{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T11:16:11Z","timestamp":1784200571438,"version":"3.55.0"},"reference-count":70,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"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":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite evidence linking oral health to severe COVID\u201019 outcomes and its potential role in surveillance and service delivery, integration remained absent. This study enquired about: (1) representation of oral health in national COVID\u201019 taskforces and funding; (2) policy\u2010level barriers to inclusion; (3) lessons from maintaining essential services; and (4) strategies for mobilizing oral health professionals in future emergencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a scoping review guided by the PRISMA\u2010ScR framework. Systematic searches were performed in PubMed\/MEDLINE and Scopus (2000\u20132025) using tailored search strings combining key terms: oral health, pandemic preparedness, COVID\u201019, dentistry, health systems and related MeSH terms. Eligible evidence included peer\u2010reviewed studies, reviews, policy documents and commentaries in English. Non\u2010human studies were excluded. Data were charted using the WHO Health System Building Blocks framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After dual\u2010reviewer screening, 2569\u20133860 records were screened, yielding 5\u20138 eligible studies per question (26 studies total). The evidence revealed a consistent narrative of systemic exclusion yet operational resilience. For representation, oral health professionals were almost universally absent from national COVID\u201019 task forces, with dedicated financial support entirely lacking. Regarding barriers, policy integration was hindered by the framing of oral care as non\u2010essential, its omission from global health security architectures like the International Health Regulations, and limited professional advocacy. In contrast, lessons from service adaptation demonstrated that essential care was maintained through the rapid adoption of triage, teledentistry, robust infection control and effective communication. On workforce mobilization, while consensus existed on the potential for OHPs to expand into roles such as vaccination and surveillance, implementation was obstructed by a lack of pre\u2010emergency training, formal deployment mechanisms and regulatory frameworks with minimal linkage to international instruments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The review reflects systemic neglect of oral health, with the literature dominated by descriptions of clinical and operational adaptations rather than formal policy integration. We identify missed opportunities in leveraging OHPs for pandemic response and propose embedding oral health within One Health governance, financing, surveillance and emergency response structures to build more resilient health systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70092","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T10:58:00Z","timestamp":1784199480000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrating Oral Health Into Pandemic Preparedness and Response: Missed Opportunities and Strategic Imperatives for Global Health System Resilience and Security"],"prefix":"10.1111","author":[{"given":"Mor\u00e9nik\u00e9 Oluw\u00e1t\u00f3y\u00ecn","family":"Fol\u00e1yan","sequence":"first","affiliation":[{"name":"AFRONE Network, Faculty of Dentistry Alexandria University  Alexandria Egypt"},{"name":"Early Childhood Caries Advocacy Group University of Manitoba  Winnipeg Manitoba Canada"},{"name":"Oral Health Initiative, Nigerian Institute of Medical Research  Lagos Nigeria"},{"name":"Department of Child Dental Health Obafemi Awolowo University  Ile\u2010Ife Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayodeji","family":"Arobo","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry Obafemi Awolowo University  Ile\u2010Ife Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Oyeyemi","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry Obafemi Awolowo University  Ile\u2010Ife Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8103-1233","authenticated-orcid":false,"given":"Ahmed","family":"Bhayat","sequence":"additional","affiliation":[{"name":"AFRONE Network, Faculty of Dentistry Alexandria University  Alexandria Egypt"},{"name":"Department of Community Dentistry University of Pretoria  Pretoria South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4989-6584","authenticated-orcid":false,"given":"Maha El","family":"Tantawi","sequence":"additional","affiliation":[{"name":"AFRONE Network, Faculty of Dentistry Alexandria University  Alexandria Egypt"},{"name":"Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry Alexandria University  Alexandria Egypt"},{"name":"Faculty of Dental Medicine Alamein International University  Matrouh Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soh.2025.100111"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13435"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj7010022"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2020.12.023"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.22271\/23487941.2024.v11.i1b.755"},{"key":"e_1_2_9_7_1","volume-title":"Current Topics in Zoonoses","author":"Joseph B.","year":"2023"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/23800844241273821"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.34084\/bshr.1427893"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41405\u2010025\u201000310\u20102"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd17.200152"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2021.10.012"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_939_20"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm12081295"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.17159\/2519\u20100105\/2020\/v75no8a4"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina61020243"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520979830"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2020.105176"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.25382"},{"key":"e_1_2_9_20_1","unstructured":"World Health Organization \u201cWorld Health Assembly Adopts Historic Pandemic Agreement to Make the World More Equitable and Safer From Future Pandemics\u201d(2025) https:\/\/www.who.int\/news\/item\/20\u201005\u20102025\u2010world\u2010health\u2010assembly\u2010adopts\u2010historic\u2010pandemic\u2010agreement\u2010to\u2010make\u2010the\u2010world\u2010more\u2010equitable\u2010and\u2010safer\u2010from\u2010future\u2010pandemics."