{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T23:08:56Z","timestamp":1789427336794,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100016557","name":"Auckland DHB Charitable Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016557","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The aim of this study was to determine if caries\u2010free rates and the number of teeth affected by caries in children from inpatient, day stay, and specialist outpatient clinic groups differed significantly from the population and by ethnicity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We extracted admissions for general medical admissions (inpatient) and day stay surgery for grommets (day stay) for 2019 from Starship Children's Hospital, Auckland, New Zealand, and children on the Auckland bronchiectasis register (specialist outpatient clinic). Oral health data was extracted from the Auckland Regional Dental Service database until the end of 2021. The primary outcome was caries free at approximately 5\u2009years of age (\u00b11\u2009year) and the secondary outcome was decayed, missing, filled teeth (dmft) score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were significant differences in the caries free rates and dmft scores by ethnicity at the population level and across all three selected patient groups. Compared to the ARDS population, neither the proportion with caries nor the number of teeth affected were different in the inpatient or day stay groups within ethnic groups. These patient groups were less likely to have an oral health record than the ARDS population. The specialist outpatient clinic group had significantly lower caries free status than the ARDS population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Poor oral health pervades children in the Auckland region with significant inequities. Structures and systems committed to reducing inequities for M\u0101ori and other underserved populations (including Pacific peoples) need to be developed urgently to improve access and uptake of the free service including the opportunistic circumstance of hospital appointments and admissions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70156","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T10:19:06Z","timestamp":1753352346000},"page":"1612-1620","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Oral Health Inequities: Using Every Opportunity for Opportunistic Oral Healthcare"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6944-381X","authenticated-orcid":false,"given":"John M. D.","family":"Thompson","sequence":"first","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health University of Auckland  Auckland New Zealand"},{"name":"Department Obstetrics, Gynaecology and Reproductive Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department Obstetrics, Gynaecology and Reproductive Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3032-3172","authenticated-orcid":false,"given":"Catherine A.","family":"Byrnes","sequence":"additional","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health University of Auckland  Auckland New Zealand"},{"name":"Starship Community Te Whatu Ora: Te Toka Tumai  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugh","family":"Trengrove","sequence":"additional","affiliation":[{"name":"Hospital Dental Service Auckland District Health Board  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Koopu","sequence":"additional","affiliation":[{"name":"Hospital Dental Service Auckland District Health Board  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corina","family":"Grey","sequence":"additional","affiliation":[{"name":"Section of Epidemiology &amp; Biostatistics, School of Population Health University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Leversha","sequence":"additional","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health University of Auckland  Auckland New Zealand"},{"name":"Starship Community Te Whatu Ora: Te Toka Tumai  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-9668.107257"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1071\/HC14169"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31146-8"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31133-X"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1057\/s41271-018-0121-4"},{"key":"e_1_2_8_7_1","volume-title":"Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030","author":"World Health Organisation","year":"2022"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12566"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2010.200915"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2018.05.015"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000481411"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2014.08.011"},{"key":"e_1_2_8_13_1","volume-title":"Age 5 and Year 8 Oral Health Data From the Community Oral Health Service [Internet]","author":"Ministry of Health","year":"2020"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12364"},{"key":"e_1_2_8_15_1","volume-title":"Tatau Kahukura: M\u0101ori Health Chart Book 2024","author":"Ministry of Health","year":"2024"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-023-02071-6"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-018-0814-x"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2011.02231.x"},{"key":"e_1_2_8_19_1","volume-title":"HISO 10001:2017 Ethnicity Data Protocols","author":"Ministry of Health","year":"2017"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.1999.tb03268.x"},{"issue":"1493","key":"e_1_2_8_21_1","first-page":"44","article-title":"Dental Caries and Previous Hospitalisations Among Preschool Children: Findings From a Population\u2010Based Study in New Zealand","volume":"132","author":"Aung Y. M.","year":"2019","journal-title":"New Zealand Medical Journal"},{"key":"e_1_2_8_22_1","volume-title":"State of Child Health in Aotearoa New Zealand 2023","author":"Tustin K.","year":"2024"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2022-002166"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70156","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.70156","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70156","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:19:26Z","timestamp":1781525966000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.70156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,24]]},"references-count":22,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/jpc.70156"],"URL":"https:\/\/doi.org\/10.1111\/jpc.70156","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,24]]},"assertion":[{"value":"2025-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}