Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Dr Mohan Z Mani

"Thank you very much for having published my article in record time.I would like to compliment you and your entire staff for your promptness, courtesy, and willingness to be customer friendly, which is quite unusual.I was given your reference by a colleague in pathology,and was able to directly phone your editorial office for clarifications.I would particularly like to thank the publication managers and the Assistant Editor who were following up my article. I would also like to thank you for adjusting the money I paid initially into payment for my modified article,and refunding the balance.
I wish all success to your journal and look forward to sending you any suitable similar article in future"



Dr Mohan Z Mani,
Professor & Head,
Department of Dermatolgy,
Believers Church Medical College,
Thiruvalla, Kerala
On Sep 2018




Prof. Somashekhar Nimbalkar

"Over the last few years, we have published our research regularly in Journal of Clinical and Diagnostic Research. Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles. The ease of submission, the rapid reviews in under a month, the high quality of their reviewers and keen attention to the final process of proofs and publication, ensure that there are no mistakes in the final article. We have been asked clarifications on several occasions and have been happy to provide them and it exemplifies the commitment to quality of the team at JCDR."



Prof. Somashekhar Nimbalkar
Head, Department of Pediatrics, Pramukhswami Medical College, Karamsad
Chairman, Research Group, Charutar Arogya Mandal, Karamsad
National Joint Coordinator - Advanced IAP NNF NRP Program
Ex-Member, Governing Body, National Neonatology Forum, New Delhi
Ex-President - National Neonatology Forum Gujarat State Chapter
Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat.
On Sep 2018




Dr. Kalyani R

"Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning. I have been associated with this journal since many years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary. It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take preventive measures against certain diseases. The journal is contributing immensely to the society at national and international level."



Dr Kalyani R
Professor and Head
Department of Pathology
Sri Devaraj Urs Medical College
Sri Devaraj Urs Academy of Higher Education and Research , Kolar, Karnataka
On Sep 2018




Dr. Saumya Navit

"As a peer-reviewed journal, the Journal of Clinical and Diagnostic Research provides an opportunity to researchers, scientists and budding professionals to explore the developments in the field of medicine and dentistry and their varied specialities, thus extending our view on biological diversities of living species in relation to medicine.
‘Knowledge is treasure of a wise man.’ The free access of this journal provides an immense scope of learning for the both the old and the young in field of medicine and dentistry as well. The multidisciplinary nature of the journal makes it a better platform to absorb all that is being researched and developed. The publication process is systematic and professional. Online submission, publication and peer reviewing makes it a user-friendly journal.
As an experienced dentist and an academician, I proudly recommend this journal to the dental fraternity as a good quality open access platform for rapid communication of their cutting-edge research progress and discovery.
I wish JCDR a great success and I hope that journal will soar higher with the passing time."



Dr Saumya Navit
Professor and Head
Department of Pediatric Dentistry
Saraswati Dental College
Lucknow
On Sep 2018




Dr. Arunava Biswas

"My sincere attachment with JCDR as an author as well as reviewer is a learning experience . Their systematic approach in publication of article in various categories is really praiseworthy.
Their prompt and timely response to review's query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication.
It's a honour and pride to be a part of the JCDR team. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future."



Dr. Arunava Biswas
MD, DM (Clinical Pharmacology)
Assistant Professor
Department of Pharmacology
Calcutta National Medical College & Hospital , Kolkata




Dr. C.S. Ramesh Babu
" Journal of Clinical and Diagnostic Research (JCDR) is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine. The quality of printing of figures and tables is excellent and comparable to any International journal. An added advantage is nominal publication charges and monthly issue of the journal and more chances of an article being accepted for publication. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also. As an author and reviewer for several years I find this Journal most suitable and highly recommend this Journal."
Best regards,
C.S. Ramesh Babu,
Associate Professor of Anatomy,
Muzaffarnagar Medical College,
Muzaffarnagar.
On Aug 2018




Dr. Arundhathi. S
"Journal of Clinical and Diagnostic Research (JCDR) is a reputed peer reviewed journal and is constantly involved in publishing high quality research articles related to medicine. Its been a great pleasure to be associated with this esteemed journal as a reviewer and as an author for a couple of years. The editorial board consists of many dedicated and reputed experts as its members and they are doing an appreciable work in guiding budding researchers. JCDR is doing a commendable job in scientific research by promoting excellent quality research & review articles and case reports & series. The reviewers provide appropriate suggestions that improve the quality of articles. I strongly recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. I hope my collaboration with JCDR will continue for a long time".



