{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T08:35:20Z","timestamp":1768552520593,"version":"3.49.0"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:00:00Z","timestamp":1710806400000},"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":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>(1) To determine the repartition of criteria which can be considered as marks of lack of assent by the child with intellectual disabilities from the dentist's point of view and whether that influences the decision to examine the patient or not. (2) To explain the decision of practitioners and determine the ethical implications of these practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An anonymous and structured questionnaire was distributed online using the scenario of a 9\u2010year\u2010old child with moderate cognitive impairment with eight different oppositional behaviours. The practitioners were asked about their perception of the patient's lack of assent and about their decision to perform the dental examination or not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The proportion of them who performed a dental examination despite the patient's refusal represented between 13% and 28.8% of the population of respondents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There was an ambivalence among the practitioners who carried out a dental consultation when children were uncooperative. They adopted a teleological point of view. It calls for us to reflect on the ethical principles of autonomy and beneficence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.12982","type":"journal-article","created":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T04:48:54Z","timestamp":1710910134000},"page":"1236-1244","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Lack of assent to dental examination in children with intellectual disabilities: Dentists\u2019 practices in Europe and ethical issues"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4323-7636","authenticated-orcid":false,"given":"Ariane","family":"Camoin","sequence":"first","affiliation":[{"name":"Aix Marseille Univ, CNRS, EFS, ADES  Marseille France"},{"name":"Aix Marseille Univ, Faculte de Sciences M\u00e9dicales et Param\u00e9dicales  Marseille France"},{"name":"APHM, Timone, Pole Odontologie, Service d'Odontologie P\u00e9diatrique  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Blanchet","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, CNRS, EFS, ADES  Marseille France"},{"name":"Aix Marseille Univ, Faculte de Sciences M\u00e9dicales et Param\u00e9dicales  Marseille France"},{"name":"APHM, Timone, Pole Odontologie, Service d'Odontologie P\u00e9diatrique  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lionel","family":"Dany","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, CNRS, EFS, ADES  Marseille France"},{"name":"Aix Marseille Univ, LPS  Aix\u2010en\u2010Provence France"},{"name":"APHM, Timone, Service d'oncologie m\u00e9dicale Marseille  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierr","family":"Le Coz","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, CNRS, EFS, ADES  Marseille France"},{"name":"Aix Marseille Univ, Faculte de Sciences M\u00e9dicales et Param\u00e9dicales  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e9reng\u00e8re","family":"Saliba\u2010Serre","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, CNRS, EFS, ADES  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne","family":"Tardieu","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, CNRS, EFS, ADES  Marseille France"},{"name":"Aix Marseille Univ, Faculte de Sciences M\u00e9dicales et Param\u00e9dicales  Marseille France"},{"name":"APHM, Timone, Pole Odontologie, Service d'Odontologie P\u00e9diatrique  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-025700"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-13237-2"},{"issue":"1","key":"e_1_2_11_4_1","first-page":"29","article-title":"Unmet dental needs and barriers to care for children with significant special health care needs","volume":"33","author":"Nelson LP","year":"2011","journal-title":"Pediatr Dentist"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0002564"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-124X.100923"},{"key":"e_1_2_11_7_1","article-title":"Experiences of dentists and caregivers of patients with special care needs\u2013a qualitative study","author":"Tobis RM","journal-title":"Special Care Dentist [Internet]"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2018.01.001"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6939-16-1"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-003-1193-z"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-015-0067-z"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1163\/092902707X182788"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.08.005"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327019eb1403_3"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12482"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-022-00724-8"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/23800844211041952"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084420963933"},{"key":"e_1_2_11_19_1","first-page":"378","volume-title":"Use of Protective Stabilization for Pediatric Dental Patients. The Reference Manual of Pediatric Dentistry","author":"American Academy of Pediatric Dentistry","year":"2023"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2022.104303"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4801157a"},{"key":"e_1_2_11_22_1","unstructured":"IAPD Consensus Recommendations\u2014IAPD [Internet]. [cited July 7 2023].https:\/\/iapdworld.org\/publications\/iapd\u2010consensus\u2010recommendations\/"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.4000\/books.pup.67118"},{"key":"e_1_2_11_24_1","first-page":"480","volume-title":"Principles of Biomedical Ethics","author":"Beauchamp TL","year":"2013"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04829.x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/10400435.2017.1393844"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/eje.12054"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12413"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-018-0398-9"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-016-0312-y"},{"key":"e_1_2_11_31_1","article-title":"Experiences of dental care and dental anxiety in adults with autism spectrum disorder","author":"Blomqvist M","year":"2014","journal-title":"Autism Res Treat"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2012.004085"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-263X.2009.01011.x"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4801416"}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.12982","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T03:54:49Z","timestamp":1728446089000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.12982"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,19]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/scd.12982"],"URL":"https:\/\/doi.org\/10.1111\/scd.12982","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"value":"0275-1879","type":"print"},{"value":"1754-4505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,19]]},"assertion":[{"value":"2023-09-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}