{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T05:06:20Z","timestamp":1789967180104,"version":"4.0.1"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":262,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["International Journal of Dentistry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite the National Oral Health Programme (NOHP) mandating the provision of removable partial and complete dentures (CDs) at the district level, prosthodontic services in public facilities remain largely inaccessible across most Indian states, even after more than a decade of policy implementation. With India\u2019s elderly population projected to reach 347\u2009million by 2050 and complete edentulism affecting 12%\u201314% of older adults, the unmet need for prosthodontic care is substantial and continues to grow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This narrative review synthesises available evidence on the burden and impact of edentulism, along with policy responses in India and comparable settings. It further proposes a conceptual framework for essential prosthodontic care within India\u2019s district health system (DHS), positioning prosthodontic rehabilitation as a core health service, comparable to cataract surgery and hearing rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A narrative review was conducted following scale for the assessment of narrative review articles (SANRA) guidelines, drawing on epidemiological data, policy documents, low\u2010 and middle\u2010income country (LMIC) programme evaluations and health economics evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Synthesis and Proposed Framework<\/jats:title>\n                    <jats:p>Nine critical implementation gaps were identified from the literature. In response, the DHS Essential Prosthodontic Services Framework is proposed, comprising a five\u2010tier service package with the district hospitals as nodal fabrication units; a hub\u2010and\u2010spoke laboratory model; eligibility and benefit structure aligned with PM\u2010JAY; integration with National Programme for Health Care of the Elderly (NPHCE) and Ayushman Bharat; eight key performance indicators and a phased 10\u2010year implementation roadmap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Framing prosthodontic rehabilitation as essential care comparable to cataract surgery provides the most practical and sustainable basis for the administrative reforms required to translate existing policy intent into functional district\u2010level service delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/ijod\/3425087","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T04:43:37Z","timestamp":1789965817000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prosthodontic Rehabilitation as Essential Care Within India\u2019s District Health System: A Narrative Review and Conceptual Framework"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2401-7467","authenticated-orcid":false,"given":"Umesh Y.","family":"Pai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3039-3277","authenticated-orcid":false,"given":"Aradhana","family":"Nagarsekar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1019-100X","authenticated-orcid":false,"given":"Ridhima","family":"Gaunkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8876-1886","authenticated-orcid":false,"given":"Prajakta R.","family":"Volvaikar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520908533"},{"key":"e_1_2_13_2_2","volume-title":"National Oral Health Survey and Fluoride Mapping 2002\u201303","author":"Bali R. 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