{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T07:08:36Z","timestamp":1788851316894,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults residing in long\u2010term care facilities often depend on caregivers for daily oral care. Inadequate caregiver training may contribute to poor plaque control and denture hygiene.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A six\u2010month parallel\u2010arm cluster randomized controlled study was conducted in selected long\u2010term care facilities in Northern India. Two old age homes were randomly selected, with one allocated to the intervention group and the other to the control group. A total of 150 older adults and 46 caregivers participated. Caregivers in the intervention group received a structured caregiver oriented oral health education. Clinical assessments were performed at baseline, 3 and 6 months. Outcomes included Debris Index, Turesky\u2013Gilmore\u2013Glickman Plaque Index, Denture Plaque Index and Denture Stomatitis Index. Caregiver knowledge and practice were evaluated using a validated questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Caregiver knowledge and practice scores improved significantly in the intervention group at 3 and 6 months. Significant differences were observed in Debris Index (DI), Plaque Index (PI), and Denture Plaque Index (DPI) in the intervention group over the six\u2010month follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). The Debris Index decreased from 2.76 \u00b1 0.07 at baseline to 1.54 \u00b1 0.05 at 6 months. Plaque Index scores declined from 3.26 \u00b1 0.06 to 1.85 \u00b1 0.08, and Denture Plaque Index scores reduced from 3.22 \u00b1 0.03 to 1.74 \u00b1 0.05. Denture Stomatitis Index improved over time; however, intergroup differences were not statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Structured caregiver\u2010focused oral health education significantly improved oral hygiene among institutionalized older adults over six months, supporting integration of caregiver training within routine long\u2010term care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70240","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:34:36Z","timestamp":1788849276000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of a CARE\u2010ORIENT Education Program on Oral Hygiene Among Institutionalized Older Adults: A Double Blinded Cluster Randomized Controlled Study"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0131-3872","authenticated-orcid":false,"given":"Gummalla","family":"Sreeja","sequence":"first","affiliation":[{"name":"Department of Public Health Dentistry King George's Medical University  Lucknow Uttar Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5524-2574","authenticated-orcid":false,"given":"Gaurav","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry King George's Medical University  Lucknow Uttar Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6479-6584","authenticated-orcid":false,"given":"Sumit","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry King George's Medical University  Lucknow Uttar Pradesh 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