},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18\u20100850"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010014\u20100579\u20100"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732312452938"},{"key":"e_1_2_9_24_1","volume-title":"JBI Manual for Evidence Synthesis","author":"Peters M. D. J.","year":"2020"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.isci.2024.110878"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2021.02.002"},{"key":"e_1_2_9_27_1","volume-title":"Everybody's Business: Strengthening Health Systems to Improve Health Outcomes. WHO'S Framework for Action","author":"WHO","year":"2007"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415\u2010020\u20101708\u20102"},{"key":"e_1_2_9_29_1","unstructured":"WHO \u201cWHO Pandemic Agreement. Seventy\u2010Eighth World Health Assembly \u201dAgenda item 16.2 WHA78.1 (2025) https:\/\/apps.who.int\/gb\/ebwha\/pdf_files\/WHA78\/A78_R1\u2010en.pdf."},{"key":"e_1_2_9_30_1","unstructured":"WHO \u201cAmended International Health Regulations Enter Into Force\u201d(2025) https:\/\/www.who.int\/news\/item\/19\u201009\u20102025\u2010amended\u2010international\u2010health\u2010regulations\u2010enter\u2010into\u2010force."},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd17.200266"},{"key":"e_1_2_9_31_2","doi-asserted-by":"crossref","unstructured":"Erratum in: Prev Chronic Dis. 2020 Aug 27;17:E93 https:\/\/doi.org\/10.5888\/pcd17.200266e.","DOI":"10.5888\/pcd17.200266e"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415\u2010020\u20101482\u20101"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/1010539520932708"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.57937"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415\u2010021\u20103375\u20103"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2021.11.003"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2021.11.005"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2020.11.005"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415\u2010020\u20101716\u20102"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17165843"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18179121"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2021.09.003"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2021.04.004"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2024.09.039"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2007.06.002"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2014.44"},{"issue":"5","key":"e_1_2_9_47_1","first-page":"313","article-title":"Disaster Preparedness and Response: A Survey of U.S. Dental Hygienists","volume":"90","author":"Bradshaw B. T.","year":"2016","journal-title":"Journal of Dental Hygiene"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415\u2010020\u20101854\u20106"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2020.140"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sdentj.2020.04.001"},{"key":"e_1_2_9_51_1","doi-asserted-by":"crossref","first-page":"217","DOI":"10.5114\/hivar.2020.101493","article-title":"Coronavirus and Dentistry \u2013 Fighting the Pandemic","volume":"19","author":"Raj A.","year":"2021","journal-title":"HIV & AIDS Review"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.3389\/froh.2021.668444"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S370637"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1122141"},{"key":"e_1_2_9_55_1","volume-title":"The ADA Practical Guide to Effective Infection Prevention and Control, Fifth Edition","author":"American Dental Association","year":"2022"},{"key":"e_1_2_9_56_1","unstructured":"CDC \u201cGuidance for Dental Settings: Interim Infection Prevention and Control Guidance for Dental Settings During the COVID\u201019 Response\u201d(2020) https:\/\/stacks.cdc.gov\/view\/cdc\/88256."},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp\u2010journals\u201010005\u20101952"},{"key":"e_1_2_9_58_1","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1111\/j.1875-595X.2012.00122.x","article-title":"An Appraisal of the Oral Health Care System in Nigeria","volume":"62","author":"Adeniyi A. A.","year":"2012","journal-title":"International Dental Journal"},{"key":"e_1_2_9_59_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.11604\/pamj-oh.2020.2.13.24357","article-title":"Primary Oral Health Care in Nigeria: Four Decades After the Alma\u2010Ata Declaration","volume":"2","author":"Amedari M. I.","year":"2020","journal-title":"PAMJ One Health"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1159\/000356937"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1875\u2010595X.2011.00028.x"},{"key":"e_1_2_9_62_1","doi-asserted-by":"crossref","unstructured":"The Independent Panel for Pandemic Preparedness and Response \u201cCOVID\u201019: Make it the Last Pandemic\u201d(2021) https:\/\/theindependentpanel.org\/mainreport\/#download\u2010main\u2010report.","DOI":"10.26686\/nzsr.v77i1-2.7752"},{"key":"e_1_2_9_63_1","unstructured":"\u201cG20 High Level Independent Panel on Financing the Global Commons for Pandemic Preparedness and Response: A Global Deal for Our Pandemic Age\u201d(2021) https:\/\/pandemic\u2010financing.org\/report\/key\u2010proposals\u2010and\u2010roadmap\/."},{"key":"e_1_2_9_64_1","unstructured":"UN General Assembly \u201cHigh\u2010Level Meeting on Pandemic Prevention Preparedness and Response\u201d(2022) https:\/\/documents\u2010dds\u2010ny.un.org\/doc\/UNDOC\/LTD\/N22\/444\/95\/pdf\/N2244495.pdf?OpenElement."},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.2196\/39955"},{"issue":"4","key":"e_1_2_9_66_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0267354","article-title":"COVID\u201019 Vaccination Acceptance Among Dental Students and Dental Practitioners: A Systematic Review and Meta\u2010Analysis","volume":"17","author":"Lin G. S.","year":"2022","journal-title":"PLoS One"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.3889\/oamjms.2019.689"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2023.08.006"},{"key":"e_1_2_9_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2025.02.001"},{"key":"e_1_2_9_70_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_286_19"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.70092","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cdoe.70092","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.70092","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T10:58:07Z","timestamp":1784199487000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.70092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,16]]},"references-count":70,"alternative-id":["10.1111\/cdoe.70092"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.70092","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,16]]},"assertion":[{"value":"2025-10-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"cdoe.70092"}}