{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T15:12:51Z","timestamp":1778857971171,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T00:00:00Z","timestamp":1591056000000},"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":["Special Care in Dentistry"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Children with intellectual disabilities experience major inequality in the field of oral health, including a higher number of extracted teeth. The literature explains this difference in terms of higher levels of dental disease but does not mention the possibility of inequality in the treatment options offered these children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim is to investigate whether the same treatment options are offered by practitioners to children with and without intellectual disability in equivalent clinical circumstances.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A scenario involving a clinical dental situation was developed, with one varying parameter: the patient described was a child with or without cerebral palsy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and thirty\u2010nine dental specialists from France and Europe were recruited. A large number of practitioners (68%) chose the same treatment for both patients, but 32% declared modifying the dental treatment planning in the case of the child with cerebral palsy. The most frequently chosen treatment for the scenario of irreversible pulpitis for the child without disability was conservative endodontic treatment (73%) whereas the most frequently chosen treatment for the child with intellectual disability was tooth extraction (54%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>These results are discussed in terms of beneficence, fear of restorative failure, lack of guidelines, practitioner experience and the implications for equity in healthcare.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.12482","type":"journal-article","created":{"date-parts":[[2020,6,3]],"date-time":"2020-06-03T05:42:11Z","timestamp":1591162931000},"page":"356-363","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Inequalities in treatment planning for children with intellectual disabilities: A questionnaire study of dentists in Europe"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4323-7636","authenticated-orcid":false,"given":"Ariane","family":"Camoin","sequence":"first","affiliation":[{"name":"Aix Marseille Universit\u00e9 CNRS, EFS, ADES  Marseille France"},{"name":"Aix Marseille Universit\u00e9 Faculte d'Odontologie  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne","family":"Tardieu","sequence":"additional","affiliation":[{"name":"Aix Marseille Universit\u00e9 CNRS, EFS, ADES  Marseille France"},{"name":"Aix Marseille Universit\u00e9 Faculte d'Odontologie  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lionel","family":"Dany","sequence":"additional","affiliation":[{"name":"Aix Marseille Universit\u00e9 CNRS, EFS, ADES  Marseille France"},{"name":"Aix Marseille Universit\u00e9 LPS  Aix\u2010en\u2010Provence France"},{"name":"APHM, Timone Service d'Oncologie M\u00e9dicale  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e9reng\u00e8re","family":"Saliba\u2010Serre","sequence":"additional","affiliation":[{"name":"Aix Marseille Universit\u00e9 CNRS, EFS, ADES  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1191-5658","authenticated-orcid":false,"given":"Denise","family":"Faulks","sequence":"additional","affiliation":[{"name":"CHU Clermont\u2010Ferrand Service d'Odontologie  Clermont Ferrand France"},{"name":"Universit\u00e9 Clermont Auvergne CROC EA4847  Clermont Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre Le","family":"Coz","sequence":"additional","affiliation":[{"name":"Aix Marseille Universit\u00e9 CNRS, EFS, ADES  Marseille France"},{"name":"Aix Marseille Universit\u00e9 Faculte de Medecine  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744629511430772"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0579.2012.00736.x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2018.vol32.0117"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0002564"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13486"},{"issue":"3","key":"e_1_2_12_7_1","first-page":"287","article-title":"Dental caries prevalence in the primary dentition of cerebral\u2010palsied children","volume":"27","author":"Guar\u00e9 R","year":"2003","journal-title":"J Clin Pediatr Dent."},{"issue":"1","key":"e_1_2_12_8_1","first-page":"27","article-title":"Prevalence of periodontal disease in the primary dentition of children with cerebral palsy","volume":"71","author":"Guare R","year":"2004","journal-title":"J Dent Child Chic Ill"},{"issue":"1","key":"e_1_2_12_9_1","first-page":"13","article-title":"Occurrence of oral trauma in young epileptic patients","volume":"15","author":"Gerreth K","year":"2014","journal-title":"Eur J Paediatr Dent Off J Eur Acad Paediatr Dent"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12334"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12067"},{"issue":"146915","key":"e_1_2_12_12_1","first-page":"1","article-title":"Bruxism Control in a Child with Cerebral Palsy","author":"Oliveira CAGR","year":"2011","journal-title":"ISRN Dent"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.17796\/1053-4628-40.1.21"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12015"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12164"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6939-16-1"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-016-0312-y"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.2004.00150.x"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4810932"},{"issue":"1","key":"e_1_2_12_20_1","first-page":"7","article-title":"General anesthesia or chemical restraint ?","volume":"28","author":"Kupietzky A","year":"2006","journal-title":"Pediatr Dent."},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2007.tb01753.x"},{"key":"e_1_2_12_22_1","unstructured":"The healthcare system and the provision of oral healthcare in EU Member States: France. PubMed NCBI [Internet]. [cited2020Jan 23]. Available fromhttps:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26917309"},{"key":"e_1_2_12_23_1","unstructured":"Oral healthcare systems in the extended European union. PubMed NCBI [Internet]. [cited2020Jan 23]. Available from:https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15641621"},{"issue":"5","key":"e_1_2_12_24_1","first-page":"409\u2010414","article-title":"Oral care for special needs patients: a survey of Nebraska general dentists","volume":"33","author":"Salama FS","year":"2011","journal-title":"Pediatr Dent."},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2004.0216"},{"issue":"3","key":"e_1_2_12_26_1","first-page":"110","article-title":"Oral health of patients with intellectual disabilities: a systematic review","volume":"30","author":"Anders PL","year":"2010","journal-title":"Spec Care Dent Off Publ Am Assoc Hosp Dent Acad Dent Handicap Am Soc Geriatr Dent"},{"issue":"3","key":"e_1_2_12_27_1","first-page":"167","article-title":"Oral health status and dental service use of adults with learning disabilities living in residential institutions and in the community","volume":"18","author":"Tiller S","year":"2001","journal-title":"Commun Dent Health."},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12415"},{"issue":"4","key":"e_1_2_12_29_1","first-page":"412","article-title":"A retrospective study of dental treatment under general anesthesia of children with or without a chronic illness and\/or a disability","volume":"29","author":"Tsai C\u2010L","year":"2006","journal-title":"Chang Gung Med J."},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/748353"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/1094428114547952"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2007.00292.x"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1875-595X.1997.tb00791.x"},{"key":"e_1_2_12_34_1","first-page":"480","volume-title":"Principles of Biomedical Ethics","author":"Beauchamp TL","year":"2013"}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fscd.12482","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.12482","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/scd.12482","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.12482","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T08:13:22Z","timestamp":1693988002000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.12482"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,2]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1111\/scd.12482"],"URL":"https:\/\/doi.org\/10.1111\/scd.12482","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"value":"0275-1879","type":"print"},{"value":"1754-4505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,2]]},"assertion":[{"value":"2019-11-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}