{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T04:30:29Z","timestamp":1792729829469,"version":"4.5.0"},"reference-count":50,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"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":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Oral health care (OHC), despite its essential role in overall health, remains underprioritized in medical practice. The study investigated the effectiveness of an individualised, item\u2010specific, Mouth and Oral Health Individualised Treatment (MOHIT) plan compared to the existing oral care plan (EOCP) in individuals with acquired brain injury (ABI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cluster nonrandomized controlled trial was conducted across six wards at a neurorehabilitation center. Wards were pragmatically assigned to deliver either MOHIT or routine EOCP for 3\u2009weeks. Based on stepwise oral assessment, the MOHIT plan provided individualised protocols tailored to each patient's dependency level and oral condition. Oral care was performed daily by trained nurses under dental supervision. The primary outcome was change in bleeding on probing (BOP) from baseline to Week 4. Secondary outcomes included plaque index, tongue coating, oral malodor, salivary flow rate, and modified Bedside Oral Examination (mBOE) total and sub\u2010scores. Linear mixed\u2010effects models (for continuous outcomes) and cumulative link mixed models (for ordinal outcomes) were applied to assess Week\u20104 versus baseline changes between groups, adjusting for ward clustering, baseline values, age, sex, and feeding status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>86\/126 individuals completed the trial (34 MOHIT, 52 EOCP). Compared with EOCP, the MOHIT plan showed greater reductions in BOP (coeff: \u221219.11; 95% CI: \u221227.97 to \u221210.24) and significant improvements in plaque (\u221213.23; 95% CI: \u221219.93 to \u22126.53), tongue coating (\u22123.01; 95% CI: \u22125.58 to \u22120.45), oral malodor (\u22121.27; 95% CI: \u22122.15 to \u22120.40), and suspected oral candidiasis (\u22123.21; 95% CI: \u22123.22 to \u22123.20) compared with EOCP. MOHIT also showed greater improvement in mBOE scores (\u22121.46; 95% CI: \u22122.54 to \u22120.39). Effects remained consistent after sensitivity analyses controlling for baseline imbalance and missing data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>An individualised, item\u2010specific, nurse\u2010implemented OHC plan guided by structured screening and clinical assessment improved gingival inflammation and oral hygiene compared with routine care in adults with ABI within a multidisciplinary neurorehabilitation setting. Validation and feasibility testing in randomised clinical trials are warranted to facilitate translation into clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70170","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T14:01:34Z","timestamp":1771250494000},"page":"1144-1158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evidence\u2010Based Mouth and Oral Health Individualised Treatment Plan in Adults With Acquired Brain Injury: A Cluster Nonrandomized Controlled Trial"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8191-9769","authenticated-orcid":false,"given":"Mohit","family":"Kothari","sequence":"first","affiliation":[{"name":"Hammel Neurorehabilitation Centre and University Research Clinic, Department of Clinical Medicine Aarhus University  Hammel Denmark"},{"name":"Research Unit of Dentistry, Department of Clinical Research, Faculty of Health Sciences University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7982-5301","authenticated-orcid":false,"given":"Silas","family":"Alves\u2010Costa","sequence":"additional","affiliation":[{"name":"Dentistry Graduate Program, Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4288-6300","authenticated-orcid":false,"given":"Gustavo G.","family":"Nascimento","sequence":"additional","affiliation":[{"name":"School of Dentistry, University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7116-5388","authenticated-orcid":false,"given":"Daniel M.","family":"Belstr\u00f8m","sequence":"additional","affiliation":[{"name":"Section for Clinical Oral Microbiology, Department of Odontology University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7365-3916","authenticated-orcid":false,"given":"Lena","family":"Aadal","sequence":"additional","affiliation":[{"name":"Hammel Neurorehabilitation Centre and University Research Clinic, Department of Clinical Medicine Aarhus University  Hammel Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5339-171X","authenticated-orcid":false,"given":"J\u00f8rgen Feldb\u00e6k","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Hammel Neurorehabilitation Centre and University Research Clinic, Department of Clinical Medicine Aarhus University  Hammel Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8043-2927","authenticated-orcid":false,"given":"Simple F.","family":"Kothari","sequence":"additional","affiliation":[{"name":"Hammel Neurorehabilitation Centre and University Research Clinic, Department of Clinical Medicine Aarhus University  Hammel Denmark"},{"name":"Research Unit of Dentistry, Department of Clinical Research, Faculty of Health Sciences University of Southern Denmark  Odense Denmark"},{"name":"Department of Clinical Neurophysiology, Aarhus University Hospital &amp; Department of Clinical