{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:45:31Z","timestamp":1777941931492,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Particularly vulnerable tribal groups (PVTGs) in India constitute a socioeconomically marginalized population, often residing in remote regions with limited access to basic health services, including oral healthcare. Despite their vulnerability, comprehensive data on their oral health status remain scarce. This study aimed to evaluate the prevalence of oral diseases\u2014particularly dental caries, periodontal conditions, and tobacco use\u2014among PVTG populations in India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A thorough search was done across databases such as PubMed, Scopus, Web of Science, Science Direct, EBSCO, Google Scholar, and DOAJ to identify studies reporting oral health outcomes among Particularly Vulnerable Tribal Groups (PVTGs). Study selection and methodological quality appraisal were performed using the Joanna Briggs Institute (JBI) checklist for prevalence studies. Relevant data were extracted and pooled using random\u2010effects meta\u2010analysis. Meta\u2010regression, subgroup analyses, and sensitivity analyses were undertaken to explore sources of heterogeneity and assess the robustness of pooled estimates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twelve studies encompassing 7002 participants from diverse PVTG communities across India were included. The pooled prevalence of 6\u20138\u00a0mm periodontal pockets was 17% (95% CI: 8%\u201329%), while loss of attachment \u22656\u00a0mm was found in 27% (95% CI: 10%\u201350%). Smokeless tobacco use showed a high pooled prevalence of 39% (95% CI: 15%\u201366%). Poor oral hygiene, heavy calculus accumulation, and high caries burden were consistently reported. Substantial heterogeneity was noted across outcomes (I\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0&gt;\u00a090%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PVTG populations experience a disproportionately high burden of oral diseases driven by poor oral hygiene, widespread tobacco use, and inadequate access to dental care. These findings underscore the urgent need for culturally sensitive, community\u2010based oral health interventions and integration of dental services into tribal welfare and public health programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>PROSPERO number: CRD420251015301<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70156","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T11:02:36Z","timestamp":1773226956000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Oral Health and Oral Hygiene Status Among the Particularly Vulnerable Tribal Groups (PVTGs) of India: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"46","author":[{"given":"Gunjan","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Public Health Dentistry Kalinga Institute of Dental Sciences (KIDS) Kalinga Institute of Industrial Technology (KIIT) Deemed to Be University  Bhubaneswar Odisha India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Payal","family":"Dash","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry Kalinga Institute of Dental Sciences (KIDS) Kalinga Institute of Industrial Technology (KIIT) Deemed to Be University  Bhubaneswar Odisha India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/7862923"},{"key":"e_1_2_6_3_1","first-page":"403","article-title":"Study of Oral Hygienic Practices and Oral Health Status Among School Children in Jabalpur, Madhya Pradesh: A Cross\u2010Sectional Study","volume":"3","author":"Tomar S. P.","year":"2017","journal-title":"International Journal of Community Medicine and Public Health"},{"key":"e_1_2_6_4_1","unstructured":"Kutia Kandha[Monograph on the Internet] Bhubaneswar Scheduled Castes & Scheduled Tribes Research and Training Institute 2010[cited 2021 Apr 25] available from:https:\/\/repository.tribal.gov.in\/bitstream\/123456789\/73812\/1\/SCST_2010_handbook_0009.pdf."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/jisp.jisp_248_19"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_2335_20"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/1980-549720190042"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-018-0705-1"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2016.0039"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000516137"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12302"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.47162"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2013-203104"},{"issue":"1","key":"e_1_2_6_15_1","first-page":"78","article-title":"Steps in Undertaking Meta\u2010Analysis and Addressing Heterogeneity in Meta\u2010Analysis","volume":"1","author":"Gandhi A. 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