{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:57:39Z","timestamp":1777946259825,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003196","name":"Ministero della Salute","doi-asserted-by":"publisher","award":["5M\u20102020\u201023682532"],"award-info":[{"award-number":["5M\u20102020\u201023682532"]}],"id":[{"id":"10.13039\/501100003196","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Children with chronic or acute conditions requiring hospitalization, often exposed to pharmacological treatments, altered nutrition, and disrupted hygiene, may experience oral health deterioration as an underappreciated complication. This study aimed to assess the oral health, dietary habits, and dental history of pediatric inpatients in relation to systemic conditions and previous hospitalizations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>\n                      559 children, hospitalized between November 2023 and April 2025, were enrolled. Caregivers completed structured interviews regarding medical history, diet, and dental care. Clinical examinations assessed the Decayed Missing Filled Index (dmft\/DMFT), Modified Gingival Index (MGI), Index of Orthodontic Treatment Need (IOTN), Plaque Index (PI), and salivary pH. 86.9% had systemic diseases, 82.3% had been previously hospitalized, and 65.5% were under pharmacological therapies. Nutritional and oral health education was poor. Oral deterioration, caries experience, and cariogenic diet were observed in 20%, 63%, and 93% of the participants, respectively. Children with prior hospitalizations showed poorer oral health (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.019), higher PI (median 40%\u00a0vs. 30%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.023), MGI (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.007), and IOTN (\u2265 4:28% vs. 13%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.006).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hospitalization represents a critical period for pediatric oral health, providing opportunities for detection, education, and prevention. However, this potential remains underexploited, underscoring the need to integrate oral health promotion into hospital care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70154","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:56:53Z","timestamp":1773226613000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Oral Health in Hospitalized Children: A Cross Sectional Study"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9745-0750","authenticated-orcid":false,"given":"Claudia","family":"Capurro","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics IRCCS Istituto Giannina Gaslini  Genoa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9775-0568","authenticated-orcid":false,"given":"Virginia","family":"Casali","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics IRCCS Istituto Giannina Gaslini  Genoa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4825-5143","authenticated-orcid":false,"given":"Giulia","family":"Romanelli","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics IRCCS Istituto Giannina Gaslini  Genoa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7016-048X","authenticated-orcid":false,"given":"Giulia","family":"Telini","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics IRCCS Istituto Giannina Gaslini  Genoa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9193-1622","authenticated-orcid":false,"given":"Stefano","family":"Parodi","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics Unit Scientific Directorate IRCCS Istituto Giannina Gaslini  Genoa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1294-2930","authenticated-orcid":false,"given":"Nicola","family":"Laffi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics IRCCS Istituto Giannina Gaslini  Genoa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_2_17_2_1","volume-title":"Global Strategy and Action Plan on Oral Health 2023\u20132030","author":"World Health Organization","year":"2025"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.714167"},{"key":"e_1_2_17_4_1","doi-asserted-by":"publisher","DOI":"10.4274\/jpr.galenos.2019.51422"},{"key":"e_1_2_17_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdmed.2024.1426697"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-03458-1"},{"issue":"6","key":"e_1_2_17_7_1","first-page":"392","article-title":"Dental Management of Pediatric Patients Receiving Immunosuppressive Therapy and\/or Radiation Therapy","volume":"40","author":"American Academy of Pediatric Dentistry","year":"2018","journal-title":"Pediatric Dentistry"},{"issue":"5","key":"e_1_2_17_8_1","first-page":"297","article-title":"Oral and Dental Health in Pediatric Oncology Patients","volume":"9","author":"\u00d6zy\u0131lkan D.","year":"2024","journal-title":"Cyprus Journal of Medical Sciences"},{"issue":"5","key":"e_1_2_17_9_1","first-page":"413","article-title":"Oral Care for Hematopoietic Stem Cell Transplantation Patients: A Narrative Review","volume":"17","author":"Samim F.","year":"2019","journal-title":"Oral Health & Preventive Dentistry"},{"key":"e_1_2_17_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-019-0094-0"},{"issue":"2","key":"e_1_2_17_11_1","first-page":"85","article-title":"Oral Hygiene Care in the Pediatric Intensive Care Unit: Practice Recommendations","volume":"36","author":"Johnstone L.","year":"2010","journal-title":"Pediatric Nursing"},{"key":"e_1_2_17_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/jopp.jopp_5_22"},{"key":"e_1_2_17_13_1","unstructured":"Ministero della Salute Italiano.Linee guida nazionali per la promozione della salute orale e la prevenzione delle patologie orali in et\u00e0 evolutiva [Internet]. Available from: 2014 https:\/\/www.salute.gov.it\/new\/sites\/default\/files\/imported\/C_17_pubblicazioni_2073_allegato.pdf."},{"key":"e_1_2_17_14_1","volume-title":"Oral Health Surveys: Basic Methods","author":"World Health Organization","year":"2013"},{"key":"e_1_2_17_15_1","doi-asserted-by":"publisher","DOI":"10.53730\/ijhs.v6nS8.12703"},{"issue":"1","key":"e_1_2_17_16_1","first-page":"3","article-title":"A Modified Gingival Index for Use in Clinical Trials","volume":"8","author":"Lobene R. 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