{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T04:31:45Z","timestamp":1784694705435,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2026,6]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n \n This retrospective cohort study describes public dental service use among children aged 0\u20134\u2009years attending public sector oral health services in Metro North and Metro South Hospital and Health Services, Southeast Queensland. This study analyzes age and reason for first dental visits, and whether access pathways, including Lift the Lip (\n LtL<\/jats:styled-content>\n ), influence access for key sociodemographic groups.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n We analyzed electronic oral health records for 41,614 children with a first dental visit between January 2014 and December 2022. Age at first visit and reason for attendance were summarized descriptively. Early attendance (\u2264\u200912 and\u2009\u2264\u200924\u2009months) was compared across\n LtL<\/jats:styled-content>\n and non\u2010\n LtL<\/jats:styled-content>\n pathways and risk groups using chi\u2010square tests with risk differences and risk ratios.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean age at first visit was 37.7\u2009months (\n SD<\/jats:styled-content>\n 17.0). Overall, 11% of children attended by 12\u2009months and 27% by 24\u2009months, and 83% first presented for general care.\n LtL<\/jats:styled-content>\n \u2010referred children were more likely to attend by 12 (27.7% vs. 4.7%) and 24\u2009months (66.7% vs. 12.4%) than non\u2010\n LtL<\/jats:styled-content>\n children. Early attendance remained lower for Indigenous children, those living with greater disadvantage, and Child Dental Benefits Schedule\u2010eligible children, and higher for children from culturally and linguistically diverse backgrounds. Attendance by 12\u2009months increased after 2016, from 5.2% to 12.0%.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Few children accessed public dental care by the recommended age of first visit. While\n LtL<\/jats:styled-content>\n substantially improved early attendance, equity gaps persisted, highlighting the need to strengthen early\u2010referral pathways and parent\/carer awareness of the recommended timing for a first dental visit.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jphd.70057","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T22:53:39Z","timestamp":1775602419000},"page":"250-258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Age at First Dental Visit of Preschool Children Utilizing Public Sector Dental Services in Southeast Queensland, Australia: A Retrospective Cohort Study"],"prefix":"10.1111","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4613-4640","authenticated-orcid":false,"given":"Alison","family":"Nation","sequence":"first","affiliation":[{"name":"School of Dentistry The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0758-1605","authenticated-orcid":false,"given":"Nicole","family":"Stormon","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4526-9532","authenticated-orcid":false,"given":"Michael","family":"Foley","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ratilal","family":"Lalloo","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12783"},{"key":"e_1_2_10_3_1","first-page":"81","volume-title":"The Reference Manual of Pediatric Dentistry","author":"American Academy of Pediatric Dentistry","year":"2021"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12484"},{"key":"e_1_2_10_5_1","volume-title":"Oral Health and Dental Care in Australia","author":"Australian Institute of Health and Welfare","year":"2023"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12766"},{"issue":"11","key":"e_1_2_10_7_1","article-title":"Interventions With Pregnant Women, New Mothers and Other Primary Caregivers for Preventing Early Childhood Caries","volume":"2019","author":"Riggs E.","year":"2019","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2010.191940"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12096"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12364"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.13219"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084420981882"},{"issue":"6","key":"e_1_2_10_13_1","first-page":"450","article-title":"A Predictive Model for Primary Care Providers to Identify Children at Greatest Risk for Early Childhood Caries","volume":"42","author":"Nowak A. J.","year":"2020","journal-title":"Pediatric Dentistry"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12935"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-015-1685-z"},{"key":"e_1_2_10_16_1","volume-title":"Healthy Mouths, Healthy Lives: Australia's National Oral Health Plan 2015\u20132024","author":"Council of Australian Governments Health Council","year":"2015"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.13224"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12973"},{"key":"e_1_2_10_19_1","unstructured":"Queensland Health \u201cPublic Dental Services: Queensland Government \u201dupdated January 23 2026 https:\/\/www.qld.gov.au\/health\/services\/oral\u2010eye\u2010ear\/dental\u2010services."},{"key":"e_1_2_10_20_1","unstructured":"Services Australia \u201cChild Dental Benefits Schedule \u201dupdated January 1 2026 https:\/\/www.servicesaustralia.gov.au\/child\u2010dental\u2010benefits\u2010schedule."},{"key":"e_1_2_10_21_1","unstructured":"Services Australia \u201cConcession and Health Care Cards \u201dupdated October 23 2025 https:\/\/www.servicesaustralia.gov.au\/concession\u2010and\u2010health\u2010care\u2010cards."},{"key":"e_1_2_10_22_1","unstructured":"Australian Bureau of Statistics \u201cRegional Population by Age and Sex 2022: Commonwealth of Australia \u201d2023 https:\/\/www.abs.gov.au\/statistics\/people\/population\/regional\u2010population\u2010age\u2010and\u2010sex\/2022."},{"key":"e_1_2_10_23_1","volume-title":"Brisbane Community Profiles: Resident Profile for Custom Region","author":"Queensland Government Statistician's Office (Queensland Treasury)","year":"2024"},{"key":"e_1_2_10_24_1","unstructured":"Australian Bureau of Statistics \u201c2021 Brisbane Census Aboriginal and\/or Torres Strait Islander People QuickStats \u201d2021 https:\/\/abs.gov.au\/census\/find\u2010census\u2010data\/quickstats\/2021\/IREG301."},{"key":"e_1_2_10_25_1","unstructured":"South Australia Dental \u201cLift the Lip Program: Government of South Australia \u201d2025 https:\/\/www.dental.sa.gov.au\/professionals\/programs\/lift\u2010the\u2010lip."},{"key":"e_1_2_10_26_1","unstructured":"Australian Bureau of Statistics \u201cSocio\u2010Economic Indexes for Areas (SEIFA) Australia \u201dABS 2021 https:\/\/www.abs.gov.au\/statistics\/people\/people\u2010and\u2010communities\/socio\u2010economic\u2010indexes\u2010areas\u2010seifa\u2010australia\/latest\u2010release."},{"key":"e_1_2_10_27_1","first-page":"241","volume-title":"The Reference Manual of Pediatric Dentistry","author":"American Academy of Pediatric Dentistry","year":"2021"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-12-18"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.03.012"}],"container-title":["Journal of Public Health Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.70057","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jphd.70057","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.70057","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T07:57:05Z","timestamp":1780732625000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jphd.70057"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,7]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/jphd.70057"],"URL":"https:\/\/doi.org\/10.1111\/jphd.70057","archive":["Portico"],"relation":{},"ISSN":["0022-4006","1752-7325"],"issn-type":[{"value":"0022-4006","type":"print"},{"value":"1752-7325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,7]]},"assertion":[{"value":"2024-12-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}