{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T14:11:26Z","timestamp":1773929486131,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T00:00:00Z","timestamp":1766620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T00:00:00Z","timestamp":1766620800000},"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":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Although previous studies explored parents' perceptions of accessing dental care, few examined their link to treatment completion, follow\u2010up and children's quality of life. This study aimed to (1) examine the association between parents' perceptions and utilisation outcomes (access, treatment completion and follow\u2010up) alongside children's quality of life; and (2) identify barriers reported by parents for failing to complete treatment or adhere to follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted among primary schoolchildren in Jeddah, Saudi Arabia, using stratified cluster sampling. Caregivers completed surveys on access and barriers, whereas children completed the Caries Impacts and Experiences Questionnaire for Children (CARIES\u2010QC) and underwent clinical examinations. Multilevel logistic regression models analysed predictors of care utilisation and CARIES\u2010QC scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      785 schoolchildren and their parents from 11 schools were included. Perceived difficulty accessing care increased the odds of treatment incompletion (AOR: 5.84, 95% CI: 2.98\u201311.44), lack of follow\u2010up (AOR: 2.11, 95% CI: 1.15\u20133.87) and poorer CARIES\u2010QC scores (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20091.70, 95% CI: 0.56\u20132.85). The most common reported barriers for incomplete treatment or not following up were financial barriers (25.6%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200972 and 45.9%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200956) and dismissive attitudes toward primary teeth (17.4%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200949 and 22.1%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927), respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Perceived difficulty in accessing dental care was significantly associated with incomplete treatment, missed follow\u2010ups and poorer caries\u2010specific quality of life. Financial constraints and misconceptions about primary teeth were key reported barriers, emphasising the need to address both parents' perceptions and reported barriers to improve oral health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70045","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T05:41:11Z","timestamp":1766727671000},"page":"263-272","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Parental Perceptions of Dental Care Utilisation and Their Association With Treatment Completion, Follow\u2010Up and Children's Quality of Life: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5311-148X","authenticated-orcid":false,"given":"Dania","family":"Bahdila","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry, Faculty of Dentistry King Abdulaziz University  Jeddah Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,25]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2017.02.002"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-198406000-00006"},{"key":"e_1_2_13_4_1","volume-title":"Advancing Oral Health in America","author":"Committee on an Oral Health Initiative","year":"2012"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12009"},{"key":"e_1_2_13_6_1","volume-title":"Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030","author":"World Health Organization","year":"2022"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2007.00074.x"},{"issue":"8","key":"e_1_2_13_8_1","first-page":"883","article-title":"Health\u2010Care System and Accessibility of Dental Services in Kingdom of Saudi Arabia: An Update","volume":"8","author":"Alshahrani A. M.","year":"2016","journal-title":"Journal of International Oral Health"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2019046"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.70049"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12193"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2018.05.015"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12539"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192013584"},{"key":"e_1_2_13_16_1","article-title":"Cascade of Care in Pediatric Oral Health: A Cross\u2010Sectional Study to Assess Care Utilization","author":"Bahdila D.","year":"2025","journal-title":"JDR Clinical & Translational Research"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_2_13_18_1","volume-title":"Oral Health Country Profile Saudi Arabia","author":"World Health Organization","year":"2022"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000543132"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-018-0662-8"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12944"},{"key":"e_1_2_13_22_1","volume-title":"Oral Health Surveys: Basic Methods","author":"World Health Organization","year":"2013"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-018-0502-x"},{"issue":"5","key":"e_1_2_13_24_1","article-title":"Children's Ages, Reasons, and Experiences for First Dental Visit and Barriers of a Late Visit: A Cross\u2010Sectional Community\u2010Based Study in Saudi Arabia","volume":"16","author":"Alkhuwaiter S. 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