{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:55:00Z","timestamp":1790898900489,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100022771","name":"Borrow Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022771","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Unmet dental treatment need is a key indicator for oral health system planning, yet population\u2010level data are lacking in Myanmar. This study assessed the prevalence, distribution, and factors associated with unmet dental treatment need among Myanmar adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a secondary analysis of cross\u2010sectional data from Myanmar national oral health survey 2016\u20132017, using stratified two\u2010stage cluster sampling. A total of 2520 participants from two WHO index age groups (35\u201344: adults and 60\u201374: older adults) were included. Clinical oral examinations and self\u2010administered questionnaires were conducted. Unmet treatment need, based on WHO intervention urgency, was dichotomized as no need or any need. Modified Poisson regression with robust variance was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of unmet dental treatment need was 66.0% among adults and 77.2% among older adults. Preventive or routine care was the most common need, followed by prompt treatment. Only 11.0% of adults and 9.2% of older adults visited a dentist within the past 2\u2009years. Higher DMFT scores and the presence of periodontal pockets were strongly associated with unmet need in both age groups. Chewing tobacco use was associated with lower prevalence of unmet need in adults (95% CI: 0.75\u20130.91), while toothbrushing frequency of \u2264\u2009once a day was associated with higher prevalence in older adults (95% CI: 1.03\u20131.16).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Unmet dental treatment need is highly prevalent in Myanmar, with very low dental service utilization. Clinical disease severity is strongly associated with unmet need. Strengthening access to care and expanding preventive services are essential to address this burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jphd.70085","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:15:06Z","timestamp":1790896506000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unmet Dental Treatment Needs and Service Utilization in\n                    <scp>M<\/scp>\n                    yanmar: Evidence From the First National Oral Health Survey"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0350-7977","authenticated-orcid":false,"given":"Kaung Myat","family":"Thwin","sequence":"first","affiliation":[{"name":"Division of Preventive Dentistry, Faculty of Dentistry, Graduate School of Medicine, Dentistry and Health Sciences, WHO Collaborating Centre for Translation of Oral Health Science Niigata University  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prathip","family":"Phantumvanit","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry Thammasat University  Pathum Thani Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4032-9655","authenticated-orcid":false,"given":"Hideo","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Division of Preventive Dentistry, Faculty of Dentistry, Graduate School of Medicine, Dentistry and Health Sciences, WHO Collaborating Centre for Translation of Oral Health Science Niigata University  Niigata Japan"},{"name":"Division of Dental Hygiene Meirin College  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1070-2172","authenticated-orcid":false,"given":"Hiroshi","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Division of Preventive Dentistry, Faculty of Dentistry, Graduate School of Medicine, Dentistry and Health Sciences, WHO Collaborating Centre for Translation of Oral Health Science Niigata University  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"issue":"4","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1177\/0022034520908533","article-title":"Global, Regional, and National Levels and Trends in Burden of Oral Conditions From 1990 to 2017: A Systematic Analysis for the Global Burden of Disease 2017 Study","volume":"99","author":"GBD 2017 Oral Disorders Collaborators","year":"2020","journal-title":"Journal of Dental Research"},{"key":"e_1_2_12_3_1","volume-title":"Oral Health","author":"World Health Organization","year":"2025"},{"issue":"10","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.1177\/0022034515602879","article-title":"Global Economic Impact of Dental Diseases","volume":"94","author":"Listl S.","year":"2015","journal-title":"Journal of Dental Research"},{"key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/S0140-6736(21)01404-5","article-title":"The WHO Global Strategy for Oral Health: An Opportunity for Bold Action","volume":"398","author":"Benzian H.","year":"2021","journal-title":"Lancet (London, England)"},{"issue":"1","key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1186\/s12903-024-04658-z","article-title":"Assessment of Treatment Needs, Barriers, and Self\u2010Perception Regarding Oral Health Among Female University Students: A Cross\u2010Sectional Study","volume":"24","author":"Rana B. K.","year":"2024","journal-title":"BMC Oral Health"},{"issue":"4","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"229","DOI":"10.15236\/ijcpd.2016.12.4.229","article-title":"Early Childhood Caries and Related Risk Factors Among Myanmar Preschool Children","volume":"12","author":"Thwin K. M.","year":"2016","journal-title":"International Journal of Clinical Preventive Dentistry"},{"issue":"3","key":"e_1_2_12_8_1","doi-asserted-by":"crossref","first-page":"231","DOI":"10.4103\/jispcd.JISPCD_438_20","article-title":"Oral Health System in Myanmar: A Review","volume":"11","author":"Oo T. H.","year":"2021","journal-title":"Journal of International Society of Preventive & Community Dentistry"},{"issue":"6","key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1111\/cdoe.12896","article-title":"Dental Caries in the Myanmar Population: Findings From the First National Oral Health Survey in 2016\u20102017","volume":"51","author":"Thwin K. 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