AI Chatbots & Pediatric Fluoride Education: A Study

  • Subramanian, C. R., Yang, D. A. & Khanna, R. Enhancing health care communication with large Language models—the role, challenges, and future directions. JAMA Netw. Open. 7e240347 (2024).

    Google Scholar

  • Rahman, A. et al. Comparative analysis based on DeepSeek, ChatGPT, and Google Gemini: Features, techniques, performance, future prospects. Preprint at (2025).

  • Aggarwal, A., Tam, C. C., Wu, D., Li, X. & Qiao, S. Artificial intelligence–based chatbots for promoting health behavioral changes: systematic review. J. Med. Internet Res. 25e40789 (2023).

    Google Scholar

  • Younis, H. A. et al. A systematic review and meta-analysis of artificial intelligence tools in medicine and healthcare: applications, considerations, limitations, motivation and challenges. Diagnostics 14109 (2024).

    Google Scholar

  • Weyant, R. J. et al. Topical fluoride for caries prevention: executive summary of the updated clinical recommendations and supporting systematic review. J. Am. Dent. Assoc. 1441279–1291 (2013).

    Google Scholar

  • Samaranayake, L., Porntaveetus, T., Tsoi, J. & Tuygunov, N. Facts and fallacies of the fluoride controversy: a contemporary perspective. Int. Dent. J. 75100833 (2025).

    Google Scholar

  • American Academy of Pediatric Dentistry. American academy of pediatric dentistry fluoride therapy. The Reference Manual of Pediatric Dentistry (American Academy of Pediatric Dentistry, 2020).

  • American Academy of Pediatric Dentistry. American Academy of Pediatric Dentistry Reference Manual (American Academy of Pediatric Dentistry, 2008).

  • Singh, B. et al. Systematic review and meta-analysis of the effectiveness of chatbots on lifestyle behaviours. NPJ Digit. With. 6118 (2023).

    Google Scholar

  • Moult, B., Franck, L. S. & Brady, H. Ensuring quality information for patients: development and preliminary validation of a new instrument to improve the quality of written health care information. Health Expect. 7165–175 (2004).

    Google Scholar

  • Li, H., Zhang, R., Lee, Y. C., Kraut, R. E. & Mohr, D. C. Systematic review and meta-analysis of AI-based conversational agents for promoting mental health and well-being. NPJ Digit. With. 6236 (2023).

    Google Scholar

  • American Academy on Pediatric Dentistry Liaison with Other Groups Committee, & American Academy on Pediatric Dentistry Council on Clinical Affairs. Policy on use of fluoride. Pediatr. Dent. 3034–35 (2008).

    Google Scholar

  • Esmaeilzadeh, F., Movahhed, T., Hasani Yaghooti, M. R., Hoseinzadeh, M. & Babazadeh, S. Content analysis of fluoride-related posts on instagram: prevalence of misinformation. BMC Oral Health. 241179 (2024).

    Google Scholar

  • American Dental Association. Community Water Fluoridation at Optimal Levels is Safe and Effective (Press Release). (2024).

  • Keleş, Z. H. Is fluoride opposition a marketing tool on social media? Int. Dent. J. 7493 (2024).

    Google Scholar

  • Charnock, D., Shepperd, S., Needham, G. & Gann, R. DISCERN: an instrument for judging the quality of written consumer health information on treatment choices. J. Epidemiol. Community Health. 53105–111 (1999).

    Google Scholar

  • Yeung, A. W. K. Evaluation of content quality of online health information by global quality score: A case study of researchers misnaming it and citing secondary sources. Publications 1323 (2025).

    Google Scholar

  • Laymouna, M. et al. Roles, users, benefits, and limitations of chatbots in health care: rapid review. J. Med. Internet Res. 26e56930 (2024).

    Google Scholar

  • Jindal, P. & MacDermid, J. C. Assessing reading levels of health information: uses and limitations of Flesch formula. Educ. Health. 3084–88 (2017).

    Google Scholar

  • Jin, E., Ryoo, Y., Kim, W. J. & Song, Y. G. Bridging the health literacy gap through AI chatbot design: the impact of gender and Doctor cues on chatbot trust and acceptance. Internet Res. 341299–1329 (2025).

    Google Scholar

  • Diviani, N., van den Putte, B., Giani, S. & van Weert, J. C. Low health literacy and evaluation of online health information: a systematic review of the literature. J. Med. Internet Res. 17e112 (2015).

    Google Scholar

  • Hindelang, M., Sitaru, S. & Zink, A. Transforming health care through chatbots for medical history-taking and future directions: comprehensive systematic review. JMIR Med. Inf. 12e56628 (2024).

    Google Scholar

  • Bhattacharya, B. S. & Pissurlenkar, V. S. Assistive chatbots for healthcare: a succinct review. Preprint at (2023).

  • Buldur, M. & Sezer, B. Evaluating the accuracy of chat generative pre-trained transformer version 4 (ChatGPT-4) responses to united States food and drug administration (FDA) frequently asked questions about dental amalgam. BMC Oral Health. 24605 (2024).

    Google Scholar

  • Gugnani, N., Pandit, I. K., Gupta, M., Gugnani, S. & Kathuria, S. Parental concerns about oral health of children: is ChatGPT helpful in finding appropriate answers? J. Indian Soc. Pedod. Prev. Dent. 42104–111 (2024).

    Google Scholar

  • Pupong, K., Hunsrisakhun, J., Pithpornchaiyakul, S. & Naorungroj, S. Development of chatbot-based oral health care for young children and evaluation of its effectiveness, usability, and acceptability: mixed methods study. JMIR Pediatr. Parent. 5e62738 (2025).

    Google Scholar

  • Or, A. et al. Enhancing dental students’ history-taking skills with a generative artificial intelligence chatbot. J. Dent. Educ. 1e13952 (2025).

    Google Scholar

  • Maruska, E. E. et al. Comparing dentist and chatbot answers to dental questions for quality and empathy. JADA Found. Sci. 4100044 (2025).

    Google Scholar

  • Collaborative, T. C. Reporting guideline for chatbot health advice studies: the chatbot assessment reporting tool (CHART) statement. BMJ Med. 4e001632 (2025).

    Google Scholar

  • Zhou, Y., Oniani, D., Sreekumar, S., DeAlmeida, R. & Wang, Y. Toward improving health literacy in patient education materials with neural machine translation models. Preprint at (2022).

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