Evidence map›Paper›PMID 41491490›Full record

Trial reportBMC medical education2026

Effectiveness of an educational program on improving the knowledge and practice of environmental sustainability in dentistry among undergraduate students at Faculty of Dentistry in Egypt: an interventional study.

Esraa Mahmoud Bishr, Mohamed Fakhry Hussein, Gaber Abuzaid Ismail, Ebtisam Mohamed Fetohy, Aleya Hanafy El-Zoka

Abstract readClinical Trial
In one paragraph

Trial report in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Esraa Mahmoud BishrDepartment of Occupational Health and Industrial Medicine, High Institute of Public Health, Alexandria University, Alexandria, Egypt. Hiph.esraabishr@alexu.edu.eg.
Mohamed Fakhry HusseinDepartment of Occupational Health and Industrial Medicine, High Institute of Public Health, Alexandria University, Alexandria, Egypt. hiph-mohamedfakhry@alexu.edu.eg.ORCID http://orcid.org/0000-0003-3775-6226
Gaber Abuzaid IsmailDepartment of Environmental Health, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
Ebtisam Mohamed FetohyDepartment of Health Administration and Behavioral Sciences, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
Aleya Hanafy El-ZokaDepartment of Occupational Health and Industrial Medicine, High Institute of Public Health, Alexandria University, Alexandria, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDental practices generate significant environmental impacts, necessitating environmentally sustainable dentistry (ESD) for equitable, ethical, and resource-efficient care. However, a knowledge gap exists among dental practitioners regarding sustainable practices.

objectivesThis study assessed the effectiveness of an educational program on the knowledge and practice (KP) of undergraduate dental students at Pharos University in Alexandria (PUA), Egypt, regarding ESD.

methodsThe study was conducted from April to November 2024 and recruited 175 final pre-clinical (3rd) and final clinical (5th) year students. Participants' KP was evaluated before, immediately after, and six months post-program using a structured questionnaire. Statistical analysis employed t-tests, one-way ANOVA, and univariate regression models.

resultsParticipants (58.28% female, mean age 20.88 years) initially demonstrated low awareness of sustainability, primarily relying on social media for information (37.14%). The program improved knowledge, increasing the mean percentage from (60.38% ± 17.74%) to (92.60% ± 7.42%) immediately post-program and (76.41% ± 21.66%) after six months (p < 0.001). Self-reported practices also improved, rising from (52.84% ± 10.79%) to (64.14% ± 11.73%) then (61.90% ± 13.47%) (p < 0.001). Participants with good KP increased from (12.57%, 1.14%) pre-program to (93.14%, 15.42%) immediately post-program, then (51.42%, 18.28%) after six months (p < 0.001). Moderate positive correlations were found between knowledge and practice post-intervention (p < 0.05). Regression indicated that prior awareness of sustainability strongly predicted better KP of ESD at baseline, also final clinical educational level predicted good knowledge and using social media/websites predicted good practice.

conclusionsBaseline KP regarding ESD was low. The educational program significantly enhanced participants' KP, demonstrating the potential of the multi-component targeted educational intervention in enhancing ESD. Incorporating sustainability into undergraduate curricula is recommended to improve future dental professionals' competencies.

trial registrationThe clinical trial registration number is PACTR202406623852822 (Date: 12 June 2024), "retrospectively registered".

Indexed as

Conservation of Natural ResourcesEducation, DentalHealth Knowledge, Attitudes, PracticeStudents, DentalAdultEgyptFemaleHumansMaleProgram EvaluationSurveys and QuestionnairesYoung AdultEco-dentistryEducational programEgyptKnowledgePracticeSustainable dentistrySustainable development

Identifiers

PMID41491490
PMCPMC12849658

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.