{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T03:45:34Z","timestamp":1793072734245,"version":"4.5.0"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J Int Soc Prev Community Dent"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>bstract<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Tribal populations in India face significant oral health disparities due to geographic and socioeconomic isolation. This systematic review and meta-analysis aimed to provide a comprehensive estimate of dental caries prevalence and severity (decayed, missing, and filled teeth [DMFT]) among Indian tribal communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, five electronic databases (PubMed, Embase, Web of Science, Science Direct, and Scopus) were searched for studies published between January 2000 and March 2024 reporting the incidence of dental caries in Indian tribes. Quality was assessed using the Joanna Briggs Institute checklist. Pooled prevalence and mean DMFT scores were calculated using a random-effects model. Heterogeneity was assessed using the\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      statistic, and publication bias was evaluated via Egger\u2019s test (PROSPERO: CRD42024538174).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twenty studies were included in the systematic review (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 10,059). The overall pooled prevalence of dental caries was 44.7% (95% confidence interval [CI]: 27.9%\u201361.4%), with extremely high heterogeneity (\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 99.77%). The prevalence was similar across adults (45.6%) and children (46.6%). The overall pooled DMFT index was 2.98 (95% CI: 2.61\u20133.35). Univariate meta-regression showed no significant association between prevalence and study year, location, or sample size (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). Significant publication bias was detected (Egger\u2019s test,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Nearly half of the Indian tribal population is affected by dental caries, with severity comparable to that of other global Indigenous groups. However, the extreme heterogeneity and evidence of publication bias necessitate cautious interpretation. Integration of oral health into primary healthcare via the National Oral Health Programmer and Ayushman Bharat is recommended to address these disparities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jispcd.jispcd_119_25","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T07:00:10Z","timestamp":1770879610000},"page":"20-31","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence of Dental Caries in Indian Tribal Communities: A Systematic Review and Meta-analysis"],"prefix":"10.4103","volume":"16","author":[{"given":"Bidisha","family":"Sarmah","sequence":"first","affiliation":[{"name":"Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananya","family":"Prabhu","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishu","family":"Singla","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritesh","family":"Singla","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopaedics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"CIT0002-20260420","first-page":"e48721","article-title":"Oral health status and oral health risks among tribes in Tamil Nadu, India: An epidemiological study","volume":"15","author":"Kumaraguru","year":"2023","journal-title":"Cureus"},{"key":"CIT0003-20260420","doi-asserted-by":"crossref","first-page":"50","DOI":"10.4103\/jisppd.jisppd_37_25","article-title":"Oral health status and treatment needs among 5\u201315-year-old children of tribal population in Noolpuzha Panchayath of Wayanad: A cross-sectional study","volume":"43","author":"Jeseem","year":"2025","journal-title":"J Indian Soc Pedod Prev Dent"},{"key":"CIT0004-20260420","doi-asserted-by":"crossref","first-page":"132","DOI":"10.4103\/jisppd.jisppd_342_21","article-title":"Assessing consequences of untreated dental caries using pufa\/PUFA index among 6-12 years old schoolchildren in a rural population of Kerala","volume":"40","author":"Vasavan","year":"2022","journal-title":"J Indian Soc Pedodont Prevent Dent"},{"key":"CIT0005-20260420","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1186\/s12903-025-05628-9","article-title":"Tooth morbidity and its impact on oral related quality of life in elderly tribal population-The Irula experience","volume":"25","author":"Sukumar","year":"2025","journal-title":"BMC Oral Health"},{"key":"CIT0006-20260420","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1111\/j.1752-7325.2012.00372.x","article-title":"Dental caries in a cohort of very young American Indian children","volume":"72","author":"Warren","year":"2012","journal-title":"J Public Health Dent"},{"key":"CIT0007-20260420","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1590\/S1020-49892010000400002","article-title":"Dental caries and treatment needs among indigenous people of the Potiguara Indian reservation in Brazil","volume":"27","author":"Sampaio","year":"2010","journal-title":"Rev Panam Salud Publica"},{"key":"CIT0008-20260420","doi-asserted-by":"crossref","first-page":"e190042","DOI":"10.1590\/1980-549720190042","article-title":"Epidemiological