Dr. Arundhathi. S
MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
Bengaluru.
On Aug 2018




Dr. Mamta Gupta,
"It gives me great pleasure to be associated with JCDR, since last 2-3 years. Since then I have authored, co-authored and reviewed about 25 articles in JCDR. I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer.
It 's a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. The best thing about JCDR is that the full articles of all medical specialties are available as pdf/html for reading free of cost or without institutional subscription, which is not there for other journals. For those who have problem in writing manuscript or do statistical work, JCDR comes for their rescue.
The journal has a monthly publication and the articles are published quite fast. In time compared to other journals. The on-line first publication is also a great advantage and facility to review one's own articles before going to print. The response to any query and permission if required, is quite fast; this is quite commendable. I have a very good experience about seeking quick permission for quoting a photograph (Fig.) from a JCDR article for my chapter authored in an E book. I never thought it would be so easy. No hassles.
Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
My best wishes to Dr. Hemant Jain and all the editorial staff of JCDR for their untiring efforts to bring out this journal. I strongly recommend medical fraternity to publish their valuable research work in this esteemed journal, JCDR".



Dr. Mamta Gupta
Consultant
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018




Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.


Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."



Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011




Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."



Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011
Anuradha

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.


Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020

Important Notice

Original article / research
Year : 2026 | Month : September | Volume : 20 | Issue : 9 | Page : ZC52 - ZC57 Full Version

Quality and Content Analysis of YouTube Videos Regarding Antibiotic use in Dentistry: A Cross-sectional Study


Published: September 1, 2026 | DOI: https://doi.org/10.7860/JCDR/2026/81045.24344
Balajee Venkatesh, Prethipa Roland, S Lokesh Kumar

1. Postgraduate Student, Department of Oral Medicine and Radiology, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India. 2. Senior Lecturer, Department of Oral Medicine and Radiology, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India. 3. Senior Lecturer, Department of Oral Medicine and Radiology, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.

Correspondence Address :
Dr. Prethipa Roland,
Senior Lecturer, Department of Oral Medicine and Radiology, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Velappanchavadi, Chennai-600077, Tamil Nadu, India.
E-mail: rolandprethipap.sdc@saveetha.com

Abstract

Introduction: Antibiotic misuse is a major global public health problem that contributes to antimicrobial resistance. India is among the largest consumers of antibiotics worldwide.YouTube, widely used for accessing health-related information, hosts content on antibiotic use that includes misinformation, which may mislead patients who bypass professional consultations. Despite the growing use of YouTube as a source of health information, limited evidence exists about the accuracy and reliability of content related to antibiotics in dentistry.

Aim: To assess YouTube videos related to the use of antibiotics in dentistry for their content and overall quality, including clarity, accuracy, technical quality, overall flow, completeness of information, and usefulness to patients.

Materials and Methods: This was a cross-sectional study conducted via YouTube between January 2024 and March 2024 at the Department of Oral Medicine and Radiology, Saveetha Dental College and Hospitals, Chennai, Tamil Nadu, India. Of the 300 videos initially identified across all predefined search terms, 29 met the primary inclusion criteria: English-language videos related to the study topic, with clear audio-visual quality and relevant educational content. Video demographics, source, length, and viewer interaction indices were recorded. Content analysis was performed using a 10-point rating system. The Global Quality Scale (GQS) and Video Information and Quality Index (VIQI) were applied to assess the overall quality of the videos. Statistical analysis was performed using descriptive and inferential statistics, including the Mann–Whitney U test, Spearman’s rank correlation, Cohen’s kappa, and intraclass correlation coefficient (ICC), as appropriate. A p-value <0.05 was considered statistically significant.

Results: The mean content score was 3.51±2.13 out of 10, (p=0.0004) between rich and poor content videos, while the mean GQS value was 2.64/5 (p=0.0203), showing statistical significance. VIQI scores averaged 10.08/20, with no significant differences (p=0.853). Among the 29 videos analysed, the major contributors were general channels (n=11; 37.93%), followed by health care professionals (27.59%), educational series 5 (17.24%), and health care centres 4 (13.79%). Only one video (3.45%) was uploaded by a dental association (such as the American Dental Association). Regarding geographic origin, the majority were uploaded from India, 8 (28%) and from the USA 7 (24%), while the remaining videos were from other countries.

