{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T15:19:20Z","timestamp":1784647160547,"version":"3.55.0"},"reference-count":46,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Br Dent J"],"published-print":{"date-parts":[[2025,12,19]]},"DOI":"10.1038\/s41415-025-9014-7","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T10:00:40Z","timestamp":1766138440000},"page":"829-835","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Special care dentistry: overcoming future challenges"],"prefix":"10.1038","volume":"239","author":[{"given":"Natalie","family":"Bradley","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiren","family":"Kauser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"9014_CR5180","unstructured":"NHS England. Special care dentistry: clinical standard. 2022. Available at https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2022\/10\/B1641-clincial-standard-special-care-dentistry.pdf (accessed 1 October 2024)."},{"key":"9014_CR5183","unstructured":"General Dental Council. Special care dentistry speciality training curriculum. 2022. Available at https:\/\/www.gdc-uk.org\/docs\/default-source\/education-and-cpd\/dental-specialty-training\/specialty-curricula\/special-care-dentistry-specialty-training-curriculum-2022_a.pdf?sfvrsn=5f3edf4b_15 (accessed 1 October 2024)."},{"key":"9014_CR5186","doi-asserted-by":"crossref","unstructured":"Alamri H. Oral care for children with special healthcare needs in dentistry: a literature review. J Clin Med 2022; 11: 5557.","DOI":"10.3390\/jcm11195557"},{"key":"9014_CR5188","unstructured":"NHS England. Guides for Commissioning Dental Specialties \u2013 Special Care Dentistry. 2015. Available at https:\/\/www.england.nhs.uk\/commissioning\/wp-content\/uploads\/sites\/12\/2015\/09\/guid-comms-specl-care-dentstry.pdf (accessed 1 October 2024)."},{"key":"9014_CR5191","doi-asserted-by":"crossref","unstructured":"Bradley N, Heidari E, Andreasson S, Newton T. Models of dental care for people experiencing homelessness in the UK: a scoping review of the literature. Br Dent J 2023; 234: 816\u2013824.","DOI":"10.1038\/s41415-023-5904-8"},{"key":"9014_CR5194","unstructured":"NHS England. Hospital Dentistry: GIRFT Programme National Speciality Report. 2021. Available at https:\/\/gettingitrightfirsttime.co.uk\/medical_specialties\/hospital-dentistry\/ (accessed 1 November 2024)."},{"key":"9014_CR5198","unstructured":"UK Parliament. UK disability statistics: prevalence and life experiences. 2024. Available at https:\/\/commonslibrary.parliament.uk\/research-briefings\/cbp-9602 (accessed 1 October 2024)."},{"key":"9014_CR5201","unstructured":"Macmillan Cancer Support. Statistics fact sheet. 2022. Available at https:\/\/www.macmillan.org.uk\/dfsmedia\/1a6f23537f7f4519bb0cf14c45b2a629\/9468-10061\/2022-cancer-statistics-factsheet (accessed 1 October 2024)."},{"key":"9014_CR5204","unstructured":"Mind. Mental health facts and statistics. 2020. Available at https:\/\/www.mind.org.uk\/information-support\/types-of-mental-health-problems\/mental-health-facts-and-statistics\/ (accessed 1 October 2024)."},{"key":"9014_CR5207","unstructured":"Alzheimer's Society. How many people have dementia in the UK? 2021. Available at https:\/\/www.alzheimers.org.uk\/blog\/how-many-people-have-dementia-uk (accessed 1 October 2024)."},{"key":"9014_CR5210","unstructured":"Office for National Statistics. Profile of the older population living in England and Wales in 2021 and changes since 2011. 2023. Available at https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/ageing\/articles\/profileoftheolderpopulationlivinginenglandandwalesin2021andchangessince2011\/2023-04-03 (accessed 1 October 2024)."},{"key":"9014_CR5213","doi-asserted-by":"crossref","unstructured":"Gallagher J E, Fiske J. Special care dentistry: a professional challenge. Br Dent J 2007; 202: 619\u2013629.","DOI":"10.1038\/bdj.2007.426"},{"key":"9014_CR5216","unstructured":"UK Government. Adult oral health survey 2021: conclusions. 2024. Available at https:\/\/www.gov.uk\/government\/statistics\/adult-oral-health-survey-2021\/adult-oral-health-survey-2021-conclusions (accessed 1 October 2024)."},{"key":"9014_CR5219","unstructured":"NHS England. Adult dental health survey 2009. Available at https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/adult-dental-health-survey\/adult-dental-health-survey-2009-first-release (2009)."