{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T03:02:02Z","timestamp":1779850922211,"version":"3.53.1"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,22]],"date-time":"2026-02-22T00:00:00Z","timestamp":1771718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,22]],"date-time":"2026-02-22T00:00:00Z","timestamp":1771718400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian Dental Journal"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Dental caries remains the most common chronic childhood condition and in Australia persists as a leading cause of potentially preventable hospitalisation. Despite various public health initiatives and improvements in oral health among the wider community, significant disparities exist among refugee families due to the unique challenges they face. Beyond the effects on a tooth level, dental caries profoundly influences a child's oral health\u2010related quality of life (OHRQoL) which encompasses the physical, psychological and social impacts oral health has on daily life, an area that is often overlooked. This study explores the OHRQoL of Western Australian refugee children who experience childhood caries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This nested study was conducted within a larger randomised controlled trial (ACTRN12616000456459) investigating caries arrest in newly resettled refugee children. Participants were recruited from the tertiary paediatric Refugee Health Service (RHS), where demographic information, clinical dental examination findings and OHRQoL data were collected using the Early Childhood Oral Health Impact Scale (ECOHIS). Non\u2010parametric methods were employed to assess differences in total and domain\u2010specific ECOHIS scores across stratification groups, including caries burden, caries depth, age and geographical region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 223 children were included with a mean age of 4.6\u2009years. Approximately, 65% of the children had high caries burden (&gt;\u20095 affected teeth), and 160 out of 223 (72%) had frank dentine lesions. The mean (SD) total ECOHIS score was 6.52 (6.68). Parental distress had the highest mean score among the ECOHIS domains (1.79), while the symptoms domain score was unexpectedly low (0.96), despite participants experiencing severe and extensive caries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Refugee children experience a high burden of caries, yet reported symptoms were low, suggesting under recognition of oral pain. Conversely, high parental distress scores reveal the significant psychological impact on families. These findings highlight the need for early, culturally appropriate dental care within a family\u2010centred model of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/adj.70044","type":"journal-article","created":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T05:25:59Z","timestamp":1771824359000},"page":"192-200","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Oral Health\u2010Related Quality of Life of Western Australian Refugee Children With Childhood Caries"],"prefix":"10.1111","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8698-4965","authenticated-orcid":false,"given":"Jilen","family":"Patel","sequence":"first","affiliation":[{"name":"UWA Dental School University of Western Australia  Perth Australia"},{"name":"Department of Dental Medicine Perth Children's Hospital  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua Tze Jen","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Refugee and Global Health Perth Children's Hospital  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Cherian","sequence":"additional","affiliation":[{"name":"Department of Refugee and Global Health Perth Children's Hospital  Perth Australia"},{"name":"Department of General Paediatrics Perth Children's Hospital  Perth Australia"},{"name":"Division of Paediatrics University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zac","family":"Dempsey","sequence":"additional","affiliation":[{"name":"The Kids Research Institute  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5464-9305","authenticated-orcid":false,"given":"Bathsheba","family":"Turton","sequence":"additional","affiliation":[{"name":"Henry M. Goldman School of Dental Medicine Boston University  Boston USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Anthonappa","sequence":"additional","affiliation":[{"name":"UWA Dental School University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01887-4"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12200"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12241"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-14-69"},{"key":"e_1_2_12_6_1","unstructured":"CoAG (Council of Australian Governments) Health Council \u201cHealthy Mouths Healthy Lives: Australia's National Oral Health Plan 2015\u20132024 \u201d(2016)."},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-15-10"},{"issue":"7","key":"e_1_2_12_8_1","first-page":"403","article-title":"Is Caries Associated With Negative Impact on Oral Health\u2010Related Quality of Life of Pre\u2010School Children? A Systematic Review and Meta\u2010Analysis","volume":"40","author":"Nora A. D.","year":"2018","journal-title":"Pediatric Dentistry"},{"key":"e_1_2_12_9_1","volume-title":"Census of Population and Housing: Socio\u2010Economic Indexes for Areas (SEIFA). Australia, 2016","author":"Statistics ABo","year":"2016"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-5-6"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2018.12.004"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12526"},{"key":"e_1_2_12_13_1","volume-title":"Oral Health and Dental Care in Australia: Key Facts and Figures\u00a02015","author":"AIHW","year":"2016"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12269"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2006.tb00448.x"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-22907-w"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12241"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-018-0662-8"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-10-4"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-11-19"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-9-118"},{"issue":"2","key":"e_1_2_12_22_1","first-page":"294","article-title":"Translation, Cross\u2010Cultural Adaptation and Validation of Early Childhood Oral Health Impact Scale (ECOHIS) in Urdu","volume":"3","author":"Riaz F. M.","year":"2016","journal-title":"International Journal of Dental Health Sciences"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12704"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2025.103956"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/children10071168"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18041686"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja16.00826"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12530"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2010.01796.x"}],"container-title":["Australian Dental Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/adj.70044","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/adj.70044","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/adj.70044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T02:05:45Z","timestamp":1779847545000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/adj.70044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,22]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/adj.70044"],"URL":"https:\/\/doi.org\/10.1111\/adj.70044","archive":["Portico"],"relation":{},"ISSN":["0045-0421","1834-7819"],"issn-type":[{"value":"0045-0421","type":"print"},{"value":"1834-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,22]]},"assertion":[{"value":"2025-08-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}