Conclusion: YouTube videos on antibiotics in dentistry generally exhibited poor content and moderate quality. Addressing antimicrobial resistance requires responsible prescription practices and patient education on appropriate antibiotic use.

Keywords

Health literacy, Information dissemination, Patient education, Public health, Social media

A major worldwide concern is antibiotic resistance, which occurs when bacteria develop resistance to antibiotics, decreasing the effectiveness of treatments. Antibiotic misuse and overuse hasten the emergence of resistant strains, which puts significant pressure on healthcare systems and results in longer disease durations and increased mortality rates. Responsible antibiotic use, development of new treatments, and global cooperation are essential to combat this issue. Self-medication worsens resistance by promoting inappropriate use and incomplete treatment (1).

Social media plays a dual role in antibiotic usage. It can disseminate valuable health information but also spreads misinformation, encouraging self-prescription and undermining professional advice. Social media presents issues including privacy hazards and mental health issues despite its educational potential, highlighting the necessity of careful digital use (2).

Global antibiotic consumption increased by 36% between 2000 and 2010, with the BRICS countries, namely Brazil, Russia, India, China, and South Africa, contributing nearly 76% of this rise (3). India faces particular challenges due to widespread self-medication and easy access to over-the-counter antibiotics (4). Annually, 56,524 neonatal deaths in India are linked to sepsis from bacteria resistant to first-line antibiotics (5). In 2010, India recorded the world’s highest antibiotic consumption in human medicine (6).

Antibiotic use in dentistry is widespread in India (7), with studies reporting incorrect prescription practices among dental professionals (8),(9). Poor dentist-to-population ratios (10) and uneven workforce distribution (11) lead rural populations to seek Informal Healthcare Providers (IHCPs) (12). A study found 90% of dental-related prescriptions by IHCPs included antibiotics (9). YouTube is increasingly used for health information (13),(14), but users often struggle to assess content accuracy (15),(16). Although existing literature has reported antibiotic misuse and resistance, limited research has evaluated the accuracy and quality of online content, particularly on widely accessed platforms like YouTube. The present study is novel in assessing how YouTube videos portray antibiotic use in dentistry, bridging the gap between digital health communication and antibiotic stewardship. By critically analysing video content, the study highlights both the potential and the risks of social media as a tool for public health education, offering insights for healthcare professionals, policymakers, and educators to strengthen digital strategies against antibiotic misuse. This study aimed to evaluate the YouTube videos related to antibiotic use in dentistry in terms of clarity, accuracy, technical quality, overall flow, completeness of information, and usefulness to patients, with a focus on promoting appropriate usage and creating awareness about the risks of misuse.

Material and Methods

This cross-sectional study was conducted using YouTube at the Department of Oral Medicine and Radiology, Saveetha Dental College and Hospitals, Chennai, Tamil Nadu, India, from January 2024 to March 2024. As this study was based exclusively on publicly accessible data from YouTube, ethics approval was not required. Since no human participants were directly involved, Institutional ethics committee approval was not applicable.

Study design: Using “Keywords” and “sort by relevance” as default criteria, three search terms- “antibiotics in dentistry,” “antibiotics in dental pain,” and “antibiotics in tooth pain”- were utilised.

Inclusion criteria: It included videos of 2-20 minutes duration, uploaded within the last two years between March 2022 and March 2024, in English, and related to antibiotic use in dentistry.

Exclusion criteria: Videos longer than 20 minutes, shorter than two minutes, older than two years, in other languages, unrelated to antibiotics in dentistry, or duplicates are excluded.

Sample size: Based on the predetermined inclusion and exclusion criteria, the first 300 videos retrieved for all predefined search keyword were screened for relevance. As shown in (Table/Fig 1), 29 videos met the inclusion criteria after the initial screening of 300 videos.

Study Procedure

A total of 300 YouTube videos were screened using the defined keywords. Of these, 271 were excluded due to irrelevance (n=149), duplication (n=95), or being non English (n=27). Finally, 29 videos met the inclusion criteria and were considered for analysis. This flowchart visually summarises the selection process, ensuring transparency and reproducibility of the study methodology.

