{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:29:48Z","timestamp":1788449388248,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T00:00:00Z","timestamp":1712620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Paed Dentistry"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Aim<\/jats:title><jats:p>Children with special healthcare needs (CSHCN) often face oral health challenges. This retrospective cross\u2010sectional study at a university hospital aimed to determine CSHCN's medical spectrum, dental treatment needs, and mode of treatment: general anesthesia (GA) or outpatient dental care (ODC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Data from the Department of Conservative Dentistry, Heidelberg University Hospital, 2012\u20132022, were reviewed, considering age, gender, International Classification of Diseases\u201010 diagnoses, caries experience (dmft\/DMFT), restorative parameters, and treatment under GA\/ODC. For patients under GA, their American Society of Anesthesiologists (ASA) classification was considered. Descriptive statistics, Kruskal\u2013Wallis test, Mann\u2013Whitney <jats:italic>U<\/jats:italic>\u2010test and logistic regression were utilized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 669 patients, congenital and chromosomal malformations (34.7%), diseases of the nervous system (19.1%), and mental and behavioral disorders (16.0%) were mainly diagnosed. Dentin caries prevalence was high at 79.1%, with treatments performed mainly under GA (51.4%). The odds of receiving treatment under GA decreased with patient age and increased with higher dmft\/DMFT scores. Most under GA were classified as ASA 3 (51.7%), indicating high anesthesia risks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Children with special healthcare needs often have diseases that can lead to higher challenges related to cooperation. The high prevalence of dentin caries underscores the substantial need for dental treatments, which were consequently often performed under GA, despite the associated risks. These findings stress the need for trained dental professionals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ipd.13186","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T05:09:55Z","timestamp":1712725795000},"page":"853-861","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Dental treatment of children with special healthcare needs: A retrospective study of 10\u2009years of treatment"],"prefix":"10.1111","volume":"34","author":[{"given":"Hanna","family":"Hieronymus","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry Heidelberg University, University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selin","family":"Aydin","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry Heidelberg University, University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"Frese","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry Heidelberg University, University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Huck","sequence":"additional","affiliation":[{"name":"Clinic for Anesthesiology Heidelberg University, University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Wolff","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry Heidelberg University, University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6487-4880","authenticated-orcid":false,"given":"Caroline","family":"Sekundo","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry Heidelberg University, University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,9]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Statistisches Bundesamt (Destatis).Press release No. 259 of 22 June 2022 7.8 million severely disabled people living in Germany.https:\/\/www.destatis.de\/EN\/Press\/2022\/06\/PE22_259_227.htmlAccessed February 2 2024."},{"key":"e_1_2_12_3_1","unstructured":"United Nations.Convention On The Rights Of Persons With Disabilities (CRPD).2016https:\/\/social.desa.un.org\/issues\/disability\/crpd\/convention\u2010on\u2010the\u2010rights\u2010of\u2010persons\u2010with\u2010disabilities\u2010crpdAccessed February 2 2024."},{"key":"e_1_2_12_4_1","unstructured":"European Commission.EU research on rare diseases.https:\/\/research\u2010and\u2010innovation.ec.europa.eu\/research\u2010area\/health\/rare\u2010diseases_enAccessed February 2 2024."},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-017-2256-2"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2018.05.007"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11092613"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ambp.2008.04.005"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcma.2014.01.008"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-0390"},{"issue":"1","key":"e_1_2_12_11_1","first-page":"29","article-title":"Unmet dental needs and barriers to Care for Children with significant special health care needs","volume":"33","author":"Nelson LP","year":"2011","journal-title":"Pediatr. 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