Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol

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O'Brien" }, { "@type": "Person", "name": "Julia Pimentel" }, { "@type": "Person", "name": "Michael Glick" }, { "@type": "Person", "name": "Alonso Carrasco-Labra" } ], "publisher": { "@type": "Organization", "name": "F1000Research", "logo": { "@type": "ImageObject", "url": "https://f1000research.com/img/AMP/F1000Research_image.png", "height": 480, "width": 60 } }, "image": { "@type": "ImageObject", "url": "https://f1000research.com/img/AMP/F1000Research_image.png", "height": 1200, "width": 150 }, "description": " Background Oral health is fundamental to general health and well-being, yet it remains a neglected priority in health systems, particularly within the World Health Organization (WHO) Eastern Mediterranean Region (EMR). Oral diseases affect an estimated 330 million people (46.5%) across the region, driven by unaddressed risk factors, inequalities, and weak integration into the Non-Communicable Diseases (NCD) and Universal Health Coverage (UHC) agendas. Despite this high burden, oral health initiatives to address this burden and prioritize the oral research agenda remain limited. This scoping review represents the first comprehensive effort to systematically map and identify the status of Oral Health Research (OHR), including scope, output, and collaboration within the WHO EMR (hereafter, EMR) between 2014 and 2024. Methods A comprehensive search strategy was developed in Ovid MEDLINE and translated into Embase, Cochrane Library, and Epistemonikos, and will be applied to global and regional databases. Searching covers January 2014 to December 2024 without language restrictions. Eligible studies will include primary and secondary research covering clinical, public health, and health systems research. Excluded will be in vitro, in vivo, case reports, protocols, editorials, and commentaries. Screening and data extraction will be managed using DistillerSR software. Extracted data will be analyzed in RStudio, using descriptive statistics, collaboration mapping, and interactive visualization. Discussion This scoping review will provide the first comprehensive mapping of OHR across the EMR. The review will highlight oral health research strengths and gaps at regional and country-specific levels by examining research topics, study designs, funding sources, and collaboration patterns. These findings will guide policymakers, researchers, and academic schools and institutions to prioritize the OHR agenda and inform the development and enactment of oral health policies. Results will be disseminated through peer-reviewed publications, conference abstracts, and regional interest-holders engagement. Registration The protocol is registered with the Open Science Framework (OSF): https://doi.org/10.17605/OSF.IO/MXWKC. 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F1000Research 2025, 14 :1124 ( https://doi.org/10.12688/f1000research.171070.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. Close Copy Citation Details Export Export Citation Sciwheel EndNote Ref. Manager Bibtex ProCite Sente EXPORT Select a format first Track Share ▬ ✚ Study Protocol Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol [version 1; peer review: 1 approved, 1 approved with reservations] Abdullah Alalyani https://orcid.org/0009-0008-1893-1424 1 , Ankita Shashikant Bhosale https://orcid.org/0009-0005-6791-9403 1 , Olivia Urquhart 1 , [...] Kelly K. O'Brien https://orcid.org/0000-0003-0135-1657 2 , Julia Pimentel https://orcid.org/0009-0002-0440-0530 1 , Michael Glick https://orcid.org/0000-0003-4236-5385 1 , Alonso Carrasco-Labra https://orcid.org/0000-0003-3546-3526 1 Abdullah Alalyani https://orcid.org/0009-0008-1893-1424 1 , Ankita Shashikant Bhosale https://orcid.org/0009-0005-6791-9403 1 , [...] Olivia Urquhart 1 , Kelly K. O'Brien https://orcid.org/0000-0003-0135-1657 2 , Julia Pimentel https://orcid.org/0009-0002-0440-0530 1 , Michael Glick https://orcid.org/0000-0003-4236-5385 1 , Alonso Carrasco-Labra https://orcid.org/0000-0003-3546-3526 1 PUBLISHED 16 Oct 2025 Author details Author details 1 Center for Integrative Global Oral Health, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, 19104, USA 2 Library & Archives, American Dental Association, Chicago, Illinois, 60611, USA Abdullah Alalyani Roles: Conceptualization, Investigation, Methodology, Project Administration, Supervision, Validation, Writing – Original Draft Preparation, Writing – Review & Editing Ankita Shashikant Bhosale Roles: Conceptualization, Methodology, Validation, Writing – Original Draft Preparation, Writing – Review & Editing Olivia Urquhart Roles: Conceptualization, Methodology, Validation, Writing – Review & Editing Kelly K. O'Brien Roles: Conceptualization, Methodology, Resources, Writing – Review & Editing Julia Pimentel Roles: Conceptualization, Methodology, Validation, Writing – Review & Editing Michael Glick Roles: Conceptualization, Investigation, Methodology, Resources, Validation, Writing – Review & Editing Alonso Carrasco-Labra Roles: Conceptualization, Investigation, Methodology, Resources, Supervision, Validation, Writing – Review & Editing OPEN PEER REVIEW DETAILS REVIEWER STATUS Abstract Background Oral health is fundamental to general health and well-being, yet it remains a neglected priority in health systems, particularly within the World Health Organization (WHO) Eastern Mediterranean Region (EMR). Oral