Three researchers independently assessed videos that were viewed on the YouTube website (https://www.youtube.com) on the same day. Evaluation and scoring were carried out independently by two observers. Any discrepancies were resolved by a third observer. Videos were watched on the same day on YouTube, and general parameters recorded included the title, Uniform Resource Locator (URL), uploader type (individual, organisation, or educational source), duration, number of views, likes, dislikes, comments, video duration, days since upload, date of upload, and country of origin. The country of origin was identified based on details provided in the video description, uploader’s channel information, or metadata, and videos with no such information were categorised as “not reported”. Viewing rate and interaction index were calculated using the equation as shown in (Table/Fig 2).

The interaction index quantified audience engagement by comparing likes and dislikes relative to total views. The viewing rate reflected the average daily views since upload, indicating each video’s reach over time. These metrics provided a quantitative basis for comparing engagement and popularity across the selected videos.

The content of the videos was assessed using a 10-point scale. The scoring criteria were adapted and modified from previously published literature assessing health-related video content, with appropriate adjustments made to suit the topic of antibiotic use in dentistry (17),(18). The scoring parameters includes the following: (1) Indications of antibiotics; (2) Dosage of antibiotics; (3) Side effects of antibiotics; (4) Contraindications of antibiotics; (5) Drug interactions of antibiotics; (6) Antibiotic resistance; (7) Classification/Commonly used antibiotics; (8) Antibiotic prophylaxis; (9) Guidelines for usage; (10) Definitions. Videos that scored exactly five points or less were categorised as having poor content, whereas videos that scored more than five points were categorised as having rich material. After each score was given, the total content score was calculated by adding them all up. The VIQI and the GQS (18) were used to assess the videos’ quality. VIQI used a 5-point Likert scale to evaluate content consistency, video quality, clarity, and information flow. Videos were ranked from 1 (poor quality) to 5 (excellent quality) by the GQS. These scores are summarized in (Table/Fig 3). The final quality interpretation was made by correlating content score, VIQI, and GQS values, where videos with higher scores in all three parameters were considered rich in quality, and those with lower scores were deemed poor quality.

Content was assessed using a ten-point scale; videos for each content point were scored as 0 (not included) or 1 (included), and a total content score was assigned. Videos with a score of less than five points were classified as poor-content videos, and those scored above five points were classified as rich-content videos. The GQS rated overall quality from 1 (poor) to 5 (excellent). The VIQI included four domains: flow of information, accuracy, technical quality, and coherence, each scored using a 5-point Likert scale.

STATISTICAL ANALYSIS

The IBM Statistical Package for Social Sciences (SPSS) Statistics for Windows, version 21.0 (IBM Corp., Armonk, NY, 2012), was used to perform statistical analyses. The Kolmogorov-Smirnov test was used to evaluate the normality of the data, and nonparametric tests were used because the parameters were not normally distributed. For each video, key metrics including the number of views, likes, dislikes, comments, video duration, time since upload, viewing rate, and interaction index were calculated to assess performance and audience engagement. The Mann-Whitney U-test was used for comparisons after videos were divided into groups with poor and rich material according to their overall content scores. Spearman correlation was used to examine the relationships between the total content score, total VIQI score, GQS, and variables such as duration, likes, dislikes, comments, and viewing rates. Inter-rater reliability between the observers was assessed using Cohen’s Kappa for binary data, while the Intraclass Correlation Coefficient (ICC 2,1) was applied to continuous numerical scores to measure absolute agreement.

Results


The average content score was 3.51 out of 10, which was less than the 5-point threshold. Descriptive information as mean and standard deviation are displayed in (Table/Fig 4) displays. The VIQI scale mean was 10.08, and the GQS mean was 2.64.

The Spearman’s correlation test was used to compare the characteristics of videos and displays a strong positive correlation (ρ=0.802) between the content score and its corresponding quality measure, indicating a high level of consistency in content evaluation (Table/Fig 5). Similarly, the content score’s correlation with the GQS (ρ=0.736) suggests that videos rated highly in content also score well globally. The correlation between GQS and its specific quality measure (ρ=0.678) further reinforces the reliability of the GQS metric. The VIQI shows a strong alignment with GQS (ρ=0.808), while the internal consistency within the VIQI metric is evident with an even higher correlation (ρ=0.868) between VIQI and its specific quality measure. Engagement metrics also demonstrate strong correlations, with the total number of views closely linked to both the number of likes (ρ=0.936) and dislikes (ρ=0.865), reflecting how increased visibility can lead to diverse viewer reactions. Additionally, the interaction index’s correlation with views (ρ=0.948) suggests that higher view counts lead to greater engagement opportunities.

