{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T02:58:28Z","timestamp":1793242708227,"version":"4.5.0"},"reference-count":107,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"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":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this systematic review was to critically assess and synthesise the current scientific evidence of the potential impact of diabetes mellitus (DM) on treatment outcomes in periodontitis patients following NSPT, incorporating recent advancements in meta\u2010analytical techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>To identify eligible studies meeting this aim, a comprehensive search was conducted in MEDLINE\u2010PubMed and Cochrane\u2010CENTRAL from their inception until April 2024. The inclusion criterion for suitable studies was the availability of data for a group of patients with solely periodontitis and a group with both DM and periodontitis. Study parameters needed to include probing pocket depth (PPD) and clinical attachment level (CAL) as the primary outcomes of interest. As secondary study parameters, gingival indices, plaque indices, and gingival recession were considered. Data from all included studies were presented descriptively, and a meta\u2010analysis was conducted when quantitative methods were feasible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Screening of the 3574 papers resulted in 32 eligible publications, which reported 30 unique studies. Meta\u2010analyses showed no differences of means in incremental changes from baseline to post\u2010NSPT between the DM and non\u2010diabetics (NDM) groups for CAL and PPD. Moreover, the secondary outcomes also revealed no significant differences regarding the response to therapy. Based on the Trial Sequential Analysis (TSA) of these meta\u2010analyses, the effect was found to be conclusive and reliable, indicating that additional data are unlikely to alter the summary effect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Based on the evidence profile, it can be stated with moderate certainty that the difference in treatment outcomes of periodontitis patients following NSPT between the DM and NDM groups is insignificant.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/idh.70003","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T04:36:53Z","timestamp":1766119013000},"page":"321-352","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Effect of Diabetes on Outcomes of Non\u2010Surgical Periodontal Therapy: A Systematic Review With a Meta\u2010Analysis and Trial Sequential Analysis"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7910-9778","authenticated-orcid":false,"given":"L. P. M.","family":"Weijdijk","sequence":"first","affiliation":[{"name":"Department of Periodontology Academic Center for Dentistry Amsterdam (ACTA) ACTA Is a Joint Venture Between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam  Amsterdam the Netherlands"},{"name":"Department of Oral and Maxillofacial Surgery, Amsterdam UMC and Academic Centre for Dentistry Amsterdam (ACTA) ACTA Is a Joint Venture Between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2633-3236","authenticated-orcid":false,"given":"T. M. J. A.","family":"Thomassen","sequence":"additional","affiliation":[{"name":"Department of Periodontology Academic Center for Dentistry Amsterdam (ACTA) ACTA Is a Joint Venture Between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. C.","family":"de Keyzer","sequence":"additional","affiliation":[{"name":"Department of Periodontology Academic Center for Dentistry Amsterdam (ACTA) ACTA Is a Joint Venture Between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0893-3062","authenticated-orcid":false,"given":"E. E. J.","family":"Mayer","sequence":"additional","affiliation":[{"name":"Department of Periodontology Academic Center for Dentistry Amsterdam (ACTA) ACTA Is a Joint Venture Between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6656-6934","authenticated-orcid":false,"given":"C.","family":"Valkenburg","sequence":"additional","affiliation":[{"name":"Department of Periodontology Academic Center for Dentistry Amsterdam (ACTA) ACTA Is a Joint Venture Between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5075-8384","authenticated-orcid":false,"given":"G. A.","family":"van der Weijden","sequence":"additional","affiliation":[{"name":"Department of Periodontology Academic Center for Dentistry Amsterdam (ACTA) ACTA Is a Joint Venture Between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7234-0037","authenticated-orcid":false,"given":"D. E.","family":"Slot","sequence":"additional","affiliation":[{"name":"Department of Periodontology Academic Center for Dentistry Amsterdam (ACTA) ACTA Is a Joint Venture Between the Faculty of Dentistry of the University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8081135"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517693566"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12782"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/20002297.2023.2197779"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1378"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.17-0719"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034514552491"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2013.1340011"},{"issue":"2","key":"e_1_2_12_10_1","first-page":"107","article-title":"The Relationship Between Diabetes Mellitus and Destructive Periodontal Disease: A Meta\u2010Analysis","volume":"7","author":"Ch\u00e1varry N. G. M.","year":"2009","journal-title":"Oral Health & Preventive