diseases affect an estimated 330 million people (46.5%) across the region, driven by unaddressed risk factors, inequalities, and weak integration into the Non-Communicable Diseases (NCD) and Universal Health Coverage (UHC) agendas. Despite this high burden, oral health initiatives to address this burden and prioritize the oral research agenda remain limited. This scoping review represents the first comprehensive effort to systematically map and identify the status of Oral Health Research (OHR), including scope, output, and collaboration within the WHO EMR (hereafter, EMR) between 2014 and 2024. Methods A comprehensive search strategy was developed in Ovid MEDLINE and translated into Embase, Cochrane Library, and Epistemonikos, and will be applied to global and regional databases. Searching covers January 2014 to December 2024 without language restrictions. Eligible studies will include primary and secondary research covering clinical, public health, and health systems research. Excluded will be in vitro, in vivo, case reports, protocols, editorials, and commentaries. Screening and data extraction will be managed using DistillerSR software. Extracted data will be analyzed in RStudio, using descriptive statistics, collaboration mapping, and interactive visualization. Discussion This scoping review will provide the first comprehensive mapping of OHR across the EMR. The review will highlight oral health research strengths and gaps at regional and country-specific levels by examining research topics, study designs, funding sources, and collaboration patterns. These findings will guide policymakers, researchers, and academic schools and institutions to prioritize the OHR agenda and inform the development and enactment of oral health policies. Results will be disseminated through peer-reviewed publications, conference abstracts, and regional interest-holders engagement. Registration The protocol is registered with the Open Science Framework (OSF): https://doi.org/10.17605/OSF.IO/MXWKC. READ ALL READ LESS Keywords Oral Health Research, Eastern Mediterranean Region, Dental Public Health, Scoping Review Corresponding Author(s) Michael Glick ( [email protected] ) Close Corresponding author: Michael Glick Competing interests: No competing interests were disclosed. Grant information: The author(s) declared that no grants were involved in supporting this work. Copyright: © 2025 Alalyani A et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. How to cite: Alalyani A, Bhosale AS, Urquhart O et al. Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol [version 1; peer review: 1 approved, 1 approved with reservations] . F1000Research 2025, 14 :1124 ( https://doi.org/10.12688/f1000research.171070.1 ) First published: 16 Oct 2025, 14 :1124 ( https://doi.org/10.12688/f1000research.171070.1 ) Latest published: 16 Oct 2025, 14 :1124 ( https://doi.org/10.12688/f1000research.171070.1 ) Introduction The EMR The EMR office is one of the WHO’s six regional offices worldwide and oversees “… 21 Member States and occupied Palestinian territory (including East Jerusalem.)” 1 Specifically, the EMR countries include Afghanistan, Bahrain, Djibouti, Egypt, Islamic Republic of Iran, Iraq, Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Pakistan, Palestine, Qatar, Saudi Arabia, Somalia, Sudan, Syrian Arab Republic, Tunisia, United Arab Emirates, and Yemen ( Figure 1 ). 1 , 2 The region has a population of approximately 745 million people with vast cultural, economic, and societal differences. 1 Figure 1. Geographical map of the EMR countries. 2 OPT : Occupied Palestine Territory, UAE : United Arab Emirates. Background The burden of oral diseases is growing globally due to population growth (in low and lower-middle-income countries), inequalities, unaddressed risk factors, and social, commercial, and economic determinants of health. 3 The burden of oral disease in the EMR affects around 330 million (46.5%) of the population. 4 These oral diseases can be prevented and if present, effectively treated. However, the knowledge gap of OHR’s current status to prioritize initiatives and the lack of integration of oral health into the NCDs and UHC agendas weaken the oral health of the EMR population. 3 , 5 Despite oral health’s integral role in overall health, oral health has been underprioritized within healthcare systems and policies at global, regional, and national levels. The last coordinated regional initiative aiming to advance oral health, including research and policies, took place in Iran in 2012, 6 where experts met to finalize a regional strategy for oral health promotion. Building on those early efforts, significant gaps remain in aligning the oral health research agenda and priorities with the evolving needs of the EMR. This information gap limits the capacity of EMR countries to address the increasing burden of oral diseases. Therefore, this scoping review will identify the status of OHR in the EMR from 2014 through 2024. Oral health definitions “Oral health is multi-faceted and includes the ability to speak, smile, smell, taste, touch, chew, swallow and convey a range of emotions through facial expressions with confidence and without pain, discomfort and disease of the craniofacial complex (head, face, and oral cavity).” 