{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:43:17Z","timestamp":1784302997810,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n Despite growing concerns about the oral health\u2010diabetes link, there is a lack of dental health interventions focused on people with diabetes. This mapping review synthesised the current landscape of oral health interventions for people with diabetes and identified future opportunities.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A systematic search of electronic databases (Embase, PubMed, Scopus, Web of Science, and the Cochrane Library) and grey literature was conducted without language or publication\u2010year restrictions. Eligible evidence was restricted to review\u2010level studies, including systematic reviews (with or without meta\u2010analysis), network meta\u2010analyses, and umbrella reviews, that focused on populations living with diabetes (type 1, type 2, or gestational) and reported at least one WHO core oral health outcome. Paired reviewers screened studies, extracted data, and assessed methodological quality using AMSTAR 2. A thematic map categorised interventions based on WHO\u2010defined core oral health outcomes (periodontitis, dental caries, tooth loss, and oral cancer). Network maps were developed at three levels of action (patient, population, and policymaker), and the findings were stratified by World Bank income classification (2024\u20132025).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 3527 records were identified. After screening titles and abstracts and assessing 107 full texts, 76 reviews were included (62 systematic reviews, seven umbrella reviews, six network meta\u2010analyses, and one meta\u2010epidemiological study), with the majority originating from high\u2010income countries (54.5%). Most interventions were conducted in clinical settings (\n n<\/jats:italic>\n \u2009=\u200950), followed by community (\n n<\/jats:italic>\n \u2009=\u200914) and institutional settings (\n n<\/jats:italic>\n \u2009=\u200912). Follow\u2010up periods ranged from two weeks to 20\u2009years. At the patient level, interventions predominantly focused on non\u2010surgical periodontal therapy and scaling and root planing (71 studies, 89.0%), often combined with adjunctive antimicrobial or anti\u2010inflammatory therapies (39 studies, 51.3%), and oral hygiene or lifestyle education (25 studies, 32.9%). Population\u2010level strategies were less frequently reported and included community oral health education, fluoride\u2010based prevention, and primary care integration (26 studies, 34.2%). Policymaker\u2010level evidence was limited (one study, 1.3%), emphasising the integration of periodontal care into diabetes management pathways and interdisciplinary healthcare models. The studies from low\u2010 and lower\u2010middle income countries were underrepresented (9 of 44 countries, 20.5%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Despite growing evidence, gaps persist in population\u2010level and policy\u2010oriented interventions, particularly within primary care and in low\u2010 and lower\u2010middle\u2010income country contexts. Future priorities include integrating oral health into diabetes care pathways, strengthening interdisciplinary care models, and expanding preventive strategies in low\u2010 and middle\u2010income countries.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/cdoe.70068","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T04:21:07Z","timestamp":1776054067000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Oral Health Interventions for People Living With Diabetes From a Public Health Perspective: A Mapping Review"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7310-2767","authenticated-orcid":false,"given":"Fernando Valentim","family":"Bitencourt","sequence":"first","affiliation":[{"name":"Department of Dentistry and Oral Health, Section for Oral Ecology Aarhus University Aarhus Denmark"},{"name":"Steno Diabetes Center Aarhus Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Varenne","sequence":"additional","affiliation":[{"name":"Oral Health Programme, Department of Noncommunicable Diseases, Rehabilitation and Disability (NCD) World Health Organization (WHO) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5923-5750","authenticated-orcid":false,"given":"Nicole","family":"Rendell","sequence":"additional","affiliation":[{"name":"Oral Health Programme, Department of Noncommunicable Diseases, Rehabilitation and Disability (NCD) World Health Organization (WHO) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4641-4423","authenticated-orcid":false,"given":"Sangeeta","family":"Singh","sequence":"additional","affiliation":[{"name":"Healthy Ageing Team, World Health Organization Regional Office for the Western Pacific Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5128-386X","authenticated-orcid":false,"given":"Yuriko","family":"Harada","sequence":"additional","affiliation":[{"name":"Oral Health Programme, Department of Noncommunicable Diseases, Rehabilitation and Disability (NCD) World Health Organization (WHO) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2342-3123","authenticated-orcid":false,"given":"Ole Secher","family":"Knudsen","sequence":"additional","affiliation":[{"name":"Department of Political Science Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9072-3226","authenticated-orcid":false,"given":"Carolina","family":"Martins\u2010Pfeifer","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4712-9779","authenticated-orcid":false,"given":"Cristine Miron","family":"Stefani","sequence":"additional","affiliation":[{"name":"Department of Dentistry, School of Health Sciences University of Brasilia Brasilia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1019-8263","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Botelho","sequence":"additional","affiliation":[{"name":"Egas Moniz Centre for Interdisciplinary Research Egas Moniz School of Health and Science Almada Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,12]]},"reference":[{"issue":"10467","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"2077","DOI":"10.1016\/S0140-6736(24)02317-1","article-title":"Worldwide Trends in Diabetes Prevalence and Treatment From 1990 to 2022: A Pooled Analysis of 1108 Population\u2010Representative Studies With 141 Million Participants","volume":"404","author":"Collaboration NCDRF","year":"2024","journal-title":"Lancet"},{"issue":"10397","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/S0140-6736(23)01301-6","article-title":"Global, Regional, and National Burden of Diabetes From 1990 to 2021, With Projections of Prevalence to 2050: A Systematic Analysis for the Global Burden of Disease Study 2021","volume":"402","author":"Collaborators GBDD","year":"2023","journal-title":"Lancet"},{"issue":"10","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1177\/00220345231179897","article-title":"Co\u2010Occurrence of Periodontitis and Diabetes\u2010Related Complications","volume":"102","author":"Bitencourt F. 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