{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:59:50Z","timestamp":1790686790355,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":271,"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>Preventive periodontal care is essential for older people in the community to reduce the risk of tooth loss, systemic diseases, and decreased quality of life. Despite its importance, older people in assisted living, home\u2010based care (HBC), daycare, and other community settings face barriers to effective preventive periodontal care, including mobility, cognitive, and caregiver knowledge issues. Although these challenges are being recognized more and more, the evidence on barriers and solutions for delivering consistent preventive periodontal care remains scattered across different study designs and care contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim and Objective<\/jats:title>\n                    <jats:p>The aim of this scoping review is to map the existing literature and systematically identify the key challenges at patient, caregiver, and institutional levels, along with evidence\u2010based solutions\u2014including behavior change techniques (BCTs), tools, and interventions\u2014for delivering preventive periodontal care to older adults in community and mixed residential settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Joanna Briggs Institute scoping review method, along with the PRISMA\u2010ScR, was followed to identify the key issues, solutions, and findings related to the implementation of preventive periodontal care in older people in the community. The inclusion criteria were older people aged 60 years or more, interventions, community, or mixed settings, and the languages were restricted to English. The search was conducted for articles from 2010 or later. Two\u2010phase selection was used, which yielded 32 articles. This was followed by data extraction, including study design, settings, population, interventions, outcomes, issues, solutions, thematic synthesis, etc.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010two studies were included (12 cross\u2010sectional, 8 RCTs\/quasi\u2010RCTs, 6 systematic reviews\/protocols, and 6 others). Included studies were conducted mainly in nursing homes (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915), with 10 in community and 7 in mixed settings. Key challenges were identified at the resident, caregiver, and institutional\/systemic levels. Resident\u2010level challenges included cognitive and functional limitations, while caregiver\u2010level barriers included gaps in knowledge and the relatively low priority given to oral care. At the institutional and systemic levels, workload, limited access to professional dental care, and the lack of standardized oral\u2010care protocols were frequently reported. Solutions included carer education with BCTs, standardized tools (e.g., Oral Health Assessment Tool [OHAT]), visual aids, AI\u2010supported screening, regular professional outreach brushing, and interprofessional models, showing modest short\u2010term improvements in plaque index (PI), gingival index (GI), and bleeding on probing (BOP).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Persistent challenges underscore the need for integrated, accessible strategies to enhance preventive care. Future research should prioritize cost\u2010effectiveness, community\u2010focused RCTs, and long\u2010term evaluations to improve oral health outcomes in aging populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/ijod\/8633133","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:21:27Z","timestamp":1790684487000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Challenges and Solutions in Delivering Preventive Periodontal Care to Older Adults in Community and Long\u2010Term Residential Care Settings: A Scoping Review"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3649-2110","authenticated-orcid":false,"given":"Ankita","family":"Chakraborty","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8546-9590","authenticated-orcid":false,"given":"Deepa Kamath","family":"G","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1189-6901","authenticated-orcid":false,"given":"Nina","family":"Shenoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5074-910X","authenticated-orcid":false,"given":"Anwesha","family":"Basu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8838-8787","authenticated-orcid":false,"given":"Aradhya","family":"Sinha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2025.106218"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12475"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.13042"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2012.00314.x"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2010.00434.x"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.11124\/jbisrir-2015-2330"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12530"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2012.00316.x"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18179339"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12067"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2011.00610.x"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12439"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2011.00554.x"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/23800844241305015"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/jper.70007"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/prd.70033"},{"key":"e_1_2_14_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/clr.14405"},{"key":"e_1_2_14_18_2","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-20-00167"},{"key":"e_1_2_14_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12725"},{"key":"e_1_2_14_20_2","doi-asserted-by":"publisher","DOI":"10.1922\/CDH_3864Reisine06"},{"key":"e_1_2_14_21_2","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6831-10-17","article-title":"Open Access STUDY PROTOCOL Supervised Versus Non-Supervised Implementation of an Oral Health Care Guideline in (residential) Care Homes: A Cluster Randomized Controlled Clinical Trial","volume":"10","author":"Van Der Putten G.-J.","year":"2010","journal-title":"BMC Oral Health"},{"key":"e_1_2_14_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12421"},{"key":"e_1_2_14_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2025.01.008"},{"key":"e_1_2_14_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-025-07102-y"},{"key":"e_1_2_14_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/jper.70041"},{"key":"e_1_2_14_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-024-05382-4"},{"key":"e_1_2_14_27_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/1735-3327.276232","article-title":"Are Oral Health Education for Carers Effective in the Oral Hygiene Management of Elderly With Dementia? 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