{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:53:51Z","timestamp":1792043631319,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T00:00:00Z","timestamp":1750377600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Paed Dentistry"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early childhood caries (ECC) has a multifactorial nature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to develop a structural model to identify the association between possible sleep problems, ECC, and oral health\u2010related quality of life (OHRQoL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted with 575 children aged 3\u20135\u2009years. ECC was assessed using the ICDAS\u2010II by calibrated dentists. Possible sleep problems were determined using the Children's Sleep Habits Questionnaire. OHRQoL was measured using the ECOHIS. Data were analyzed using structural equation modeling through Mplus, version 8.6.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Children with more severe stages of ECC experienced dental pain (\u03b2\u2009=\u20090.712;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and the presence of dental pain was associated with more disturbed sleep (\u03b2\u2009=\u20090.723;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). ECC and dental pain negatively impacted the child's (\u03b2\u2009=\u20090.208;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; \u03b2\u2009=\u20090.750;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and the family's (\u03b2\u2009=\u20090.347;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; \u03b2\u2009=\u20090.612;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) OHRQoL, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>An indirect association was found between ECC and children's sleep, mediated by the variable dental pain. ECC and dental pain were associated with higher OHRQoL scores.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ipd.70000","type":"journal-article","created":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T01:19:51Z","timestamp":1750468791000},"page":"1104-1112","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Sleep Problems, Early Childhood Caries, and Oral Health\u2010Related Quality of Life: An Approach Using Structural Equation Modeling"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9028-1904","authenticated-orcid":false,"given":"Caroline","family":"de Oliveira Rodrigues","sequence":"first","affiliation":[{"name":"Department of Dentistry School of Biological and Health Sciences, Federal University of the Jequitinhonha and Mucuri Valleys  Diamantina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4350-0828","authenticated-orcid":false,"given":"J\u00e9ssica Madeira","family":"Bittencourt","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry School of Dentistry, Federal University of Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Jordana Santos","family":"Lima","sequence":"additional","affiliation":[{"name":"Department of Dentistry School of Biological and Health Sciences, Federal University of the Jequitinhonha and Mucuri Valleys  Diamantina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Eliza","family":"da Consola\u00e7\u00e3o Soares","sequence":"additional","affiliation":[{"name":"Department of Dentistry School of Biological and Health Sciences, Federal University of the Jequitinhonha and Mucuri Valleys  Diamantina Brazil"},{"name":"Department of Dentistry Institute of Life Sciences, Federal University of Juiz de Fora  Governador Valadares Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leandro Silva","family":"Marques","sequence":"additional","affiliation":[{"name":"Department of Dentistry School of Biological and Health Sciences, Federal University of the Jequitinhonha and Mucuri Valleys  Diamantina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Let\u00edcia","family":"Ramos\u2010Jorge","sequence":"additional","affiliation":[{"name":"Department of Dentistry School of Biological and Health Sciences, Federal University of the Jequitinhonha and Mucuri Valleys  Diamantina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.949161"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2725"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2023.102327"},{"issue":"58","key":"e_1_2_10_5_1","article-title":"Short Sleep Duration: Children's Mental, Behavioral, and Developmental Disorders and Demographic, Neighborhood, and Family Context in a Nationally Representative Sample, 2016\u20102019","volume":"20","author":"Claussen A. 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