{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:35:19Z","timestamp":1787319319492,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,2,21]],"date-time":"2019-02-21T00:00:00Z","timestamp":1550707200000},"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":["Oral Diseases"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the oral health status and associated factors among preschool children with special healthcare needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and methods<\/jats:title><jats:p>This was designed as a cross\u2010sectional study. Dental examination was provided to 383 children at Special Child Care Centres. Covariates of interest included children's age, developmental profile, oral health\u2010related behaviours and family social\u2010economic status. The association between children's dental caries experiences, dental plaque deposition and gingival health status were analysed by negative binomial regression, multiple factor<jats:styled-content style=\"fixed-case\">ANOVA<\/jats:styled-content>and binary logistic regression when appropriate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The proportion of children with caries, gingival inflammation and plaque were 30.3%, 89.6% and 95.0%, respectively. Final regression models indicated that (a) tooth decay was associated with dental visit experiences, night bottle\u2010feeding habit, fluoridated toothpaste and monthly income; (b) plaque deposition was associated with intellectual functioning, practical skills, night bottle\u2010feeding habit, use of toothpaste, initiation of toothbrushing habit, toothbrushing duration and additional cleaning habit; (c) gingival status was associated with children's intellectual functioning and toothbrushing frequency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Poor oral hygiene status existed among preschool children with special healthcare needs. Children's oral health status was associated with their developmental profile, oral health\u2010related behaviours and social\u2010economic status.<\/jats:p><\/jats:sec>","DOI":"10.1111\/odi.13057","type":"journal-article","created":{"date-parts":[[2019,2,6]],"date-time":"2019-02-06T15:40:35Z","timestamp":1549467635000},"page":"1221-1228","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Oral health and associated factors among preschool children with special healthcare needs"],"prefix":"10.1111","volume":"25","author":[{"given":"Ni","family":"Zhou","sequence":"first","affiliation":[{"name":"Paediatric Dentistry and Orthodontics Faculty of Dentistry 2\/F Prince Philip Dental Hospital The University of Hong Kong Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3411-6442","authenticated-orcid":false,"given":"Hai Ming","family":"Wong","sequence":"additional","affiliation":[{"name":"Paediatric Dentistry and Orthodontics Faculty of Dentistry 2\/F Prince Philip Dental Hospital The University of Hong Kong Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colman","family":"McGrath","sequence":"additional","affiliation":[{"name":"Periodontology and Public Health Faculty of Dentistry 2\/F Prince Philip Dental Hospital The University of Hong Kong Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1697854"},{"key":"e_1_2_9_3_1","first-page":"16","article-title":"Definition of special health care needs","volume":"38","author":"American Academy of Paediatric Dentistry","year":"2016","journal-title":"Pediatric Dentistry"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12198"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-015-2450-5"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-017-0413-2"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12061"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1053451211423810"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2008.12.001"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361314553439"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-015-2416-7"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-014-0156-6"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.compedu.2012.09.014"},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.4103\/JISPPD.JISPPD_214_17","article-title":"Impact of oral health\u2010related behaviours on dental caries among children with special health\u2010care needs in Goa: A cross\u2010sectional study","volume":"36","author":"Gadiyar A.","year":"2018","journal-title":"Journal of the Indian Society of Pedodontics and Preventive Dentistry"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jebdp.2014.03.002"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1964.0034"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-263X.2011.01186.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-3409"},{"key":"e_1_2_9_21_1","first-page":"3","article-title":"A modified gingival index for use in clinical trials","volume":"8","author":"Lobene R. 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