Medicine Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/froh.2022.971223"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70150-4"},{"key":"e_1_2_11_4_1","first-page":"96","article-title":"Periodontitis and Orofacial Health\u2010Related Systemic Impairment in Patients With Brain Injury: A Factor Analysis Approach","volume":"53","author":"Kothari S. F.","year":"2020","journal-title":"Brain Injury"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-172X.2010.01861.x"},{"key":"e_1_2_11_6_1","first-page":"Cd003864","article-title":"Staff\u2010Led Interventions for Improving Oral Hygiene in Patients Following Stroke","volume":"4","author":"Brady M.","year":"2006","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2020.1858497"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns2012.08.26.49.35.c9233"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S107750"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000350199"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.01926.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2020.1795720"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2017.1407960"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2016.10.024"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1159\/000484989"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/aft164"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12368"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000158"},{"key":"e_1_2_11_19_1","first-page":"145","article-title":"Best Practice Recommendations for Dysphagia Management in Stroke Patients: A Consensus From a Portuguese Expert Panel. Portuguese","volume":"39","author":"Oliveira I. J.","year":"2022","journal-title":"Journal of Public Health"},{"key":"e_1_2_11_20_1","unstructured":"J. C.Fr\u00f8lund M. \u00d8.Klit L.Ladegaard et\u00a0al. \u201cKlinisk Retningslinje \u2013 Mundhygiejne Til Voksne Borgere og Patienter [Clinical Guideline \u2013 Oral Hygiene for Adult Citizens and Patients] \u201d(2021)."},{"key":"e_1_2_11_21_1","unstructured":"National Clinical Guideline \u201cNational Clinical Guideline for Stroke for the UK and Ireland \u201d(2023)."},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2005.tb00360.x"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-020-00457-3"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12948"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12799"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2016.1167244"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2021.1891289"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.714167"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39136.528160.BE"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0b013e31828a412c"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1159\/000440733"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13285"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2020.1800094"},{"key":"e_1_2_11_34_1","first-page":"193","article-title":"Musculoskeletal Orofacial Pain and Other Signs and Symptoms of Temporomandibular Disorders During Pregnancy: A Prospective Study","volume":"19","author":"LeResche L.","year":"2005","journal-title":"Journal of Orofacial Pain"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2013.04.001"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2007.01733.x"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1088\/1752-7155\/8\/1\/017102"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12970-017-0185-8"},{"key":"e_1_2_11_39_1","first-page":"325","article-title":"Development, Testing, and Application of the Oral Assessment Guide","volume":"15","author":"Eilers J.","year":"1988","journal-title":"Oncology Nursing Forum"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2005.00049.x"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2003.00078.x"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1995.tb06624.x"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jormas.2022.07.018"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/20002297.2022.2144614"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwp177"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0000000000000497"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2023.01.010"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2021.106475"},{"key":"e_1_2_11_49_1","first-page":"180","article-title":"Professional Oral Health Care Prevents Mouth\u2010Lung Infection in Long\u2010Term Care Homes: A Systematic Review","volume":"57","author":"Marusiak M. J.","year":"2023","journal-title":"Canadian Journal of Dental Hygiene"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1080\/20002297.2024.2372861"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084417723625"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.70170","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/joor.70170","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.70170","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T06:57:26Z","timestamp":1778655446000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.70170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,16]]},"references-count":50,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/joor.70170"],"URL":"https:\/\/doi.org\/10.1111\/joor.70170","archive":["Portico"],"relation":{},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,16]]},"assertion":[{"value":"2025-11-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}