{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:52:48Z","timestamp":1791298368493,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2008,6,28]],"date-time":"2008-06-28T00:00:00Z","timestamp":1214611200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2008,7]]},"abstract":"<jats:p><jats:bold>Background:\u2002<\/jats:bold> Handicapped persons living in nursing homes have special risks for oral diseases.<\/jats:p><jats:p><jats:bold>Objective:\u2002<\/jats:bold> To investigate the specific factors related to the occurrence of dental caries and tooth extraction in patients with severe motor and intellectual disabilities (PSMI) residing in an institution.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> One hundred eighty\u2010nine PSMI residing in a single institution in Japan were followed for 3\u2003years. Oral examinations were conducted at baseline and 3\u2003years later. The following items were investigated: age of subject at admission, period of institutionalization, age at baseline oral examination, status of rumination, drooling, type of ward, dietary mode, and etiology of the impairment. Logistic regression analyses were conducted to examine factors associated with new dental caries and tooth extraction occurring during the study period.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> By multivariate analysis, rumination and tube feeding were identified as significant factors associated with new dental caries. On the other hand, infancy or childhood impairment and drooling were identified as significant factors related to tooth extraction.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> Some specific factors in this patient population affect the dental caries and tooth extraction and oral programs targeting these factors may reduce dental degeneration in these patients.<\/jats:p>","DOI":"10.1111\/j.1601-0825.2007.01397.x","type":"journal-article","created":{"date-parts":[[2008,6,18]],"date-time":"2008-06-18T15:16:18Z","timestamp":1213802178000},"page":"435-439","source":"Crossref","is-referenced-by-count":17,"title":["Factors affecting the oral condition of patients with severe motor and intellectual disabilities"],"prefix":"10.1111","volume":"14","author":[{"given":"Y","family":"Idaira","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Nomura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Tamaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Katsumura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Kodama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Kurata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Asada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,6,28]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"99","article-title":"An investigation into the actual condition of dental care of handicapped children at the Yotsugi Health Care Center","volume":"30","author":"Asada Y","year":"2005","journal-title":"Nihon Jusho Shinshin Shogai Gakkai Zasshi"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-0825.1997.tb00053.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1999.tb01389.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2000.00308.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1995.tb00524.x"},{"key":"e_1_2_6_7_1","volume-title":"Nationwide survey of facilities for children with severe motor and intellectual disabilities, 2000. Document for heads of nationwide facilities for children with severe motor and intellectual disabilities","author":"Japanese Severely Handicapped Children Welfare Association","year":"2000"},{"key":"e_1_2_6_8_1","first-page":"13","article-title":"Oral findings of institutionalized handicapped children","volume":"17","author":"Kawaguchi T","year":"1990","journal-title":"J Fukuoka Dent Coll"},{"key":"e_1_2_6_9_1","first-page":"434","article-title":"Bruxism and rumination in mentally handicapped","volume":"98","author":"Van Lith LG","year":"1991","journal-title":"Ned Tijdschr Tandheelkd"},{"key":"e_1_2_6_10_1","first-page":"149","article-title":"The efficiency and problem of a visiting dental check\u2010up system for severely handicapped individuals. A review of 11\u2003years","volume":"17","author":"Nomura K","year":"1996","journal-title":"J Jpn Soc Disabil Oral Health"},{"key":"e_1_2_6_11_1","first-page":"19","article-title":"Risk factors for the prediction of dental caries in patients undergoing regular preventive check\u2010ups at private dental offices","volume":"3","author":"Nomura Y","year":"2006","journal-title":"Int J Oral Health"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1986.tb01489.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000075938"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1991.tb00114.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2004.tb00444.x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1079\/PHN2001142","article-title":"Dietary effects on dental diseases","volume":"20","author":"Sheiham A","year":"2001","journal-title":"Public Health Nutr"},{"key":"e_1_2_6_17_1","first-page":"83","article-title":"Dental management in facilities for children with severe motor and intellectual disabilities","volume":"20","author":"Sugiyama H","year":"1999","journal-title":"J Jpn Soc Disabil Oral Health"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2002.tb01164.x"}],"container-title":["Oral Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1601-0825.2007.01397.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1601-0825.2007.01397.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:49:47Z","timestamp":1696985387000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1601-0825.2007.01397.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,6,28]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2008,7]]}},"alternative-id":["10.1111\/j.1601-0825.2007.01397.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1601-0825.2007.01397.x","archive":["Portico"],"relation":{},"ISSN":["1354-523X","1601-0825"],"issn-type":[{"value":"1354-523X","type":"print"},{"value":"1601-0825","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,6,28]]}}}