among teachers. Arquivos em Odontologia. 2023;8:59:3-13
-
10. World Health Organization. WHO global report on trends in prevalence of tobacco use 2000–2025. 3rd ed. Geneva: WHO; 2019.
-
11. Vardavas CI, Nikitara K. COVID-19 and smoking: A systematic review of the evidence. Tob Induc Dis. 2020;18:20. doi:10.18332/tid/119324
-
12. Preshaw P, Chambrone L, Holliday R, Ambalavanan N. Smoking
and periodontal disease. In: Newman MG, Takei H, Klokkevold PR, Carranza FA, editors. Carranza’s Clinical Periodontology. 13th ed. St Louis: Elsevier; 2018. p. 267–273.
-
13. Simons D, Shahab L, Brown J, Perski O. The association of smoking status with SARS-CoV-2 infection, hospitalization and mortality from COVID-19: a living rapid evidence review with Bayesian meta-analyses (version 7). Addiction. 2021;116(6):1319-1368. doi:10.1111/add.15276
-
14. Naghibi Sistani MM, Yazdani R, Virtanen J, Pakdaman A, Murtomaa H. Determinants of oral health: does oral health literacy
matter? ISRN dentistry 2013;2013:249591. doi:10.1155/2013/249591
-
15. Rajeh MT. Gender Differences in Oral Health Knowledge and Practices Among Adults in Jeddah, Saudi Arabia. Clin Cosmet Investig Dent. 2022;14:235-244.
-
16. Polack FP, Thomas SJ, Kitchin N, et al. Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine. N Engl J Med. 2020;383(27):2603-2615.
-
17. Nazir M, Al-Ansari A, Al-Khalifa K, Alhareky M, Gaffar B, Almas
K. Global Prevalence of Periodontal Disease and Lack of Its Surveillance. Scientific World Journal. 2020;2020:2146160.
doi:10.1155/2020/2146160
-
18. Peltzer K, Pengpid S. Oral health behaviour and social and health factors in university students from 26 low, middle and high income countries. Int J Environ Res Public Health. 2014;11(12):12247-12260.
-
19. American Dental Association. Oral health and COVID-19: FAQs and guidelines. 2021 [cited 2025 Apr 4]. Available from: https://www.ada.org
-
20. American Dental Association. Toothbrush care and hygiene. 2020. Available from: https://www.ada.org/resources/research/
science-and-research-institute/oral-health-topics/toothbrush-care
-
21. Centers for Disease Control and Prevention (CDC). Hand hygiene
recommendations. Atlanta (GA): CDC; 2020. Available from: https://www.cdc.gov/handwashing/
-
22. Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with
biocidal agents [published correction appears in J Hosp Infect. 2020;104(3):246-251. doi:10.1016/j.jhin.2020.01.022
-
23. Buunk-Werkhoven YA, Dijkstra A, van der Schans CP. Determinants of oral hygiene behavior: a study based on the theory
of planned behavior. Community Dent Oral Epidemiol. 2011;39(3):250-259. doi:10.1111/j.1600-0528.2010.00589.x
-
24. Borges Tássia Silvana, Cardoso Moisés Zacarias, Fortuna Mixianni Justo, Reuter Cézane Priscila, Imperatore Simone, Franke
Silvia Isabel Rech, et al. Oral hygiene, dietary habits and prevalence
of dental caries in adolescents from rural and urban areas in Rio Grande do Sul, Brazil. SciELO journals. Dataset 2017;65(2):139-147. Doi:10.6084/m9.figshare.7515371.v1
-
25. Meiller TF, Silva A, Ferreira SM, Jabra-Rizk MA, Kelley JI, DePaola LG. Efficacy of Listerine Antiseptic in reducing viral contamination of saliva. Journal of clinical periodontology 2005;32(4):341–346. Doi:10.1111/j.1600-051X.2005.00673.x
-
26. Coulthard P. Dentistry and coronavirus (COVID-19) - moral decision-making. British dental journal 2020;228(7):503–505. Doi:10.1038/s41415-020-1482-1
-
27. Sampson V, Kamona N, Sampson A. Could there be a link between oral hygiene and the severity of SARS-CoV-2 infections?
British dental journal 2020;228(12):971–975. doi: 10.1038/s41415-020-1747-8.