{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:44:26Z","timestamp":1787071466648,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 4","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Adolescents are particularly vulnerable to periodontal diseases due to inadequate oral hygiene practices and hormonal changes during puberty. School-based oral health education programs have emerged as a promising strategy for improving periodontal health by fostering awareness and encouraging positive behavior change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      A cluster-randomized controlled trial was conducted among 480 adolescents aged 13\u201315 years from eight government schools in an urban district. The schools were randomly assigned into intervention (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 240) and control (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 240) groups. The intervention group received a bimonthly, interactive periodontal health education program over six months, including audiovisual modules, toothbrushing demonstrations, and peer-led activities. The control group received standard oral health pamphlets without active instruction. Gingival health was assessed using the gingival index (GI) and plaque index (PI) at baseline and after six months by calibrated examiners blinded to the allocation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      At baseline, there was no significant difference between the groups in mean GI and PI scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). After six months, the intervention group showed a significant reduction in mean GI score from 1.89 \u00b1 0.42 to 0.91 \u00b1 0.27 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and in PI score from 2.04 \u00b1 0.35 to 1.03 \u00b1 0.26 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). In contrast, the control group showed only minor improvements in GI (1.87 \u00b1 0.40 to 1.72 \u00b1 0.39;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.09) and PI scores (2.01 \u00b1 0.38 to 1.93 \u00b1 0.34;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.11). The between-group differences were statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>School-based periodontal health education programs significantly improve gingival and plaque scores in adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1040_25","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T08:00:19Z","timestamp":1766044819000},"page":"S2897-S2899","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Impact of School-Based Periodontal Health Education Programs on Gingival Health in Adolescents: A Cluster-Randomized Controlled Trial"],"prefix":"10.4103","volume":"17","author":[{"given":"Gaurav","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Public Health Dentistry, RKDF Dental College and Research Centre, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonali","family":"Mallick","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, RKDF Dental College and Research Centre, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Awasthi","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, RKDF Dental College and Research Centre, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varsha","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, RKDF Dental College and Research Centre, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarvesh","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, RKDF Dental College and Research Centre, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suman","family":"Kriti","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, RKDF Dental College and Research Centre, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"R1-20251218","doi-asserted-by":"crossref","first-page":"33","DOI":"10.4103\/2277-9531.115820","article-title":"Impact of school-based oral health education program on oral health of 12 and 15 years old school children","volume":"2","author":"Bhardwaj","year":"2013","journal-title":"J Educ Health 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trial","volume":"21","author":"Subedi","year":"2021","journal-title":"BMC Oral Health"},{"key":"R5-20251218","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/s12903-015-0036-4","article-title":"Comparative clinical study testing the effectiveness of school based oral health education using experiential learning or traditional lecturing in 10 year-old children","volume":"15","author":"Angelopoulou","year":"2015","journal-title":"BMC Oral Health"},{"key":"R6-20251218","doi-asserted-by":"crossref","first-page":"670","DOI":"10.4103\/ijdr.IJDR_593_14","article-title":"Evaluation of oral health of 6 to 10-year-old asthmatic children receiving bronchodilator through inhaler","volume":"30","author":"Kumar","year":"2019","journal-title":"Indian J Dent Res"},{"key":"R7-20251218","doi-asserted-by":"crossref","first-page":"253","DOI":"10.4103\/0970-9290.66652","article-title":"Effectiveness of a school dental education program in improving oral health knowledge and oral hygiene practices and status of 12- to 13-year-old school children","volume":"21","author":"Shenoy","year":"2010","journal-title":"Indian J Dent Res"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1040_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:46:32Z","timestamp":1787067992000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1040_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":7,"journal-issue":{"issue":"Suppl 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