7 “Oral health is the state of the mouth, teeth and orofacial structures that enables individuals to perform essential functions, such as eating, breathing, and speaking, and encompasses psychosocial dimensions, such as self-confidence, well-being and the ability to socialize and work without pain, discomfort and embarrassment. Oral health varies over the life course from early life to old age, is integral to general health and supports individuals in participating in society and achieving their potential.” 8 Research question What is the status of oral health research, including scope, output, and collaboration within the EMR from 2014 to 2024? Aim To determine the status of oral health research, including breadth and scholarly productivity within the EMR from 2014 to 2024. Objectives 1. To identify and describe the output of oral health research conducted in or pertaining to the EMR from 2014 to 2024 through scientific publications. 2. To determine and assess the research topics and types, study designs, and funding sources used in oral health research in the EMR from 2014 to 2024. 3. To estimate the extent of national and international collaboration in oral health research in the EMR from 2014 to 2024. Protocol This protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) 9 , 10 and the findings will be reported using the PRISMA-ScR extension for Scoping Reviews. 11 Eligibility criteria • Inclusion criteria Primary and secondary studies addressing OHR topics according to the WHO and the FDI World Dental Federation oral health definitions will be included. 7 , 8 , 12 The scope of the eligible study should include clinical, public health, or health system-related research, which means studies that can directly inform clinical practice, public health decision-making, and policy-making. Primary study designs include randomized and non-randomized controlled trials, cross-sectional studies, cohort studies, ecological studies, case-control studies, interrupted time series, before and after studies, quasi-experimental studies (e.g., difference in differences, instrumental variables analysis), qualitative research studies (e.g., grounded theory, ethnography, phenomenology, case study, biography), mixed methods, economic analyses (e.g., cost-effectiveness, cost-benefit, cost-utility), measurement property studies (e.g., reliability, validity, responsiveness, cross-cultural translation of instruments) recruiting human participants where individuals, groups, or populations are the unit of analysis. Secondary study designs and documents include systematic reviews with or without meta-analysis, health technology assessments, scoping reviews, rapid reviews, integrative reviews, realist reviews, policy briefs, clinical and public health guidelines, overview of reviews (i.e., umbrella reviews), and evidence mapping. • Exclusion criteria In vitro and in vivo experimental studies, case-reports studies (cases series or clinical cases), narrative reviews, editorials, protocols of primary and secondary studies, letters to the editor, commentaries, and news will be excluded. Information sources and search strategy To identify eligible articles for this scoping review, an informationist built a systematic search strategy in Ovid MEDLINE 13 using keywords and subject headings. This strategy was translated into the following additional databases: Embase, 14 Cochrane Library, 15 Epistemonikos. 16 A date limit of January 1 st , 2014 - December 31 st , 2024 was applied. A humans-only filter was extracted from the Cochrane Highly Sensitive Search Strategies for identifying randomized trials, and applied to this search. It was modified to also exclude in vitro and in vivo studies. No language restrictions were applied. In addition, the search will be translated into global and Eastern Mediterranean-specific electronic journal databases (e.g., African Journals Online, 17 Eastern Mediterranean Region Index Medicus, 18 and KAUST Repository 19 ), the WHO International Clinical Trials Registry Platform, 20 and ProQuest Dissertations & Theses Global. 21 All results will be exported to EndNote. The EndNote library will be imported into DistillerSR, 22 where the DistillerSR duplicate detection tool will be used to remove duplicates, leaving unique citations. The search will continue to be updated as needed. The search strategy can be found in the extended data section. 23 Study selection Study selection will be done through two screening stages. First, titles and abstracts will be screened against eligibility criteria. Second, full text will be examined to determine final eligibility. In both stages, pairs of reviewers will independently assess article eligibility. Retrieved research articles published in Arabic, French, Urdu, Pashto, Parisian, Somali, and Dari will be designated to research team members who comprehend one of these languages at a native level. In case of disagreement, a third reviewer will be consulted. The corresponding author of a potentially eligible study will be contacted if there is any missing information limiting the determination of study eligibility. DistillerSR software will be used to manage the screening process and resolve disagreements. 