profile of caries and need for dental extraction in a Kaingang adult Indigenous population","volume":"22","author":"Soares","year":"2019","journal-title":"Rev Bras Epidemiol"},{"key":"CIT0009-20260420","first-page":"2","article-title":"Tribal health care: The unaddressed aspect in Indian health system","volume":"3","author":"Bhatia","year":"2017","journal-title":"Indian J Community Family Med"},{"key":"CIT0010-20260420","doi-asserted-by":"crossref","first-page":"S621","DOI":"10.4103\/jpbs.jpbs_829_21","article-title":"Assessment of oral health-related quality of life among kutia kandha tribes of Odisha","volume":"14","author":"Kumar","year":"2022","journal-title":"J Pharm Bioallied Sci"},{"key":"CIT0011-20260420","doi-asserted-by":"crossref","first-page":"9838","DOI":"10.3390\/ijerph18189838","article-title":"A formative assessment of social determinants of health related to early childhood caries in two American Indian communities","volume":"18","author":"Elwell","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"CIT0012-20260420","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan-a web and mobile app for systematic reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst Rev"},{"key":"CIT0013-20260420","first-page":"1","article-title":"Systematic reviews of prevalence and incidence. Joanna Briggs Institute reviewer\u2019s manual Adelaide, South Australia","volume":"5","author":"Munn","year":"2017","journal-title":"Joanna Briggs Inst"},{"key":"CIT0014-20260420","first-page":"73","article-title":"Oral health status and treatment needs of Iruligas at Ramanagara District, Karnataka, India","volume":"62","author":"Kadanakuppe","year":"2013","journal-title":"West Indian Med J"},{"key":"CIT0015-20260420","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/S0020-6539(20)33859-4","article-title":"Oral health status and practices of dentate Bhil adult tribes of southern Rajasthan, India","volume":"59","author":"Kumar","year":"2009","journal-title":"Int Dent J"},{"key":"CIT0016-20260420","doi-asserted-by":"crossref","first-page":"325","DOI":"10.17796\/jcpd.35.3.c8063171438k4362","article-title":"Oral health status and practices of 5 and 12 year old Indian tribal children","volume":"35","author":"Singh","year":"2011","journal-title":"J Clin Pediatr Dent"},{"key":"CIT0017-20260420","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1111\/j.1875-595X.2011.00033.x","article-title":"Oral health status of 5-year-old Aborigine children compared with similar aged marginalised group in south western India","volume":"61","author":"Singh","year":"2011","journal-title":"Int Dent J"},{"key":"CIT0018-20260420","doi-asserted-by":"crossref","first-page":"747","DOI":"10.5005\/jp-journals-10024-1395","article-title":"Dental health and treatment needs among children in a tribal community","volume":"14","author":"Viragi","year":"2013","journal-title":"J Contemp Dent Pract"},{"key":"CIT0019-20260420","doi-asserted-by":"crossref","first-page":"5263","DOI":"10.14260\/jemds\/2014\/2585","article-title":"Assessment of factors influencing oral health status and treatment needs among malayali tribal population at javadhu hills, India","volume":"3","author":"Dhanappa","year":"2014","journal-title":"J Evol Med Dent Sci"},{"key":"CIT0020-20260420","doi-asserted-by":"crossref","first-page":"jphr-2015","DOI":"10.4081\/jphr.2015.361","article-title":"Dental caries and the associated factors influencing it in tribal, suburban and urban school children of Tamil Nadu, India: A cross sectional study","volume":"4","author":"John","year":"2015","journal-title":"J Public Health Res"},{"key":"CIT0021-20260420","doi-asserted-by":"crossref","first-page":"44","DOI":"10.4103\/0970-4388.148976","article-title":"Assessment of oral health status of Santal (Tribal) children of West Bengal","volume":"33","author":"Mandal","year":"2015","journal-title":"J Indian Soc Pedod Prev Dent"},{"key":"CIT0022-20260420","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.14260\/jemds\/2016\/389","article-title":"Comparative study of disease patterns and scholastic performance among rural, urban and tribal government residential hostel children of east godavari district","volume":"5","author":"Chandra Sekhar","year":"2016","journal-title":"J Evol Med Dent Sci"},{"key":"CIT0023-20260420","first-page":"ZC12","article-title":"Oral health status and treatment needs of Paniya Tribes in Kerala","volume":"10","author":"Valsan","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"CIT0024-20260420","doi-asserted-by":"crossref","first-page":"338","DOI":"10.4103\/2231-0762.186798","article-title":"Assessment of oral health status and treatment needs of Santhal tribes of Dhanbad District, Jharkhand","volume":"6","author":"Kumar","year":"2016","journal-title":"J Int Soc Prev Community Dent"},{"key":"CIT0025-20260420","first-page":"542","article-title":"Association of body mass index with dental caries among malnourished tribal children of indore division","volume":"89","author":"Chauhan","year":"2016","journal-title":"Clujul Med (1957)"},{"key":"CIT0026-20260420","doi-asserted-by":"crossref","first-page":"e752","DOI":"10.1111\/hsc.12788","article-title":"Oral health status and treatment needs among the Juang tribe-a particularly vulnerable tribal group residing in