},{"key":"9014_CR5222","doi-asserted-by":"crossref","unstructured":"Watt R, Venturelli R, Daly B. Understanding and tackling oral health inequalities in vulnerable adult populations: from the margins to the mainstream. Br Dent J 2019; 227: 49\u201354.","DOI":"10.1038\/s41415-019-0472-7"},{"key":"9014_CR5224","doi-asserted-by":"crossref","unstructured":"Dietrich T, Webb I, Stenhouse L et al. Evidence summary: the relationship between oral and cardiovascular disease. Br Dent J 2017; 222: 381\u2013385.","DOI":"10.1038\/sj.bdj.2017.224"},{"key":"9014_CR5226","doi-asserted-by":"crossref","unstructured":"Casanova L, Hughes F, Preshaw P M. Diabetes and periodontal disease. BDJ Team 2015; 1: 15007.","DOI":"10.1038\/bdjteam.2015.7"},{"key":"9014_CR5228","doi-asserted-by":"crossref","unstructured":"Alvenfors A, Velic M, Marklund B, Kyl\u00e9n S, Lingstr\u00f6m P, Bernson J. \u201cDifficult\u201d dental patients: a grounded theory study of dental staff's experiences. BDJ Open 2022 8: 24","DOI":"10.1038\/s41405-022-00115-7"},{"key":"9014_CR5231","unstructured":"Scully C, Cawson R A. Medical Problems in Dentistry. London: Churchill Livingstone, 2014."},{"key":"9014_CR5233","unstructured":"Ratzon N Z, Yaros T, Mizlik A, Kanner T. Musculoskeletal symptoms among dentists in relation to work posture. Work 2000; 14: 125\u2013133."},{"key":"9014_CR5236","doi-asserted-by":"crossref","unstructured":"Valachi B, Valachi K. Preventing musculoskeletal disorders in clinical dentistry: Strategies to address the mechanisms leading to musculoskeletal disorders. J Am Dent Assoc 2003; 134: 1604\u20131612.","DOI":"10.14219\/jada.archive.2003.0106"},{"key":"9014_CR5238","unstructured":"NHS Employers. Pay and conditions circular (M&D) 2024. 2024. Available at https:\/\/www.nhsemployers.org\/articles\/pay-and-conditions-circulars-medical-and-dental-staff (accessed 1 November 2024)."},{"key":"9014_CR5241","unstructured":"NHS UK. Pay for the dental team in the NHS. 2024. Available at https:\/\/www.healthcareers.nhs.uk\/explore-roles\/explore-roles\/dental-team\/pay-dental-team-nhs (accessed 1 November 2024)."},{"key":"9014_CR5245","unstructured":"UK Government. Review body on doctors' and dentists' remuneration, fifty-second report 2024. 2024. Available at https:\/\/assets.publishing.service.gov.uk\/media\/66a78e18ab418ab055592ebc\/DDRB_52nd_Report_2024.pdf (accessed 1 November 2024)."},{"key":"9014_CR5248","unstructured":"Fiske J. Special Care Dentistry. London: Quintessence Publishing, 2009."},{"key":"9014_CR5250","doi-asserted-by":"crossref","unstructured":"Balkaran R, Esnard T, Perry M, Virtanen J I. Challenges experienced in the dental care of persons with special needs: qualitative study. BMC Oral Health 2022; 22: 116.","DOI":"10.1186\/s12903-022-02153-x"},{"key":"9014_CR5252","doi-asserted-by":"crossref","unstructured":"Britton J, Bradley N. Why should everybody care about special care dentistry? Br Dent J 2021; 231: 331\u2013333.","DOI":"10.1038\/s41415-021-3465-2"},{"key":"9014_CR5254","unstructured":"General Dental Council. Special Care Dentistry \u2013 Curriculum for Specialty Training. 2019."},{"key":"9014_CR5256","unstructured":"General Dental Council. Registration Statistical Report. 2023. Available at https:\/\/www.gdc-uk.org\/docs\/default-source\/registration\/registration-reports\/registration-statistical-report-2023---final-and-accessible-v2.pdf?sfvrsn=91957fe_3 (accessed 1 October 2024)."},{"key":"9014_CR5259","unstructured":"King's College London. MSc in Special Care Dentistry. Available at https:\/\/www.kcl.ac.uk\/dentistry (accessed 1 November 2025)."},{"key":"9014_CR5264","unstructured":"Royal College of Surgeons of England. Diploma in Special Care Dentistry. 2024. Available at https:\/\/www.rcseng.ac.uk\/-\/media\/files\/rcs\/education-and-exams\/exams\/dscd\/dscd-new-format-2020\/candidate-information-pack.pdf (accessed 1 December 2024)."},{"key":"9014_CR5267","unstructured":"Health Education England. Advancing Dental Care Review \u2013 Final Report. 2021. Available at https:\/\/www.hee.nhs.uk\/our-work\/advancing-dental-care (accessed 1 October 2024)."},{"key":"9014_CR5270","unstructured":"Yorkshire and Humber Deanery. Level 2 special care dentistry training. 