{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T04:59:40Z","timestamp":1785560380192,"version":"3.56.0"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000406","name":"Motor Neurone Disease Association","doi-asserted-by":"publisher","award":["Glenny\/Oct23\/2334\u2010794"],"award-info":[{"award-number":["Glenny\/Oct23\/2334\u2010794"]}],"id":[{"id":"10.13039\/501100000406","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The objective of this scoping review was to map existing literature on oral health and related care in individuals with Motor Neurone Disease (MND). Specifically, the review aimed to identify barriers and facilitators to maintaining oral hygiene, summarise available clinical guidelines and patient\u2010facing resources, and examine how oral health care is integrated within multidisciplinary management of MND.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The review focused on oral health practices without restrictions on language, publication date or study type, excluding studies unrelated to MND or oral health. Data sources included MEDLINE, Embase, CINAHL, and grey literature such as clinical guidelines and patient resources. Screening and data extraction were performed independently by two reviewers to ensure rigor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 847 studies screened, eleven primary studies met the inclusion criteria, comprising case reports, case series, self\u2010reports, cross\u2010sectional studies and letters. The grey literature search identified three clinical guidelines and eight patient information leaflets\/resources. The included studies spanned diverse populations, including Amyotrophic Lateral Sclerosis (ALS) patients with varying disease subtypes and care needs, and explored oral hygiene difficulties, care barriers and unique insights from the case studies. Identified gaps highlighted the lack of integration of dental professionals into multidisciplinary care teams. Barriers such as physical limitations, caregiver dependency and limited\u2010service accessibility were prevalent. However, caregiver involvement, multidisciplinary collaboration and innovative solutions like antimicrobial photodynamic therapy and adaptive oral aids emerged as enablers. Poor oral health was strongly associated with increased pain, aspiration pneumonia and diminished well\u2010being, emphasising the need for targeted interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Embedding oral health management within multidisciplinary care frameworks for MND patients, enhancing caregiver training, improving access to dental services and adopting innovative strategies will improve patient outcomes and inform future research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70061","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T05:11:02Z","timestamp":1773292262000},"page":"447-461","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Oral Health Care Services, Barriers and Enablers to Maintaining Good Oral Health in Motor Neurone Disease: A Scoping Review"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5556-8301","authenticated-orcid":false,"given":"Mariam A.","family":"Khokhar","sequence":"first","affiliation":[{"name":"Division of Dentistry, School of Medical Sciences The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3057-3814","authenticated-orcid":false,"given":"Lucy A.","family":"O'Malley","sequence":"additional","affiliation":[{"name":"Division of Dentistry, School of Medical Sciences The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4037-2899","authenticated-orcid":false,"given":"Anne\u2010Marie","family":"Glenny","sequence":"additional","affiliation":[{"name":"Division of Dentistry, School of Medical Sciences The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7302-8771","authenticated-orcid":false,"given":"Xiaohui","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Dentistry, School of Medical Sciences The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"NICE Motor Neurone Disease: Assessment And Management. NG42(2016) www.nice.org.uk\/guidance\/ng42."},{"key":"e_1_2_9_3_1","unstructured":"GBD 2019 Motor Neuron Disease Collaborators Frontiers in Neurology(2022)."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(18)30404-6"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000108917"},{"key":"e_1_2_9_6_1","volume-title":"MND Affects the Teeth and Oral Health [Internet]","author":"Motor Neurone Disease Association","year":"2023"},{"key":"e_1_2_9_7_1","unstructured":"British Society for Disability and Oral Health Guidelines for Oral Health Care for People With a Physical Disability(2000)."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754\u20104505.1993.tb01475.x"},{"key":"e_1_2_9_9_1","unstructured":"MNDA Multidisciplinary Team Working for MND www.mndassociation.org\/app\/uploads\/2012\/04\/Multidisciplinary\u2010team\u2010working\u2010for\u2010MND.pdf."},{"key":"e_1_2_9_10_1","unstructured":"NHS England Mouth Care 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