{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T07:06:01Z","timestamp":1784185561077,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":195,"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>Periodontal diseases remain a major public health concern, particularly in rural populations where access to preventive oral healthcare is limited. Various periodontal disease prevention policies have been implemented through rural health centers, yet their effectiveness has not been comprehensively mapped.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this study is to systematically map and evaluate existing evidence on the effectiveness of periodontal disease prevention policies implemented in rural health centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This scoping review followed the Joanna Briggs Institute (JBI) methodology and PRISMA Extension for Scoping Reviews (PRISMA\u2010ScR) guidelines. Studies evaluating periodontal disease prevention policies in rural health settings were included. Databases including PubMed, Scopus, and Embase were searched. Data were charted and synthesized narratively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nineteen studies met the inclusion criteria. Most studies evaluated community\u2010based oral health education programs, training of frontline health workers, screening initiatives, and outreach activities in rural India. Short\u2010term improvements were observed in oral health knowledge, oral hygiene practices, plaque levels, and community engagement. However, evidence regarding long\u2010term periodontal outcomes, policy implementation, sustainability, and cost\u2010effectiveness was limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Existing evidence suggests that community\u2010based oral health education programs, outreach activities, and training of frontline health workers can improve oral health knowledge, hygiene practices, and short\u2010term periodontal outcomes in rural India. However, evidence evaluating formal periodontal disease prevention policies, their long\u2010term effectiveness, sustainability, and cost\u2010effectiveness remains limited. These findings highlight the need for stronger integration of periodontal disease prevention into primary healthcare services, continued capacity building of community health workers, and robust policy evaluation frameworks. Future research should focus on long\u2010term outcomes and scalable implementation models to support evidence\u2010based oral health policy development in rural India.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/ijod\/6692835","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T06:33:09Z","timestamp":1784183589000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Policy Interventions to Prevent Periodontal Disease in Rural India: A Scoping Review"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4654-2520","authenticated-orcid":false,"given":"Nandini","family":"Nagpal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8841-6235","authenticated-orcid":false,"given":"Neetha J.","family":"Shetty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0728-7177","authenticated-orcid":false,"given":"Shruti","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9145-5257","authenticated-orcid":false,"given":"Gitanjali","family":"P.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_2_15_1_2","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12732"},{"key":"e_1_2_15_2_2","first-page":"160","article-title":"Global, Regional, and National Prevalence of Oral Conditions for 1990\u20132019","volume":"396","author":"GBD 2019 Oral Disorders Collaborators","year":"2020","journal-title":"Lancet"},{"key":"e_1_2_15_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12808"},{"key":"e_1_2_15_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31825719f3"},{"key":"e_1_2_15_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12063"},{"key":"e_1_2_15_6_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijdr.IJDR_370_16"},{"key":"e_1_2_15_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-9290.100446"},{"key":"e_1_2_15_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12366"},{"key":"e_1_2_15_9_2","unstructured":"World Health Organization Global Oral Health Action Plan 2023\u20132030 2023 WHO Geneva."},{"key":"e_1_2_15_10_2","unstructured":"Ministry of Health and Family Welfare Government of India National Oral Health Programme (NOHP): Operational Guidelines 2014 Ministry of Health and Family Welfare New Delhi."},{"key":"e_1_2_15_11_2","unstructured":"Ministry of Health and Family Welfare Government of India National Oral Health Programme (NOHP): Operational Guidelines 2012 Ministry of Health and Family Welfare New Delhi."},{"key":"e_1_2_15_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31133-X"},{"key":"e_1_2_15_13_2","unstructured":"JBI Manual for Evidence Synthesis 2024 Joanna Briggs Institute."},{"key":"e_1_2_15_14_2","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_15_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0384-4"},{"key":"e_1_2_15_16_2","first-page":"1","article-title":"Assessment of Treatment Needs of Periodontal Disease Using CPITN in Uttar Pradesh Population","volume":"5","author":"Mehta K.","year":"1987","journal-title":"Journal of the Indian Society of Pedodontics and Preventive Dentistry"},{"key":"e_1_2_15_17_2","first-page":"275","article-title":"Utilization of Services and Referrals Through Dental Outreach Programs in Rural Areas of India. 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