Among the 29 videos analysed, the major contributors were general channels 11 (37.93%), followed by health care professionals 8 (27.59%), educational series 5 (17.24%), and health care centres 4 (13.79%). Only one video (3.45%) was uploaded by a dental association (such as the American Dental Association), as shown in (Table/Fig 6)a. Most of these videos were uploaded from India, followed by the USA. Some of the videos were not reported, as shown in (Table/Fig 6)b. The data obtained indicates a significant concentration of videos from India 8 (28%) and the USA 7 (24%), making these two countries the primary contributors, making these two countries the primary contributors. UK, Yemen, Norway, Austria, Spain, Georgia, Pakistan, and Malaysia each contributed only a single video, suggesting a minimal presence in this context. Additionally, there are some videos for which the country of origin was not reported.

Inter-rater variability was assessed using Cohen’s Kappa for binary quality classifications, and ICC 2,1 was used to measure absolute agreement for the raw numerical scores. The strength of agreement was interpreted according to the Landis and Koch classification: <0=poor, 0-0.20=slight, 0.21-0.40=fair, 0.41-0.60=moderate, 0.61-0.80=substantial and 0.81-1.00=almost perfect agreement. Both observers showed substantial agreement on content quality (k= 0.606) and moderate agreement on content score (ICC=0.517) and Global Quality Scale (GQS) scores (k=0.420), as shown in (Table/Fig 7).

Spearman’s correlation analysis was used to explore relationships between quality measures (content score, GQS, VIQI) and engagement indices (likes, dislikes, views, comments, interaction index, viewing rate). Strong positive correlations were observed among content quality measures, while engagement indices showed variable associations.

The major contributors were general channels 11 videos (37.93%), followed by healthcare professionals 8 videos (27.59%), educational series 5 videos (17.24%), and healthcare centres 4 videos (13.79%). Only one video (3.45%) was uploaded by a dental association (such as the American Dental Association).

Most videos originated from India, 8 (28%) and from the USA 7 (24%), highlighting these two countries as the primary contributors. Single videos were contributed by the UK, Yemen, Norway, Austria, Spain, Georgia, Pakistan, and Malaysia (n=1 each, 3%). A few videos did not report the country of origin.

The inter-rater agreement analysis demonstrated substantial agreement for content quality (κ=0.606). Moderate agreement was observed for GQS quality (κ=0.420) and content score (ICC=0.517). Fair agreement was noted for VIQI score (ICC=0.317), GQS score (ICC=0.265), and VIQI quality (κ=0.239). Overall, the findings indicate acceptable reliability between the evaluators, with stronger agreement for content quality evaluation.

Discussion

Because social media and the internet are becoming more and more important information sources, doctors need to be on the lookout for information that is accurate and trustworthy for their patients. Platforms like YouTube have made educational videos widely accessible, making it easier for patients to learn about health topics. However, the ease of video creation and sharing also brings forth concerns about the validity and timeliness of such information (19). Given the rapid advancements in medical science, educational content can become outdated quickly. A video that was accurate a few years ago may no longer reflect the most current research findings or clinical guidelines, thereby contributing to misinformation. Furthermore, some of these videos are created by individuals without appropriate medical training, which increases the risk of disseminating incorrect or misleading health advice.

Dentists, therefore, play a critical role in helping patients navigate this information landscape. By engaging in open discussions with patients about the health-related content they come across online, physicians can clarify misconceptions, contextualise information, and guide patients towards reliable sources. This proactive approach ensures that patients make informed decisions grounded in accurate and up-to-date medical knowledge (20).

In the present study, the analysis of video content revealed that general channels often operated by non healthcare professionals accounted for the largest share of uploads (37.93%), indicating that a substantial proportion of available content originates from non professional sources. These creators may lack the clinical expertise required to present medically accurate information, yet their content often garners substantial viewership. The lack of standardised control over video content on YouTube has resulted in a wide variation in quality, facilitating the unchecked spread of misinformation. This underscores the pressing need for healthcare professionals and authoritative medical bodies to engage more actively in producing and promoting high-quality educational content.

