{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T02:56:44Z","timestamp":1777949804696,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003758","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa e ao Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico do Maranh\u00e3o","doi-asserted-by":"publisher","award":["155225\/2017"],"award-info":[{"award-number":["155225\/2017"]}],"id":[{"id":"10.13039\/501100003758","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to investigate the relationship between functional independence, oral hygiene habits and periodontal status in patients with Down syndrome (DS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional observational study was conducted with 49 patients with Down Syndrome. Sociodemographic data, oral hygiene habits and functional independence were collected. The periodontal assessment included: probing depth (PPD), Clinical Attachment Level (CAL), Gingival Bleeding Index (GBI) and Visible Plaque Index (VPI). A structural equation model was used in the statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Regarding functional independence, higher frequencies of self\u2010care skills were observed for eating (91.8%), using the bathroom (91.8%) and dressing (85.7%) and using the phone alone (53.1%). The experience of oral hygiene guidance contributed to an increase in the daily frequency of brushing (SRC\u2009=\u20090.280, SE\u2009=\u20090.134,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.036). It was noted that the older the individual, the greater the impairment of the periodontal condition (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). It was observed that greater functional independence was associated with less periodontal compromise.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A greater functional independence is related to a better periodontal status. These study findings indicate that the development of self\u2010care skills seems to be a positive strategy for the oral health of DS patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/idh.70085","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:36:03Z","timestamp":1777869363000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Functional Independence Related to Oral Hygiene and Periodontal Status in Patients With Down Syndrome"],"prefix":"10.1111","author":[{"given":"Joana Albuquerque Bastos","family":"de Sousa","sequence":"first","affiliation":[{"name":"Dentistry Graduate Program Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K\u00e1tia Maria Martins","family":"Veloso","sequence":"additional","affiliation":[{"name":"Dentistry Graduate Program Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique Maria Melo","family":"Mouchrek","sequence":"additional","affiliation":[{"name":"School of Dentistry Ceuma University  S\u00e3o Lu\u00eds Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayra Moura","family":"Franco","sequence":"additional","affiliation":[{"name":"School of Dentistry Ceuma University  S\u00e3o Lu\u00eds Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia Claudia Costa","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Dentistry Graduate Program Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vandilson Pinheiro","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Dentistry Graduate Program Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2080-2217","authenticated-orcid":false,"given":"Bruno Braga","family":"Benatti","sequence":"additional","affiliation":[{"name":"Dentistry Graduate Program Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,3]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-019-0143-7"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/4567106"},{"key":"e_1_2_12_4_1","first-page":"60","volume-title":"Diretrizes de Aten\u00e7\u00e3o \u00e0 Pessoa Com S\u00edndrome de Down","author":"Brasil","year":"2013"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0158339"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12629"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12320"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/dneu.22709"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9020495"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jppi.12238"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/meet.2014.14505101063"},{"issue":"2","key":"e_1_2_12_12_1","first-page":"29","article-title":"Skills and Social Interaction of Children With Down's Syndrome in Regular Education","volume":"17","author":"Lucisano R. 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