Dentistry"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2005.05.006"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12839"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13040681"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00592-021-01738-2"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40200-021-00861-9"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-011-2342-y"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2011.106"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archoralbio.2014.11.008"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2014.09.022"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2013.11.002"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00592-022-01991-z"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13044"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1986.tb00852.x"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.16-0517"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.15.2008"},{"issue":"349","key":"e_1_2_12_27_1","article-title":"Preferred Reporting Items for Systematic Review and Meta\u2010Analysis Protocols (PRISMA\u2010P) 2015: Elaboration and Explanation","volume":"2","author":"Shamseer L.","year":"2015","journal-title":"BMJ (Clinical Research Ed.)"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2018.07.015"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0384-4"},{"key":"e_1_2_12_30_1","volume-title":"Joanna Briggs Institute Reviewer's Manual","author":"Moola S.","year":"2017"},{"key":"e_1_2_12_31_1","unstructured":"G. A.Wells B.Shea D.O'Connell et\u00a0al. \u201cThe Newcastle\u2010Ottawa Scale (NOS) for Assessing the Quality if Nonrandomized Studies in Meta\u2010Analyses \u201d(2012) https:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp."},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2024.108602"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00056-018-0128-2"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1980.tb01960.x"},{"issue":"1","key":"e_1_2_12_35_1","first-page":"11","article-title":"Diagnosis and Classification of Periodontal Disease","volume":"54","author":"Highfield J.","year":"2009","journal-title":"Australian Dental Journal"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1972.43.1.38"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016356408993968"},{"key":"e_1_2_12_38_1","first-page":"80","volume-title":"Periodontal Therapy","author":"Goldman H. M.","year":"1968"},{"key":"e_1_2_12_39_1","volume-title":"Carranza's Clinical Periodontology","author":"Newman M. G.","year":"2014"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2015.01.026"},{"key":"e_1_2_12_41_1","unstructured":"The Nordic Cochrane Centre The Cochrane Collaboration.\u201cReview Manager (RevMan) [Internet]. Version 6.5. London: The Cochrane Collaboration \u201d(2024) [cited 2025 Oct 28] https:\/\/revman.cochrane.org."},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.15.2008"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.4780131308"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.2307\/2530245"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.03.013"},{"key":"e_1_2_12_48_1","unstructured":"K.Thorlund J.Engstr\u00f8m J.Wetterslev G.Imberger andC.Gluud \u201cUser Manual for Trial Sequential Analysis (TSA) \u201dCopenhagen Trial Unit 2011 Copenhagen Denmark: Centre for Clinical Intervention Research (2017) 1\u2013119."},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyn188"},{"key":"e_1_2_12_50_1","first-page":"57","article-title":"Interpreting Meta\u2010Analysis According to the Adequacy of Sample Size. An Example Using Isoniazid Chemoprophylaxis for Tuberculosis in Purified Protein Derivative Negative HIV\u2010Infected Individuals","volume":"2","author":"Thorlund K.","year":"2010","journal-title":"Clinical Epidemiology"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfw219"},{"key":"e_1_2_12_52_1","unstructured":"R.RyanandCochrane Consumers and Communication Review Group \u201cHeterogeneity and Subgroup Analyses in Cochrane Consumers and Communication Group Reviews: Planning the Analysis at Protocol Stage \u201d(2016) https:\/\/cccrg.cochrane.org\/."},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-3-82"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2012.01.006"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2007.01127.x"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2006.050084"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01289.x"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107BOR-2014.vol28.0007"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1997.tb00219.x"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1991.tb01121.x"},{"key":"e_1_2_12_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1998.tb02417.x"},{"key":"e_1_2_12_62_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2006.060088"},{"key":"e_1_2_12_63_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2008.080132"},{"key":"e_1_2_12_64_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2008.01083.x"},{"key":"e_1_2_12_65_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.090267"},{"key":"e_1_2_12_66_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-124X.76933"},{"key":"e_1_2_12_67_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-124X.94598"},{"issue":"8","key":"e_1_2_12_68_1","first-page":"671","article-title":"Clinical and Metabolic Evaluation of One\u2010Stage, Full\u2010Mouth, Ultrasonic Debridement as a Therapeutic Approach for Uncontrolled Type 2 Diabetic Patients With Periodontitis","volume":"43","author":"Cirano F. R.","year":"2012","journal-title":"Quintessence International (Berlin)"},{"key":"e_1_2_12_69_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/232535"},{"key":"e_1_2_12_70_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2013.130400"},{"key":"e_1_2_12_71_1","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2015.4.10380"},{"key":"e_1_2_12_72_1","doi-asserted-by":"publisher","DOI":"10.2334\/josnusd.57.201"},{"key":"e_1_2_12_73_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-124X.176395"},{"key":"e_1_2_12_74_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2016.150657"},{"issue":"8","key":"e_1_2_12_75_1","first-page":"ZC67","article-title":"Interlinking Periodontitis and Type 2 Diabetes Mellitus by Assessment of Crevicular Visfatin Levels in Health and in Disease Before and After Initial Periodontal Therapy","volume":"10","author":"Mishra V.","year":"2016","journal-title":"Journal of Clinical and Diagnostic Research"},{"key":"e_1_2_12_76_1","doi-asserted-by":"publisher","DOI":"10.1111\/jre.12336"},{"key":"e_1_2_12_77_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10389-017-0792-5"},{"key":"e_1_2_12_78_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-237X.205036"},{"key":"e_1_2_12_79_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10024-2497"},{"key":"e_1_2_12_80_1","doi-asserted-by":"publisher","DOI":"10.1111\/jicd.12420"},{"key":"e_1_2_12_81_1","doi-asserted-by":"publisher","DOI":"10.4103\/aam.aam_40_18"},{"key":"e_1_2_12_82_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-019-02927-8"},{"issue":"3","key":"e_1_2_12_83_1","first-page":"406","article-title":"Clinical and Microbiological Assessment of Non\u2010Surgical Treatment of Chronic Periodontitis in Controlled and Uncontrolled Type 2 Diabetic Patients","volume":"60","author":"Mirni\u0107 J.","year":"2021","journal-title":"Acta Clinica Croatica"},{"key":"e_1_2_12_84_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2008.070503"},{"key":"e_1_2_12_85_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-9290.114953"},{"issue":"1","key":"e_1_2_12_86_1","article-title":"Effects of Non\u2010Surgical Periodontal Therapy on Saliva and Gingival Crevicular Fluid Levels of Chemerin in Periodontitis Subjects With and Without Type 2 Diabetes Mellitus","volume":"15","author":"Gomathi G. D.","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_12_87_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010011890"},{"key":"e_1_2_12_88_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13245"},{"key":"e_1_2_12_89_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/14-002"},{"key":"e_1_2_12_90_1","volume-title":"National Health and Nutrition Examination Survey Data","author":"National Center for Health Statistics (NCHS)","year":"2022"},{"key":"e_1_2_12_91_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12059"},{"key":"e_1_2_12_92_1","volume-title":"Evidence Review D for Periodontal Treatment to Improve Diabetic Control in Adults With Type 1 or Type 2 Diabetes: Periodontal Treatment to Improve Diabetic Control in Adults With Type 1 or Type 2 Diabetes: Evidence Review D","year":"2022"},{"key":"e_1_2_12_93_1","first-page":"27","article-title":"Periodontal Disease Progression in Type II Non\u2010Insulin\u2010Dependent Diabetes Mellitus Patients (NIDDM). Part II\u2014Microbiological Analysis Using the BANA Test","volume":"8","author":"Novaes A. B.","year":"1997","journal-title":"Brazilian Dental Journal"},{"key":"e_1_2_12_94_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1995.tb00176.x"},{"key":"e_1_2_12_95_1","first-page":"25","article-title":"Actinobacillus actinomycetemcomitans in Brazilian Insulin\u2010Dependent Individuals With Diabetes Mellitus","volume":"3","author":"Feitosa A. C.","year":"1992","journal-title":"Brazilian Dental Journal"},{"key":"e_1_2_12_96_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1988.59.1.23"},{"key":"e_1_2_12_97_1","doi-asserted-by":"publisher","DOI":"10.4103\/ccd.ccd_514_21"},{"key":"e_1_2_12_98_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13195978"},{"key":"e_1_2_12_99_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13290"},{"issue":"11","key":"e_1_2_12_100_1","first-page":"1","article-title":"Current Status of Bleeding in the Diagnosis of Periodontal Diseases","volume":"56","author":"Polson A. M.","year":"1985","journal-title":"Journal of Periodontology"},{"key":"e_1_2_12_101_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1981.52.8.420"},{"key":"e_1_2_12_102_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2016.160013"},{"key":"e_1_2_12_103_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0528.2002.300304.x"},{"key":"e_1_2_12_104_1","unstructured":"International Diabetes Federation \u201cWhat Is Diabetes \u201d(2024) https:\/\/idf.org\/about\u2010diabetes\/what\u2010is\u2010diabetes\/."},{"key":"e_1_2_12_105_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.04.023"},{"key":"e_1_2_12_106_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2006.00902.x"},{"key":"e_1_2_12_107_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-015-0123-6"},{"key":"e_1_2_12_108_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0145262"}],"container-title":["International Journal of Dental Hygiene"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/idh.70003","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/idh.70003","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/idh.70003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T20:14:39Z","timestamp":1786479279000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/idh.70003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,18]]},"references-count":107,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/idh.70003"],"URL":"https:\/\/doi.org\/10.1111\/idh.70003","archive":["Portico"],"relation":{},"ISSN":["1601-5029","1601-5037"],"issn-type":[{"value":"1601-5029","type":"print"},{"value":"1601-5037","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,18]]},"assertion":[{"value":"2024-09-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}