{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:21:51Z","timestamp":1787728911175,"version":"build-2784847793"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T00:00:00Z","timestamp":1640736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006937","name":"National Center for Medical Rehabilitation Research","doi-asserted-by":"publisher","award":["K12HD055929"],"award-info":[{"award-number":["K12HD055929"]}],"id":[{"id":"10.13039\/100006937","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["U01DE024978"],"award-info":[{"award-number":["U01DE024978"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Paed Dentistry"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sensory over\u2010responsivity has been linked to oral care challenges in children with special healthcare needs. Parents of children with Down syndrome (cDS) have reported sensory over\u2010responsivity in their children, but the link between this and oral care difficulties has not been explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the relationship between sensory over\u2010responsivity and oral care challenges in cDS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>An online survey examined parent\u2010reported responses describing the oral care of their cDS (5\u201314\u00a0years; <jats:italic>n<\/jats:italic>\u00a0=\u00a0367). Children were categorized as either sensory over\u2010responders (SORs) or sensory not over\u2010responders (SNORs). Chi\u2010square analyses tested associations between groups (SORs vs. SNORs) and dichotomous oral care variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>More parents of SOR children than of SNOR reported that child behavior (SOR:86%, SNOR:77%; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05) and sensory sensitivities (SOR:34%, SNOR:18%; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001) make dental care challenging, their child complains about \u22653 types of sensory stimuli encountered during care (SOR:39%, SNOR:28%; <jats:italic>p<\/jats:italic>\u00a0=\u00a0.04), their dentist is specialized in treating children with special healthcare needs (SOR:45%, SNOR:33%; <jats:italic>p<\/jats:italic>\u00a0=\u00a0.03), and their child requires full assistance to brush teeth (SOR:41%, SNOR:28%; <jats:italic>p<\/jats:italic>\u00a0=\u00a0.008). No intergroup differences were found in items examining parent\u2010reported child oral health or care access.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Parents of SOR children reported greater challenges than parents of SNOR children at the dentist\u2019s office and in the home, including challenging behaviors and sensory sensitivities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ipd.12933","type":"journal-article","created":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T06:59:01Z","timestamp":1633762741000},"page":"546-557","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Association between oral care challenges and sensory over\u2010responsivity in children with Down syndrome"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7208-9401","authenticated-orcid":false,"given":"Leah I.","family":"Stein 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