Evidence map›Paper›PMID 41729024›Full record

ArticleClinical and experimental dental research2026

Improving Oral Health After Spinal Cord Injury: A Scoping Review of Barriers, Facilitators, Current Interventions and Their Effectiveness.

Md Nazmul Huda, Ajesh George, Masoud Golakani, Thomas G Elphick, Sachin Shetty, Akriti Biswas, Shilpi Ajwani

Abstract readScoping Review
In one paragraph

Article in Clinical and experimental dental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Md Nazmul HudaSchool of Clinical Medicine, The University of New South Wales (UNSW), Sydney, NSW, Australia.ORCID 0000-0001-7048-1266
Ajesh GeorgeAustralian Centre for Integration of Oral Health (ACIOH), Western Sydney University, Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.ORCID 0000-0002-6795-2546
Masoud GolakaniFaculty of Health, School of Nursing & Midwifery, Western Sydney University, Penrith, NSW, Australia.
Thomas G ElphickFaculty of Medicine, School of Medical Sciences, UNSW, Sydney, NSW, Australia.
Sachin ShettySpinal Injuries Unit, Prince of Wales Hospital, UNSW Medical School, Sydney, NSW, Australia.
Akriti BiswasAustralian Centre for Integration of Oral Health (ACIOH), Western Sydney University, Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Shilpi AjwaniFaculty of Health, School of Nursing & Midwifery, Western Sydney University, Penrith, NSW, Australia.ORCID 0000-0003-1944-6507

Funding

Australian Centre for Integration of Oral Health
6 · The paper itself

Abstract

objectivesOral health promotion interventions promoted by non-dental health professionals can optimize clinical outcomes and overall well-being among people with spinal cord injury (PWSCI). Many barriers and facilitators affect non-dental health professionals' ability to promote oral health interventions among PWSCI. This scoping review aims to map the barriers, facilitators, and current oral health promotion interventions, and to assess their effectiveness among PWSCI. MATERIALS AND

methodsUsing Arksey and O'Malley's scoping review framework, a systematic search of six databases (e.g., Embase, MEDLINE, CINAHL, Web of Science, Scopus, and PubMed) and Google Scholar for published studies inEnglish was conducted. All articles published up until November 2024 were included. The PRISMA-Scoping Reviews Checklist was applied to guide this review's structure.

resultsOf the 1352 records identified, seven studies were included. Many individual and system-level barriers (limited resources and staff, etc.) and facilitators (education and training) reported by non-dental health professionals (nurses, occupational therapists, clinical dietitians, speech pathologists etc.) were identified. Five oral health interventions for PWSCI were reported, including oral health education and training. These interventions optimized oral health outcomes (activities of daily living, quality of life, independence in toothbrushing, reducing gingival inflammation), improved oral health practices (e.g., sustaining long-term dental hygiene habits and improving independence in dental hygiene habits, and accessibility to geographically dispersed PWSCI) and enhanced knowledge about dental hygiene among them.

conclusionsNon-dental health professionals can be key in promoting oral health. Although many barriers impede their ability to promote oral health, currently, there are no interventions to address these barriers and enhance their ability to optimize oral health. Therefore, more research is needed to identify appropriate interventions that can enable non-dental health professionals to address the barriers, identify oral health issues, and integrate oral health into general healthcare.

Indexed as

Health PromotionOral HealthSpinal Cord InjuriesHumansOral Hygienecliniciansfactorsinterventionsspinal cord injury

Identifiers

PMID41729024
PMCPMC12928099

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.