22 To support this process, a collaborative network that includes global and regional interest-holders, researchers, and experts has been established. Data extraction Pairs of reviewers will independently and in duplicate extract data from included studies using a data extraction form developed in DistillerSR software, 22 including all variables listed in Table 1 . In case of disagreement or discrepancy in any single piece of data extracted, a third reviewer will make the final decision. The extraction sheet will be updated iteratively throughout the process, and modifications will be reported in the methods of this scoping review. Table 1. Data extraction variables. Variable Sub-variable Note Reference ID Assigned by the software (DistillerSR) PMID or alike Publication Year List of Authors ▪ Authors names Title Abstract Journal ▪ Journal name ▪ Impact factor/ranking Country of origin of the study ▪ Country name Step 1 . Identification of the primary location of the study (i.e., the location of the center recruiting participants). If more than one country is reported, all locations will be extracted. Step 2 . If no description about the primary location of the study was provided based on step 1, the affiliation of the last and the corresponding author will be extracted. When these two authors have different affiliations, the location for the corresponding author will be the primary location of the study Author ▪ Number of authors ▪ Affiliation ▪ Country of affiliation ▪ Partnership o Affiliation of the last and corresponding author o Partnership: National, EMR, or out of the EMR Partnerships are classified according to the type of collaboration: National : This category includes collaborations between two different entities within the same country EMR : This category includes collaborations between entities from different countries within the EMR Out of the EMR : This category includes collaborations beyond the EMR, involving global partners Source of funding ▪ Name of source of funding ▪ Region of the source of funding (national, EMR, or out of the EMR) Study design ▪ Primary study ▪ Secondary study Primary studies: Include randomized and non-randomized controlled trials, cross-sectional studies, cohort studies, ecological studies, case-control studies, interrupted time series, before and after studies, quasi-experimental studies (e.g., difference in differences, instrumental variables analysis), qualitative research designs (e.g., grounded theory, ethnography, phenomenology, case study, biography), mixed methods, economic analyses (e.g., cost-effectiveness, cost-benefit, cost-utility), measurement property studies (e.g., reliability, validity, responsiveness, cross-cultural translation of instruments) recruiting human subjects where individuals, groups, or populations are the unit of analysis. Secondary studies: Include systematic reviews with or without meta-analysis, health technology assessments, scoping reviews, rapid reviews, integrative reviews, realist reviews, policy briefs, clinical practice guidelines, overview of reviews (i.e., umbrella reviews), and evidence mapping. Primary studies discipline ▪ Study discipline List of the study disciplines: General dentistry, dental anesthesiology, dental public health, endodontics, oral and maxillofacial pathology, oral and maxillofacial radiology, oral and maxillofacial surgery, oral medicine, orofacial pain, orthodontics and dentofacial orthopedics, pediatric dentistry, periodontics, and prosthodontics. 25 Oral health topic/condition ▪ Topic/condition List of topics/conditions: Dental caries, periodontal disease, oral infections, oral lesions, malocclusions, oral cancer, temporomandibular disorders, dental anomalies, endodontic conditions, dental trauma, salivary gland disorders, halitosis, edentulism, craniofacial anomalies, maxillofacial trauma, oral health needs, oral health systems, oral health education, oral health status, anthropometrics, and psychological factors and behavioral issues. 25 DPH subtopic ▪ DPH sub-topic List of DPH sub-topics: Oral health situation, healthcare professionals' education, preventive education, oral health-related quality of life, community outreach and promotion, oral health services, oral health access, oral health need assessment, policymaking, oral health interventions, workforce studies, and burden of disease. Research type ▪ Problem ▪ Cause ▪ Solution ▪ Implementation ▪ Evaluation These categories defined in the WHO document titled “A systematic approach for undertaking a research priority-setting exercise” 26 Problem - Research to measure the size of the health problem through epidemiology, estimating the burden of disease and other forms of data collection; Cause - Research to understand the causal agents, risk factors and determinants of the health issue (this research may include, for instance, study of infection cycles, vectors, role of socioeconomic factors, environment, diet and the interaction of multiple factors); Solution - Research to develop new interventions, including therapeutics, devices, and procedures and also policy interventions, public health campaigns etc; Implementation - Research to translate new interventions into policy and practice and understanding the barriers to delivering known interventions; Evaluation - Research to monitor and evaluate the effectiveness or health impact of an intervention or program. Citations ▪ Country of the cited article ▪ Number of citations per country Web of Science or alike will be used to extract citation numbers. Data analysis and synthesis R Studio will be used to summarize, analyze, and display data. A taxonomy will be developed or cited to classify and categorize the qualitative data from the identified studies. The data will be analyzed at the regional (i.e., EMR) and country-specific levels. The variables will be modified according to the level of analysis, which will depend on