2025. Available at https:\/\/www.yorksandhumberdeanery.nhs.uk\/dentistry\/dwd\/level2-special-care (accessed 1 May 2025)"},{"key":"9014_CR5273","unstructured":"Health Education England. Advancing dental care phase II. 2021. Available at https:\/\/www.hee.nhs.uk\/our-work\/advancing-dental-care\/advancing-dental-care-phase-ii (accessed 1 October 2024)."},{"key":"9014_CR5276","unstructured":"Dental Nursing. Mouth Care Matters. 2017. Available at https:\/\/www.dental-nursing.co.uk\/features\/mouth-care-matters (accessed 1 November 2024)."},{"key":"9014_CR5279","unstructured":"Dental Nursing. Helping in every way possible. 2023. Available at https:\/\/www.dental-nursing.co.uk\/features\/helping-in-every-way-possible (accessed 1 November 2024)."},{"key":"9014_CR5282","unstructured":"NHS England. e-Den. Available at https:\/\/www.e-lfh.org.uk\/programmes\/dentistry\/ (accessed 1 October 2024)."},{"key":"9014_CR5285","doi-asserted-by":"crossref","unstructured":"Wootton J, Forrest M. Awaiting remimazolam guidance. Br Dent J 2023; 234: 73.","DOI":"10.1038\/s41415-023-5475-8"},{"key":"9014_CR5287","doi-asserted-by":"crossref","unstructured":"Noirrit E, Chabreron O, Nasr K, Esclassan R. A contribution of CAD\/CAM treatment of a dental trauma in a special care patient. Spec Care Dent 2018; 38: 55\u201357.","DOI":"10.1111\/scd.12261"},{"key":"9014_CR5290","doi-asserted-by":"crossref","unstructured":"Emanuel R, Mintz A. The decline of domiciliary dentistry. BDJ In Pract 2021; 34: 12\u201313.","DOI":"10.1038\/s41404-021-0838-9"},{"key":"9014_CR5294","doi-asserted-by":"crossref","unstructured":"Patel R, Mian M, Robertson C, Pitts N B, Gallagher J E. Crisis in care homes: the dentists don't come. BDJ Open 2021; 7: 20.","DOI":"10.1038\/s41405-021-00075-4"},{"key":"9014_CR5296","doi-asserted-by":"crossref","unstructured":"Lewis D. Domiciliary dentistry during and after the COVID-19 pandemic. BDJ In Pract 2021; 34: 28\u201329.","DOI":"10.1038\/s41404-021-0808-2"},{"key":"9014_CR5298","unstructured":"Shah K. Introduction to teledentistry and its benefits. 2023. Available at https:\/\/dentistry.co.uk\/2023\/07\/29\/introduction-to-teledentistry-and-its-benefits (accessed 1 December 2024)."},{"key":"9014_CR5301","unstructured":"NHS England. Vacancies and preferencing: special care dentistry recruitment. 2025. Available at https:\/\/dental.hee.nhs.uk\/dental-trainee-recruitment\/dental-specialty-training\/special-care-dentistry\/overview-of-special-care-dentistry\/vacancies-and-preferencing (accessed 1 May 2025)."},{"key":"9014_CR5304","unstructured":"Firth L. Exploring CDS training pathways for the new generation of dentists. 2024. Available at https:\/\/www.bda.org\/news-and-opinion\/blog\/exploring-cds-training-pathways-for-the-new-generation-of-dentists\/ (accessed 1 December 2024)."},{"key":"9014_CR5308","doi-asserted-by":"crossref","unstructured":"Woolley S, Lau W. Ten years on: an online questionnaire evaluation of the UK special care dentistry specialist workforce. Br Dent J 2021; DOI: 10.1038\/s41415-021-2946-7.","DOI":"10.1038\/s41415-021-2946-7"}],"container-title":["British Dental Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41415-025-9014-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41415-025-9014-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41415-025-9014-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T10:00:56Z","timestamp":1766138456000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41415-025-9014-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,19]]},"references-count":46,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12,19]]}},"alternative-id":["9014"],"URL":"https:\/\/doi.org\/10.1038\/s41415-025-9014-7","relation":{},"ISSN":["0007-0610","1476-5373"],"issn-type":[{"value":"0007-0610","type":"print"},{"value":"1476-5373","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,19]]},"assertion":[{"value":"10 December 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 June 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 June 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 December 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no conflicts of interest.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics declaration"}}]}}