The Use of Puppetry‐Based Approaches in Dental and Oral Health Promotion for Children: A Scoping Review of Interventions

Background Puppetry is a well‐established three‐dimensional art form of media that has been commonly utilized to tell stories and communicate messages. Its application in educational entertainment has become widespread and gained recognition. Aim This scoping review aimed to explore puppetry‐based approaches in promoting dental and oral health for children. Methods A comprehensive search of eight databases was conducted using PRISMA‐ScR guidelines, focusing on studies published up to August 2024. Results Ten studies were included in the review. A game‐centered educational approach significantly enhanced children's dental knowledge and skills. Human models with mirror feedback were most effective, while giant tooth‐brushing models and animal puppets had the lowest imitation rates. Puppet theater improved urban preschoolers' oral health but had no effect on rural children. Hand puppets, pop‐up books, and animated videos significantly enhanced toothbrushing skills. Storytelling with hand puppets improved knowledge and attitude more than role‐playing. Puppet shows and animated videos yielded notable posttest improvements in oral health knowledge and skills. Conclusion Puppetry‐based education appears to be an effective strategy for improving oral health knowledge, attitudes, and behaviors among children, particularly in school and clinical settings.