Northern Odisha, India: A cross-sectional study","volume":"27","author":"Das","year":"2019","journal-title":"Health Soc Care Community"},{"key":"CIT0027-20260420","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.26452\/ijrps.v11iSPL4.4308","article-title":"Caries experience among Tribal Gypsies in Thoothukudi District - A cross-sectional study","volume":"11","author":"Chellappa","year":"2020","journal-title":"Int J Res Pharm Sci"},{"key":"CIT0028-20260420","doi-asserted-by":"crossref","first-page":"3051","DOI":"10.4103\/jfmpc.jfmpc_420_21","article-title":"Assessment of oral health status and treatment needs amongst the tribals residing in Northern Bhubaneswar, Odisha","volume":"10","author":"Kumar","year":"2021","journal-title":"J Family Med Prim Care"},{"key":"CIT0029-20260420","first-page":"1939","article-title":"Personal hygiene practices and morbidity pattern among a tribal primary school children of maharashtra","volume":"15","author":"Khobragade","year":"2021","journal-title":"Indian J Forensic Med Toxicol"},{"key":"CIT0030-20260420","first-page":"1001","article-title":"A cross-sectional comparative study on the basis of signs of nutritional deficiency of anganwadi children of urban, rural and tribal area of Udaipur district","volume":"15","author":"Brijesh Kumar","year":"2023","journal-title":"Int J Pharm Clin Res"},{"key":"CIT0031-20260420","first-page":"368","article-title":"Tracing commoner health problems among tribal school children of the Dang District of Gujarat","volume":"9","author":"Chhaya","year":"2018","journal-title":"Natl J Commun Med"},{"key":"CIT0032-20260420","doi-asserted-by":"crossref","first-page":"178","DOI":"10.15386\/cjmed-1025","article-title":"The Birhor Tribes of Ramgarh District, Jharkhand \u2013 A ferret into their oral health status and treatment needs","volume":"92","author":"Kumar","year":"2018","journal-title":"Med Pharm Rep"},{"key":"CIT0033-20260420","first-page":"112","article-title":"Oral health status and treatment needs of Lambanis in Gadag District (an epidemiological study)","volume":"9","author":"Jyothi","year":"2011","journal-title":"J Indian Assoc Public Health Dent"},{"key":"CIT0034-20260420","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1071\/AH15229","article-title":"Caries and periodontal disease in Indigenous adults in Australia: A case of limited and non-contemporary data","volume":"41","author":"De Silva","year":"2017","journal-title":"Aust Health Rev"},{"key":"CIT0035-20260420","first-page":"e06712024","article-title":"Oral health inequality: Characterization of the indigenous people Xukuru do Ororub\u00e1, Pernambuco, Brazil","volume":"29","author":"Mauricio","year":"2024","journal-title":"Cien Saude Colet"},{"key":"CIT0036-20260420","doi-asserted-by":"crossref","first-page":"S1474","DOI":"10.4103\/jpbs.jpbs_845_23","article-title":"Prevalence of dental caries in Tamil Nadu State, India: A comprehensive umbrella analysis","volume":"16","author":"Nimmy","year":"2024","journal-title":"J Pharm Bioallied Sci"},{"key":"CIT0039-20260420","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1111\/adj.12662","article-title":"Risk factors for oral health in young, urban, Aboriginal and Torres Strait Islander children","volume":"64","author":"Butten","year":"2018","journal-title":"Aust Dent J"},{"key":"CIT0041-20260420","doi-asserted-by":"crossref","first-page":"1838","DOI":"10.4103\/jfmpc.jfmpc_286_19","article-title":"Integration of oral health into primary health care: A systematic review","volume":"8","author":"Prasad","year":"2019","journal-title":"J Family Med Prim Care"},{"key":"CIT0042-20260420","first-page":"23","article-title":"Understanding oral health beliefs and behavior among Paniyan tribals in Kerala, India","volume":"4","author":"Jain","year":"2012","journal-title":"J Int Oral Health"},{"key":"CIT0043-20260420","first-page":"9179","article-title":"Oral hygiene practice and oral health status among tribal children of Odisha, India","volume":"14","author":"Mohanty","year":"2020","journal-title":"Indian J Forensic Med Toxicol"},{"key":"CIT0044-20260420","first-page":"e55957","article-title":"Oral healthcare utilization factors shaping the perceived oral health outcome among Gond Tribes of Chhattisgarh: A cross-sectional study based on Andersen\u2019s behavioral model","volume":"16","author":"Benjamin","year":"2024","journal-title":"Cureus"},{"key":"CIT0045-20260420","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1159\/000516137","article-title":"Dental health inequalities among indigenous populations: A systematic review and meta-analysis","volume":"55","author":"Nath","year":"2021","journal-title":"Caries Res"}],"container-title":["Journal of International Society of Preventive and Community Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jispcd.jispcd_119_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:34:14Z","timestamp":1787769254000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jispcd.jispcd_119_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jispcd.jispcd_119_25","relation":{},"ISSN":["2231-0762","2250-1002"],"issn-type":[{"value":"2231-0762","type":"print"},{"value":"2250-1002","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-07-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}