{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T18:02:04Z","timestamp":1789581724040,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Colonisation continues to shape Indigenous health outcomes today. M\u0101ori are the Indigenous people of Aotearoa New Zealand, and experience barriers to accessing care and a greater prevalence of dental caries, periodontal diseases, and tooth loss compared with non\u2010M\u0101ori. This study investigated how M\u0101ori adults want oral healthcare services to be delivered in their community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants who lived in Rotorua (affiliated to Ng\u0101ti Whakaue hap\u016b and Te Arawa iwi) were invited to a w\u0101nanga, facilitated by two M\u0101ori dental practitioners from the hap\u016b, to explore experiences of services and barriers, and opportunities to improve oral health service delivery for M\u0101ori adults. Thematic analysis was conducted. Participant voices were centred to ensure that solutions were culturally responsive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventeen wh\u0101nau members participated. Five themes were identified: (1) childhood experiences influence engagement as adults; (2) culturally safe oral healthcare; (3) access to the M\u0101ori oral health workforce; (4) world\u2010class iwi and hap\u016b kaupapa M\u0101ori facility; and (5) iwi\u2010led oral health data to drive service delivery. The themes highlighted an urgent need for changes in oral health service delivery for M\u0101ori communities, as well as the importance of M\u0101ori community strengths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Oral health services should deliver care in a culturally safe environment that upholds M\u0101ori knowledge and tikanga. There is a need for M\u0101ori\u2010led dental services, as well as innovative approaches to grow the M\u0101ori oral health workforce. Evidence\u2010based approaches are required to ensure that service delivery is responding to community realities. Iwi\u2010 and hap\u016b\u2010led data collection mechanisms could help to achieve this.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70114","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T17:06:35Z","timestamp":1789578395000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["K\u0101 pao te t\u014drea: Opportunities to Improve Oral Health Services for M\u0101ori"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7383-790X","authenticated-orcid":false,"given":"J. Kuramaiki","family":"Lacey","sequence":"first","affiliation":[{"name":"K\u014dhatu Centre for Hauora M\u0101ori University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9554-8690","authenticated-orcid":false,"given":"Esther J.","family":"Willing","sequence":"additional","affiliation":[{"name":"K\u014dhatu Centre for Hauora M\u0101ori University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7681-6386","authenticated-orcid":false,"given":"Susan M.","family":"Moffat","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Sir John Walsh Research Institute University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2991-5541","authenticated-orcid":false,"given":"Kate C.","family":"Morgaine","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Sir John Walsh Research Institute University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2016.0031"},{"key":"e_1_2_11_3_1","first-page":"105","article-title":"Working Toward M\u0101ori Oral Health Equity: Why te Tiriti o Waitangi Needs to Underpin the Oral Health System Using Evidence From the New Zealand Oral Health Survey","volume":"117","author":"Lacey J.","year":"2021","journal-title":"New Zealand Dental Journal"},{"key":"e_1_2_11_4_1","volume-title":"Working in Aotearoa New Zealand: A Handbook for Oral Health Professionals","author":"Dental Council of New Zealand","year":"2021"},{"key":"e_1_2_11_5_1","volume-title":"Our Oral Health: Key Findings of the 2009 New Zealand Oral Health 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R.","year":"2013","journal-title":"New Zealand Dental Journal"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12307"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.4081\/jphr.2016.668"},{"key":"e_1_2_11_35_1","volume-title":"Oranga Waha\u2014Oral Health Research Priorities for M\u0101ori: Low\u2010Income Adults, Kaum\u0101tua, and M\u0101ori With Disabilities, Special Needs and Chronic Health Conditions","author":"Robson B.","year":"2011"},{"key":"e_1_2_11_36_1","volume-title":"The Oral Health of American Indian and Alaska Native Adult Dental Patients: Results of the 2015 IHS Oral Health Survey","author":"Phipps K. 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