{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:12:40Z","timestamp":1783051960736,"version":"3.54.6"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:00:00Z","timestamp":1732147200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:00:00Z","timestamp":1732147200000},"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":["Special Care in Dentistry"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to measure dental caries and to evaluate the improvement in the knowledge and practice of Orphan Children after implementing an educational program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This study was an intervention pre\u2010post design that included 80 children, aged 6\u201312 years. Intervention with an oral health education program was introduced to the orphans. The data was collected at baseline using a questionnaire to collect data about the knowledge, practice, and examination of DMFT (decayed, missing, and filled permanent teeth), dft (decayed, filled deciduous teeth), and OHI\u2010S (oral hygiene index\u2010simplified) was done. The knowledge part of the questionnaire was distributed immediately after the intervention. After 6 months, the knowledge, practice, and OHI\u2010S index were determined, the data were then analyzed using Mann\u2013Whitney A U non\u2010parametric test, Wilcoxon matched pair signed rank test, and Fridman's 2\u2010way ANOVA test in SPSS version 25 software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>89% of the children had dental caries, with mean DMFT 2.23\u00a0\u00b1\u00a02.1 among males and 3.3\u00a0\u00b1\u00a02.3 among females, dft among males was 3.1\u00a0\u00b1\u00a02.5 and 3.3\u00a0\u00b1\u00a02.1 among females. The mean score of OHI\u2010S significantly decreased after health education intervention from 4.79\u00a0\u00b1\u00a01.4 to 0.62\u00a0\u00b1\u00a01.0. Mean scores of total knowledge and practice significantly increased after 6 months from 3.4\u00a0\u00b1\u00a01.3 to 7.1\u00a0\u00b1\u00a01.1 and 1.3\u00a0\u00b1\u00a00.9 to 4.9\u00a0\u00b1\u00a00.3, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The orphans had moderate DMF and dft, fair knowledge about their oral cavity, poor OHI\u2010S, and practices at baseline. The educational program had succeeded in improving their knowledge and practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.13084","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:49:53Z","timestamp":1732236593000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness of oral health educational program on the knowledge and practice of institutionalized orphan children in Alexandria, Egypt"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8745-6179","authenticated-orcid":false,"given":"Osama Safwat","family":"Mohamed","sequence":"first","affiliation":[{"name":"Dental Prosthesis Manufacture Technology Department Faculty of Applied Health Sciences Technology Pharos University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Elsayed","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry. Pharos University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yara Mohamed","family":"Adam","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry. Pharos University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Menna Mohammed","family":"ElSayed","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry. Pharos University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9452-4232","authenticated-orcid":false,"given":"Mohamed Ashraf","family":"Hall","sequence":"additional","affiliation":[{"name":"Alexandria Dental Research Center Ministry of Health and Population Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8465-5685","authenticated-orcid":false,"given":"Inas","family":"Karawia","sequence":"additional","affiliation":[{"name":"Pediatric and Community Dentistry Department Faculty of Dentistry Pharos University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,21]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Christian Alliance For Orphans (CAFO).Global Orphan Statistics and Facts 2023. [cited 2024 September 22].https:\/\/cafo.org\/orphan\u2010carestatistics\/#:~:text=UNICEF%20estimates%20that%20there%20are who%20have%20lost%20both%20parents"},{"key":"e_1_2_9_3_1","unstructured":"Europe W.W.O.EGYPT. [cited 2024 March 28].https:\/\/europe.withoutorphans.org\/about\/movement\/people_organization\/209295"},{"issue":"1","key":"e_1_2_9_4_1","first-page":"29","article-title":"Prevalence of behavioral and emotional disorders among the orphans and factors associated with these disorders","volume":"5","author":"Rahman W","year":"2012","journal-title":"BSMMU Journal"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-02915-1"},{"issue":"5","key":"e_1_2_9_6_1","first-page":"531","article-title":"Medical and dental health status of orphan children in central Saudi Arabia","volume":"34","author":"Al\u2010Jobair AM","year":"2013","journal-title":"Saudi Med J"},{"issue":"3","key":"e_1_2_9_7_1","first-page":"227","article-title":"Oral health related quality of life among children with parents and those with no parents","volume":"28","author":"Kumar S","year":"2011","journal-title":"Community Dent Health"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.25122\/jml-2021-0127"},{"issue":"12","key":"e_1_2_9_9_1","first-page":"856","article-title":"Implementation of oral health education to orphan children","volume":"25","author":"Khedekar M","year":"2015","journal-title":"J Coll physicians Surg"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0762.127810"},{"key":"e_1_2_9_11_1","unstructured":"World Health Organization.Oral Health 2023. [cited 2024 September 22].https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/oral\u2010health"},{"issue":"2","key":"e_1_2_9_12_1","first-page":"193","article-title":"Effectiveness of video and poster educational programs in dental caries prevention among primary school students","volume":"23","author":"Al\u2010Said O","year":"2020","journal-title":"Al\u2010Azhar Journal of Dental Science"},{"issue":"4","key":"e_1_2_9_13_1","first-page":"292","article-title":"The effect of health belief model based educational program on oral and dental health among pregnant women: an interventional study","volume":"40","author":"El Maghawry HA","year":"2022","journal-title":"EJCM"},{"issue":"1103","key":"e_1_2_9_14_1","first-page":"1113","article-title":"Oral health status of preschool children in El\u2010Suez governorate in relation to dental care given and the influence of oral heath educational program","volume":"60","author":"Farag SM","year":"2014","journal-title":"Dental Journal"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.0552"},{"key":"e_1_2_9_16_1","volume-title":"Oral Health Surveys: Basic Methods","author":"World Health Organization","year":"2013"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1964.0034"},{"key":"e_1_2_9_18_1","first-page":"20","volume-title":"Revista de odontologia da Universidade de Sao Paulo","author":"Rodrigues C","year":"1990"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.26502\/aimr.0131"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1159\/000369103"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18052333"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-010-0445-3"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/938213"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-024-04125-9"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-9668.127297"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-017-0399-9"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0762.97710"},{"issue":"4","key":"e_1_2_9_28_1","first-page":"ZC44","article-title":"Effectiveness of oral health education using child model video vs. conventional education by dentist among orphanage children of Puducherry, India: a prospective interventional study","volume":"17","author":"Kavitha M","year":"2023","journal-title":"J Clin Diagn Res"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.23918\/eajse.v8i1p180"}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.13084","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/scd.13084","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.13084","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T08:22:18Z","timestamp":1773044538000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.13084"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,21]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/scd.13084"],"URL":"https:\/\/doi.org\/10.1111\/scd.13084","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"value":"0275-1879","type":"print"},{"value":"1754-4505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,21]]},"assertion":[{"value":"2024-06-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13084"}}