whether it is regional or country-level (i.e., data will be aggregated for the regional level and disaggregated for the country-specific level). Methods of analysis will be as follows: a. To identify and describe the output of OHR in the EMR from 2014 to 2024, a database of relevant studies and all extracted variables ( Table 1 ) will be created. b. To determine and assess the research output, including (research topics and types, study discipline, study designs, and funding sources) in the EMR from 2014 to 2024, tables and figures will summarize the distribution of publications across each variable, stratified by the level of analysis (i.e., regional or country-level) ( Table 1 ). c. To estimate the extent of national and international collaboration in OHR in the EMR from 2014 to 2024, authors’ names, and the institutional affiliations (university and department), city, and country for authors, and the source of funding will be identified. Collaboration mapping analysis will be created. A database that includes the relevant citation data (title, abstract, publication year), authors’ names, institution, city, and country of affiliation will be created. Application Programming Interface (API) from the US National Library of Medicine and Elsevier will be used to obtain this public data. Additionally, the Shiny package in RStudio will be used to create an interactive data visualization tool for the regional collaboration map. The public citation data will be available in a publicly accessible file. The collaboration map will be generated using authors’ country of affiliation from the public data, which will help identify existing partnerships and trends in research collaboration among researchers within and out of EMR countries. The funding source will be used to identify which country and institution supports OHR in the region and identify the level of OHR funding for each country (e.g., national, EMR, or out of the EMR). Discussion To advance OHR and strengthen evidence-informed decision-making in the EMR, it is crucial to first map the scope, nature, and distribution of existing research. This scoping review will systematically identify and synthesize evidence on OHR, including study designs, research topics, funding sources, and patterns of collaboration in the EMR from 2014 through 2024. The findings will help highlight strengths, gaps, and opportunities for enhancing the regional and country-level OHR agenda. In addition, findings can inform the development of national and regional research priorities and national evidence-informed guidelines, foster stronger collaboration within and out of the EMR, and guide investment in research capacity. The interactive data visualization and collaboration mapping will provide researchers, policymakers, and academic schools and institutions with a practical tool to monitor trends, track partnerships, and facilitate knowledge exchange across the EMR. Some limitations are expected. The broad scope of OHR may result in heterogeneity across study designs, disciplines, and terminologies, requiring intensive team training and careful synthesis of diverse evidence types. Regional literature may also be inconsistently indexed across databases, and access to the full text of some eligible articles could be restricted. Additional limitations may include language barriers, cultural differences, and region-specific factors such as political instability. A collaborative network that brings together representatives with global expertise and regional knowledge from within and out the EMR has been established to mitigate these pitfalls, ensuring access to regional databases, language capacity, contextual insights, and region-specific expertise. Dissemination The findings of this scoping review will be disseminated by presentation of abstracts at international conferences, publication in peer-reviewed journals, and circulation of findings with key regional interest-holders, researchers, and deans of dental schools or academic institutions in EMR countries. These country-level interest-holders will help reiterate the project’s findings with their constituencies and colleagues. Study status The search strategy has been built in Ovid MEDLINE and will be completed by November 2025. Data collection is expected to begin by February 2026, and data analysis by April 2026. Ethical considerations Ethical approval is not required for this project since it does not involve human subjects. Data availability Underlying data No data is associated with this article. Reporting guidelines Figshare. PRISMA-P checklist . https://doi.org/10.6084/m9.figshare.30214912.v1 . 10 This project contains the following underlying data: • PRISMA-P Checklist Data are available under the terms of the Creative Commons Attribution 4.0 International license (CC BY 4.0). Extended data Figshare: Search strategy: Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024, https://doi.org/10.6084/m9.figshare.30154495.v1 . 23 This project contains the following underlying data: • Search Strategy - Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024 Data are available under the terms of the Creative Commons Attribution 4.0 International license (CC BY 4.0). OSF: Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol, https://doi.org/10.17605/OSF.IO/MXWKC . 