{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:27:11Z","timestamp":1792092431553,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T00:00:00Z","timestamp":1690329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The aim of this mixed method study was to identify barriers for children with special health care needs (SHCN) to receiving routine preventive dental care following restorative dental care with general anesthesia (GA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Electronic health records were reviewed for inclusion criteria and demographic data. Caregivers of children with SHCN were contacted to participate in qualitative interviews. Interview topics explored child, family, and community level influences to accessing routine dental care. Qualitative analysis identified key themes of barriers and enablers to care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1708 children received dental care with GA during the 2\u2010year study period, of which 498 (29.16%) had a diagnosis of a SHCN. The most common type of SHCN was neurodevelopmental disorders (28.51%). The mean age at time of GA was 8.6 years. Fifty caregivers completed interviews. Identified barriers to obtaining routine dental care included child stress\/anxiety, finding an accepting provider, dismissive providers, and proximity of provider\/transportation to dental care. Enablers to obtaining care included effective behavior management, continuity of provider\/care, positive provider attitude, and referral to an accepting provider.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adequately trained and local providers with an accepting attitude are essential to enabling children with SHCN to obtain equitable access to routine dental care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.12907","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T13:19:25Z","timestamp":1690377565000},"page":"592-599","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Barriers to routine dental care for children with special health care needs"],"prefix":"10.1111","volume":"44","author":[{"given":"Jean Marie","family":"Star","sequence":"first","affiliation":[{"name":"Department of Orofacial Sciences University of California San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Flores","sequence":"additional","affiliation":[{"name":"Department of Orofacial Sciences University of California San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erick","family":"Leyva","sequence":"additional","affiliation":[{"name":"Department of Orofacial Sciences University of California San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Foertsch","sequence":"additional","affiliation":[{"name":"Department of Orofacial Sciences University of California San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2009.09.005"},{"issue":"3","key":"e_1_2_10_3_1","first-page":"266","article-title":"Integrating oral health into overall health care to prevent early childhood caries: need, evidence, and solutions","volume":"37","author":"Douglass JM","year":"2015","journal-title":"Pediatr Dent"},{"key":"e_1_2_10_4_1","first-page":"132","article-title":"Guideline on caries\u2010risk assessment and management for infants, children, and adolescents","volume":"37","journal-title":"Am Acad Pediatr Dent"},{"issue":"2","key":"e_1_2_10_5_1","first-page":"148","article-title":"Oral health among children and youth with special health care needs","author":"Lebrun\u2010Harris LA","year":"2021","journal-title":"Pediatrics"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2011.00204.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.08.026"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2008.00058.x"},{"issue":"3","key":"e_1_2_10_9_1","first-page":"215","article-title":"Oral health of patients with special health care needs after general anesthesia: a 25\u2010year retrospective study","volume":"40","author":"Oh TJ","year":"2018","journal-title":"Pediatr Dent"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2006.0380"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-3084"},{"key":"e_1_2_10_12_1","first-page":"302","article-title":"Management of dental patients with special health care needs. The Reference Manual of Pediatric Dentistry","author":"American Academy of Pediatric Dentistry","year":"2022","journal-title":"Chicago, Ill.: American Academy of Pediatric Dentistry"},{"issue":"1","key":"e_1_2_10_13_1","first-page":"26","article-title":"Expanding approaches for research: understanding and using trustworthiness in qualitative research","volume":"44","author":"Stahl NA","year":"2020","journal-title":"J Dev Educ"},{"key":"e_1_2_10_14_1","volume-title":"Dedoose Version 9.0.17, web application for managing, analyzing, and presenting qualitative and mixed method research data (2021)"},{"key":"e_1_2_10_15_1","first-page":"253","article-title":"American Academy of Pediatric Dentistry. Periodicity of examination, preventive dental services, anticipatory guidance\/counseling, and oral treatment for infants, children, and adolescents. The Reference Manual of Pediatric Dentistry. Chicago, Ill","year":"2022","journal-title":"Am Acad Pediatr Dent"},{"key":"e_1_2_10_16_1","article-title":"Barriers in access to dental services hindering the treatment of people with disabilities: a systematic review","author":"Rosa SV","year":"2020","journal-title":"Int J Dent"},{"issue":"1","key":"e_1_2_10_17_1","first-page":"25","article-title":"Recurrence of early childhood caries after comprehensive treatment with general anesthesia and follow\u2010up","volume":"73","author":"Foster T","year":"2006","journal-title":"J Dent Child"},{"issue":"3","key":"e_1_2_10_18_1","first-page":"253","article-title":"Recall rates and caries experience of patients undergoing general anesthesia for dental treatment","volume":"29","author":"Jamieson WJ","year":"2011","journal-title":"Pediatr Dent"},{"issue":"2","key":"e_1_2_10_19_1","first-page":"107","article-title":"A preliminary analysis of the US dental health care system's capacity to treat children with special health care needs","volume":"33","author":"Kerins C","year":"2011","journal-title":"Pediatr Dent"}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.12907","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T13:54:53Z","timestamp":1710424493000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.12907"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,26]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1111\/scd.12907"],"URL":"https:\/\/doi.org\/10.1111\/scd.12907","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"value":"0275-1879","type":"print"},{"value":"1754-4505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,26]]},"assertion":[{"value":"2023-05-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}