It is interesting to note that these videos’ average content score was 3.51/10, below the middle of the scoring range. This result suggests that a sizable portion of videos do not offer thorough or accurate information regarding antibiotics. The mean GQS score was 2.64 (p=0.020), and the mean VIQI was 10.08 (p=0.853, not statistically significant), indicating that overall video quality was moderate. The VIQI score indicates moderate viewer interaction quality, but a GQS score close to 3 indicates average quality. These scoring discrepancies show how different video sources are in terms of both content quality and interaction tactics.

The fact that older videos, which are frequently out-of-date and lack recent updates, continue to draw sizable viewership is alarming, even if the amount of time after a video was uploaded was proven to be statistically unimportant in terms of content quality. This points to a need for intervention, where platforms like YouTube could flag or remove outdated health-related content to prevent the perpetuation of obsolete or incorrect information. Thus, the dual role of social media platforms such as YouTube as both valuable educational resources and sources of misinformation is clearly highlighted. This duality emphasises the need for responsible digital health communication (21).

Furthermore, significant correlations were observed between video view rates and both the interaction index (correlation coefficient: 0.864) and total number of views (0.948), indicating that more engaging videos tend to be watched more thoroughly and attract larger audiences. These strong correlations reinforce the reliability of the evaluation metrics employed, validating their utility in assessing video quality and user engagement. In addition, significant differences were found between groups in terms of number of comments, video duration, interaction index, and viewing rates (p<0.05), consistent with findings reported by Albayrak E and Büyükçavus¸ MH in 2023 while the interaction index and video time showed a weak positive correlation (correlation coefficient: 0.243) in this study, Ho A et al., (2017) also found a positive link between these two factors (18),(22).

A robust positive correlation (0.808) was observed between VIQI and GQS, indicating alignment between these two metrics. Videos that featured rich, informative content scored significantly higher, achieving mean VIQI and GQS scores of 12.89 and 4, respectively, with p-values of 0.035 and 0.0001. These findings align with the study by Albayrak E and Büyükçavus¸ MH, which similarly demonstrated that content richness directly correlates with higher video quality (18). Additionally, higher-quality videos received fewer dislikes, as evidenced by negative correlations between dislikes and both VIQI (-0.306) and GQS (-0.298).

Although social media allows for effective health communication, it also presents substantial risks when content is unregulated or misleading (13),(16). Alarming statistics, such as the significant number of neonatal deaths in India due to antibiotic-resistant sepsis (5), underscore the gravity of the issue. Furthermore, the high rate of antibiotic prescriptions for dental issues, surpassing those for other conditions, suggests a possible underestimation of antibiotic use when over-the-counter consumption is not accounted for (8).

Limitation(s)

The present study has certain limitations. Only three search terms were used, which may limit the comprehensiveness of the findings. The relatively small sample size of 29 videos, selected after rigorous screening, limits the generalisability of the findings. Only English-language videos were analysed, potentially excluding relevant content in other languages, especially in multilingual countries like India. The evaluation was static, focusing on videos available at a specific time, while YouTube’s dynamic nature means that new videos are continually uploaded and older ones removed. Additionally, the study was restricted to YouTube, ignoring other platforms like Facebook or Instagram, which may also influence public perceptions of antibiotic use. Lastly, the study relied on subjective scoring systems, which, despite being validated, may introduce observer bias.

Conclusion

In conclusion, the present study revealed that most YouTube videos on antibiotic use in dentistry lack comprehensive and reliable content, with significant variations in quality and engagement across sources. The prevalence of moderate- to low-quality information underscores the urgent need for stricter content evaluation and increased contributions from credible healthcare professionals. Strengthening regulatory measures and promoting patient awareness are essential to mitigate the risks of misinformation and antibiotic misuse. Furthermore, collaboration between dental associations and content creators is recommended to develop accurate, evidence-based, and engaging digital educational materials, ensuring that patients and the public have access to trustworthy information.

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DOI and Others

DOI: 10.7860/JCDR/2026/81045.24344

Date of Submission: May 31, 2025
Date of Peer Review: Sep 17, 2025
Date of Acceptance: Jun 09, 2026
Date of Publishing: Sep 01, 2026

AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? NA
• Was informed consent obtained from the subjects involved in the study? NA
• For any images presented appropriate consent has been obtained from the subjects. NA

PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Sep 11, 2025
• Manual Googling: Jun 04, 2026
• iThenticate Software: Jun 06, 2026 (1%)

ETYMOLOGY: Author Origin

EMENDATIONS: 11

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