24 References 1. The WHO EMRO countries. World Health Organization; Accessed September 17, 2025. Reference Source 2. Eastern Mediterranean Region map. World Health Organization; Accessed September 17, 2025. Reference Source 3. Global oral health status report: towards universal health coverage for oral health by 2030. World Health Organization; Accessed September 17, 2025. Reference Source 4. Global oral health status report: towards universal health coverage for oral health by 2030: regional summary of the Eastern Mediterranean Region. World Health Organization; Accessed September 17, 2025. Reference Source 5. Benzian H, Daar A, Naidoo S: Redefining the non-communicable disease framework to a 6 × 6 approach: incorporating oral diseases and sugars. Lancet Public Health. 2023; 8 (11): e899–e904. PubMed Abstract | Publisher Full Text 6. Summary report on the expert meeting to finalize a regional strategy for oral health promotion Shiraz, Islamic Republic of Iran, 12–14 November 2012. World Health Organization; Accessed September 17, 2025. Reference Source 7. Glick M, Williams DM, Kleinman DV, et al. : A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. J. Am. Dent. Assoc. 2016; 147 (12): 915–917. PubMed Abstract | Publisher Full Text 8. Oral health definition. World Health Organization; Accessed September 17, 2025. Reference Source 9. Moher D, Shamseer L, Clarke M, et al. : Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst. Rev. 2015; 4 . PubMed Abstract | Publisher Full Text | Free Full Text 10. Alalyani A: PRISMA-P Checklist. Dataset. Figshare. 2025. Publisher Full Text 11. Tricco AC, Lillie E, Zarin W, et al. : PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann. Intern. Med. 2018; 169 (7): 467–473. Publisher Full Text 12. Carrasco-Labra A, Verdugo-Paiva F, Matanhire-Zihanzu CN, et al. : Barriers to and facilitators for the creation, dissemination, implementation, monitoring, and evaluation of oral health policies in the WHO Africa region: A scoping review protocol. F1000Res. 2023; 12 : 1160. Publisher Full Text 13. Ovid MEDLINE. Wolters Kluwer; Accessed September 17, 2025. Reference Source 14. Embase. Elsevier; Accessed September 17, 2025. Reference Source 15. Cochrane Library. John Wiley & Sons; Accessed September 17, 2025. Reference Source 16. Epistemonikos. Epistemonikos Foundation; Accessed September 17, 2025. Reference Source 17. African Journals Online: The Central African Journal of Medicine. Accessed September 17, 2025. Reference Source 18. Eastern Mediterranean Region Index Medicus. World Health Organization, Regional Office for the Eastern Mediterranean; Accessed September 17, 2025. Reference Source 19. KAUST Repository: King Abdullah University of Science and Technology. Accessed September 17, 2025. Reference Source 20. International Clinical Trials Registry Platform. World Health Organization; Accessed September 17, 2025. Reference Source 21. ProQuest dissertations & theses global: The Charleston Advisor. Accessed September 17, 2025. Reference Source 22. Version 2.35. DistillerSR Inc. DistillerSR. Accessed September 17, 2025. Reference Source 23. Alalyani A: Search strategy: Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024. Dataset. Figshare. 2025. Publisher Full Text 24. Alalyani A, Bhosale A: Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol. Open Science Framework. 2025. Publisher Full Text 25. Labarca TF, Ortuño D, Neira L, et al. : Oral health research in the WHO African region between 2011 and 2022: A scoping review. J. Dent. Res. 2024; 103 (12): 1209–1217. PubMed Abstract | Publisher Full Text | Free Full Text 26. A systematic approach for undertaking a research priority-setting exercise: guidance for WHO staff. World Health Organization; Accessed September 17, 2025. Reference Source Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 16 Oct 2025 ADD YOUR COMMENT Comment Author details Author details 1 Center for Integrative Global Oral Health, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, 19104, USA 2 Library & Archives, American Dental Association, Chicago, Illinois, 60611, USA Abdullah Alalyani Roles: Conceptualization, Investigation, Methodology, Project Administration, Supervision, Validation, Writing – Original Draft Preparation, Writing – Review & Editing Ankita Shashikant Bhosale Roles: Conceptualization, Methodology, Validation, Writing – Original Draft Preparation, Writing – Review & Editing Olivia Urquhart Roles: Conceptualization, Methodology, Validation, Writing – Review & Editing Kelly K. O'Brien Roles: Conceptualization, Methodology, Resources, Writing – Review & Editing Julia Pimentel Roles: Conceptualization, Methodology, Validation, Writing – Review & Editing Michael Glick Roles: Conceptualization, Investigation, Methodology, Resources, Validation, Writing – Review & Editing Alonso Carrasco-Labra Roles: Conceptualization, Investigation, Methodology, Resources, Supervision, Validation, Writing – Review & Editing Competing interests No competing interests were disclosed. Grant information The author(s) declared that no grants were involved in supporting this work. Article Versions (1) version 1 Published: 16 Oct 2025, 14:1124 https://doi.org/10.12688/f1000research.171070.1 Copyright © 2025 Alalyani A et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Download Export To Sciwheel Bibtex EndNote ProCite Ref. Manager (RIS) Sente metrics Views Downloads F1000Research - - PubMed Central info_outline Data from PMC are received and updated monthly. - - Citations open_in_new 0 open_in_new 0 open_in_new SEE MORE DETAILS CITE how to cite this article Alalyani A, Bhosale AS, Urquhart O et al. Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol [version 1; peer review: 1 approved, 1 approved with reservations] . F1000Research 2025, 14 :1124 ( https://doi.org/10.12688/f1000research.171070.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS track receive updates on this article Track an article to receive email alerts on any updates to this article. TRACK THIS ARTICLE Share Open Peer Review Current Reviewer Status: ? Key to Reviewer Statuses VIEW HIDE Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Version 1 VERSION 1 PUBLISHED 16 Oct 2025 Views 0 Cite How to cite this report: Jakubovics N. Reviewer Report For: Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol [version 1; peer review: 1 approved, 1 approved with reservations] . F1000Research 2025, 14 :1124 ( https://doi.org/10.5256/f1000research.188614.r425158 ) The direct URL for this report is: https://f1000research.com/articles/14-1124/v1#referee-response-425158 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 13 Nov 2025 Nick Jakubovics , Newcastle University, Tyne and Wear, UK Approved VIEWS 0 https://doi.org/10.5256/f1000research.188614.r425158 This is a clear and detailed protocol for a scoping review. Documenting the oral health research activity in the WHO Eastern Mediterranean region will provide a useful benchmark to identify research gaps and to document future progress. The objectives are ... Continue reading READ ALL This is a clear and detailed protocol for a scoping review. Documenting the oral health research activity in the WHO Eastern Mediterranean region will provide a useful benchmark to identify research gaps and to document future progress. The objectives are clear. I have only minor comments (none of them essential): 1. The article talks of a collaborative network to support the review process. It would be useful to understand more about this network. For example, approximately how many people are involved? How is the network co-ordinated? 2. In the Table, 'Primary studies discipline' is not clear. Does this mean the discipline of secondary studies will not be documented (why not)? 3. I am not quite sure where areas such as dentures and teledentistry, which are part of the search strategy, fit in the topics and subtopics. Will there be any means to pick up areas that may not have been adequately covered in the planned data extraction variables? Is the rationale for, and objectives of, the study clearly described? Yes Is the study design appropriate for the research question? Yes Are sufficient details of the methods provided to allow replication by others? Yes Are the datasets clearly presented in a useable and accessible format? Not applicable Competing Interests: No competing interests were disclosed. Reviewer Expertise: Dental research, oral health, oral microbiology. I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Jakubovics N. Reviewer Report For: Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol [version 1; peer review: 1 approved, 1 approved with reservations] . F1000Research 2025, 14 :1124 ( https://doi.org/10.5256/f1000research.188614.r425158 ) The direct URL for this report is: https://f1000research.com/articles/14-1124/v1#referee-response-425158 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Views 0 Cite How to cite this report: Dagli N. Reviewer Report For: Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol [version 1; peer review: 1 approved, 1 approved with reservations] . F1000Research 2025, 14 :1124 ( https://doi.org/10.5256/f1000research.188614.r425157 ) The direct URL for this report is: https://f1000research.com/articles/14-1124/v1#referee-response-425157 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 31 Oct 2025 Namrata Dagli , Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, Tamil Nadu, India Approved with Reservations VIEWS 0 https://doi.org/10.5256/f1000research.188614.r425157 1. The protocol presents as a scoping review but employs bibliometric methods (R Studio analysis, collaboration mapping, API data extraction, citation metrics). The hybrid approach is not explicitly justified. Clarify whether this is a scoping review with bibliometric components or ... Continue reading READ ALL 1. The protocol presents as a scoping review but employs bibliometric methods (R Studio analysis, collaboration mapping, API data extraction, citation metrics). The hybrid approach is not explicitly justified. Clarify whether this is a scoping review with bibliometric components or a bibliometric analysis with systematic screening—each has different reporting standards and validity considerations. 2. The protocol does not explain how database searches will reliably identify WHO EMR-specific research. 