{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:12:22Z","timestamp":1789996342808,"version":"4.0.1"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This systematic review aimed to conduct a meta\u2010analysis of dental readiness (defined as the developmental stage and experience necessary for receiving dental care) in individuals with neurodevelopmental disorders, and to evaluate the effectiveness of assessing readiness before dental care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>A systematic literature search was conducted using PubMed, Cochrane Library, and ICHUSHI. The risk of bias was assessed using the Risk of Bias in Nonrandomized Studies of Interventions (ROBINS\u2010I) tool. Due to the heterogeneity of disabilities and the limited number of randomized controlled trials, 19 of the 22 included studies were cross\u2010sectional, resulting in a low evidence level. Statistical analysis using Easy R (EZR) revealed a significant pooled odds ratio of 12.55 (95% Cl: 10.66\u201314.78), supporting the value of evaluating developmental age and activities\u2010of\u2010daily\u2010living (ADL) independence as indicators of readiness for dental care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Assessing developmental age and ADL independence can help predict dental readiness in individuals with neurodevelopmental disorders. This evaluation supports decisions regarding behavioral modification during oral examinations, behavioral management during treatment, the need for assistance or restraint during X\u2010rays, and adaptability to assisted tooth brushing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70190","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T05:30:56Z","timestamp":1779514256000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Readiness for Dental Care in Neurodevelopmental Disorders: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2264-5873","authenticated-orcid":false,"given":"Tadashi","family":"Ogasawara","sequence":"first","affiliation":[{"name":"Yokosuna Dental Clinic, Shimizu\u2010ku  Shizuoka\u2010shi, Shizuoka\u2010ken Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1672-3249","authenticated-orcid":false,"given":"Kahori","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Setagaya\u2010Ku Nippon Sport Science University Medical Vocational School  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6176-9787","authenticated-orcid":false,"given":"Hisano","family":"Tozawa","sequence":"additional","affiliation":[{"name":"Tozawa Dental Clinic  Tsuru\u2010shi, Yamanashi\u2010ken Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7702-2132","authenticated-orcid":false,"given":"Makoto","family":"Yokota","sequence":"additional","affiliation":[{"name":"Yokota Dental Clinic  Kyoto\u2010shi, Kyoto\u2010hu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2759-6509","authenticated-orcid":false,"given":"Takasumi","family":"Anto","sequence":"additional","affiliation":[{"name":"Hamamatsukita Hospital Oral Surgery  Hamamatsu\u2010shi, Shizuoka\u2010ken Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3772-6656","authenticated-orcid":false,"given":"Masami","family":"Yao","sequence":"additional","affiliation":[{"name":"Yao Dental Clinic, Kamifukubara  Yonago\u2010shi, Tottori\u2010ken Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8402-0659","authenticated-orcid":false,"given":"Nina","family":"Wakimoto","sequence":"additional","affiliation":[{"name":"Wakimoto Dental Clinic, Nishihanajiri  Okayama Shi Kita Ku, Okayama Ken Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2005-0101","authenticated-orcid":false,"given":"Tsuneyuki","family":"Takai","sequence":"additional","affiliation":[{"name":"Takai Dental Clinic, Kyoda  Maizuru\u2010shi, Kyoto\u2010fu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4932-1617","authenticated-orcid":false,"given":"Hironao","family":"Asahina","sequence":"additional","affiliation":[{"name":"Hiroshima University Hospital, Kasumi  Minami\u2010ku, Hiroshimas Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-019-04075-0"},{"key":"e_1_2_8_4_1","volume-title":"Psychology Dictionary","author":"Nakajima 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