{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:52:31Z","timestamp":1792194751243,"version":"4.4.0"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T00:00:00Z","timestamp":1591315200000},"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>Aims<\/jats:title><jats:p>There are currently neither onsite services nor any known studies that addresses oral health of persons with special care needs (PSCN) within disability activity centers in Singapore. This study aims to report on the oral health status, disability\u2010related barriers, and assess how these barriers limit care pathways.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>29 PSCN from a multiethnic mixed disability day activity center were screened over two days. Their ages ranged from 18\u201059 years old (mean: 31.3). Proportion of Chinese, Malay and Indian ethnicity was 69.6%, 26.7% and 10.3% respectively. 11 were female. Only three PSCN were dentally fit, the average required almost four treatments each. 65.5% had \u201cpoor\u201d to \u201cvery poor\u201d oral hygiene. The mean number of decayed, missing and filled teeth were 2.8 (95% CI: 1.3\u20104.1), 1.9 (95% CI: 1.2\u20103.1), and 1.9 (95% CI: 1.2\u20103.1), respectively. DMFT had a moderate positive (Pearson's) correlation with age (<jats:italic>r<jats:sub>p<\/jats:sub><\/jats:italic> = 0.4549, <jats:italic>P<\/jats:italic> &lt; .05). The average British Dental Association (BDA) total banded score was 16.97, categorized as \u201cmoderate complexity.\u201d 51.7% were wheelchair users, while 41.3% needed support. Pharmacological behavioral management had to be considered for 17.2%. The odds ratio was 10 and relative risk 5.26 for requiring additional behavioral modifications and requiring more than average treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This multiethnic cohort of mixed disabilities displayed considerable unmet dental needs and a conflux of barriers to care. Pathways to care and study limitations are discussed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.12483","type":"journal-article","created":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T14:52:52Z","timestamp":1591368772000},"page":"344-355","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Oral health status and barriers to care in a multiethnic mixed disability center: Rethinking disability community dental services"],"prefix":"10.1111","volume":"40","author":[{"given":"Cher Hwei Kalinda","family":"Teo","sequence":"first","affiliation":[{"name":"Nanyang Polytechnic Oral Health Therapy  180 Ang Mo Kio Ave 8, 569830 Singapore"},{"name":"Health Promotion Board School Dental Service  Second Hospital Avenue #04\u201000, Health Promotion Board, 168937 Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle Nisha","family":"Mahesh","sequence":"additional","affiliation":[{"name":"Nanyang Polytechnic Oral Health Therapy  180 Ang Mo Kio Ave 8, 569830 Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3326-9730","authenticated-orcid":false,"given":"Guang Xu David","family":"Lim","sequence":"additional","affiliation":[{"name":"Nanyang Polytechnic Oral Health Therapy  180 Ang Mo Kio Ave 8, 569830 Singapore"},{"name":"National Dental Centre Singapore Geriatrics and Special Care Dental Centre  5 Second Hospital Avenue, 168938 Singapore"},{"name":"Buddhist Compassion Relief Tzu Chi Foundation Tzu Chi Free Clinic (Dental)  Block 90 Redhill Close #01\u2010400, 150090 Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,5]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"WHO.int [homepage on the internet].World Health Organization: world report on disability; c2011 [Cited 2019 November 20]. 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