3. Please consider adding the following: Objectives, measures to achieve them, the type of analysis and the unit of analysis. Is the rationale for, and objectives of, the study clearly described? Yes Is the study design appropriate for the research question? Partly Are sufficient details of the methods provided to allow replication by others? Partly Are the datasets clearly presented in a useable and accessible format? Not applicable Competing Interests: No competing interests were disclosed. Reviewer Expertise: Oral health and Mental health domain, particularly focusing on Bibliometrics I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Dagli N. Reviewer Report For: Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol [version 1; peer review: 1 approved, 1 approved with reservations] . F1000Research 2025, 14 :1124 ( https://doi.org/10.5256/f1000research.188614.r425157 ) The direct URL for this report is: https://f1000research.com/articles/14-1124/v1#referee-response-425157 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 16 Oct 2025 ADD YOUR COMMENT Comment keyboard_arrow_left keyboard_arrow_right Open Peer Review Reviewer Status info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Reviewer Reports Invited Reviewers 1 2 Version 1 16 Oct 25 read read Namrata Dagli , Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, India Nick Jakubovics , Newcastle University, Tyne and Wear, UK Comments on this article All Comments (0) Add a comment Sign up for content alerts Sign Up You are now signed up to receive this alert Browse by related subjects keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2025 Jakubovics N. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 13 Nov 2025 | for Version 1 Nick Jakubovics , Newcastle University, Tyne and Wear, UK 0 Views copyright © 2025 Jakubovics N. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions This is a clear and detailed protocol for a scoping review. Documenting the oral health research activity in the WHO Eastern Mediterranean region will provide a useful benchmark to identify research gaps and to document future progress. The objectives are clear. I have only minor comments (none of them essential): 1. The article talks of a collaborative network to support the review process. It would be useful to understand more about this network. For example, approximately how many people are involved? How is the network co-ordinated? 2. In the Table, 'Primary studies discipline' is not clear. Does this mean the discipline of secondary studies will not be documented (why not)? 3. I am not quite sure where areas such as dentures and teledentistry, which are part of the search strategy, fit in the topics and subtopics. Will there be any means to pick up areas that may not have been adequately covered in the planned data extraction variables? Is the rationale for, and objectives of, the study clearly described? Yes Is the study design appropriate for the research question? Yes Are sufficient details of the methods provided to allow replication by others? Yes Are the datasets clearly presented in a useable and accessible format? Not applicable Competing Interests No competing interests were disclosed. Reviewer Expertise Dental research, oral health, oral microbiology. I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. reply Respond to this report Responses (0) Jakubovics N. Peer Review Report For: Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol [version 1; peer review: 1 approved, 1 approved with reservations] . F1000Research 2025, 14 :1124 ( https://doi.org/10.5256/f1000research.188614.r425158) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/14-1124/v1#referee-response-425158 keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2025 Dagli N. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 31 Oct 2025 | for Version 1 Namrata Dagli , Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, Tamil Nadu, India 0 Views copyright © 2025 Dagli N. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved With Reservations info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions 1. The protocol presents as a scoping review but employs bibliometric methods (R Studio analysis, collaboration mapping, API data extraction, citation metrics). The hybrid approach is not explicitly justified. Clarify whether this is a scoping review with bibliometric components or a bibliometric analysis with systematic screening—each has different reporting standards and validity considerations. 2. The protocol does not explain how database searches will reliably identify WHO EMR-specific research. 3. Please consider adding the following: Objectives, measures to achieve them, the type of analysis and the unit of analysis. Is the rationale for, and objectives of, the study clearly described? Yes Is the study design appropriate for the research question? Partly Are sufficient details of the methods provided to allow replication by others? Partly Are the datasets clearly presented in a useable and accessible format? Not applicable Competing Interests No competing interests were disclosed. Reviewer Expertise Oral health and Mental health domain, particularly focusing on Bibliometrics I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. reply Respond to this report Responses (0) Dagli N. Peer Review Report For: Oral Health Research in the WHO Eastern Mediterranean Region between 2014 and 2024: a scoping review protocol [version 1; peer review: 1 approved, 1 approved with reservations] . F1000Research 2025, 14 :1124 ( https://doi.org/10.5256/f1000research.188614.r425157) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/14-1124/v1#referee-response-425157 Alongside their report, reviewers assign a status to the article: Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions Adjust parameters to alter display View on desktop for interactive features Includes Interactive Elements View on desktop for interactive features Competing Interests Policy Provide sufficient details of any financial or non-financial competing interests to enable users to assess whether your comments might lead a reasonable person to question your impartiality. 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