{"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":1789996342981,"version":"4.0.1"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":42,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"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"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000130","name":"National Center for Chronic Disease Prevention and Health Promotion","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000130","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":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study examines disability\u2010related disparities in tooth loss and dental visits, and Medicaid dental service utilization across Nevada counties in 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional analysis of the 2022 Behavioral Risk Factor Surveillance System (BRFSS) to obtain a representative sample of adults in Nevada (\n                      <jats:italic>n<\/jats:italic>\n                      = 3188). Weighted multivariable generalized linear models examined associations. Separately, descriptive analysis of the 2022 Nevada Medicaid claims assessed dental visits among adults with intellectual or developmental disabilities (ID\/DD), and permanent tooth extraction, disaggregated by county of treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One\u2010third of adults (33.1%) reported at least one disability. Adults with one disability (adjusted Prevalence Ratio [aPR]: 1.19; 95% CI: 1.03\u20131.36) or 2+ disabilities (aPR: 1.41; 95% CI: 1.20\u20131.65) had a higher prevalence of permanent tooth loss compared to individuals without disabilities. There was no significant difference in dental service utilization (past\u2010year dental visit) by disability status. A total of 7865 Medicaid enrollees had an ID\/DD diagnosis (0.85% of Medicaid enrollment), of which 3% had a dental visit, 2.3% had a tooth extraction, of which 87% were recorded in Clark county.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adults with disabilities in Nevada have higher prevalence of permanent tooth loss, despite no significant differences in service utilization compared to those without disabilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70195","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T07:40:40Z","timestamp":1781250040000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Oral Health Status and Utilization of Dental Services Among Adults With Disability Compared to Those Without Disabilities in Nevada, United States"],"prefix":"10.1111","volume":"46","author":[{"given":"Keith","family":"Benson","sequence":"first","affiliation":[{"name":"Oral Health Program Nevada Health Authority  Reno Nevada USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jannette","family":"Gomez","sequence":"additional","affiliation":[{"name":"Oral Health Program Nevada Health Authority  Reno Nevada USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke","family":"DerAshodian","sequence":"additional","affiliation":[{"name":"Oral Health Program Nevada Health Authority  Reno Nevada USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Short","sequence":"additional","affiliation":[{"name":"Silver State Sealant Program Nevada Health Authority  Reno Nevada USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyndy","family":"Cendagorta","sequence":"additional","affiliation":[{"name":"Nevada Office of Disability Employment Policy  Reno Nevada USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0733-3847","authenticated-orcid":false,"given":"Olufemi","family":"Erinoso","sequence":"additional","affiliation":[{"name":"Oral Health Program Nevada Health Authority  Reno Nevada USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.14074"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2010.00136.x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2022.03.002"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2012.0288"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ebd.6400739"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.13004"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12843"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glx225"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12483"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/00333549241292447"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2022.05.004"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1352\/1934-9556-47.3.197"},{"key":"e_1_2_12_14_1","unstructured":"The Oral Health Needs of Adults With Intellectual And\/Or Developmental Disabilities in Nevada 2024 Every Smile Matters.2024. Accessed May 28th 2025 https:\/\/dhcfp.nv.gov\/uploadedFiles\/dhcfpnvgov\/content\/Pgms\/CPT\/Oral%20Health%20Needs%20Assessment%20IDDD.pdf."},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2019046"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010024\u201004169\u2010x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12944"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-011-2342-y"},{"key":"e_1_2_12_19_1","volume-title":"U.S. Department of Health and Human Services","author":"UDo H.","year":"2014"},{"key":"e_1_2_12_20_1","volume-title":"Behavioral Risk Factor Surveillance System Survey Data","author":"from D.","year":"2024"},{"issue":"3","key":"e_1_2_12_21_1","first-page":"537","article-title":"Using Teledentistry to Improve Access to Dental Care for the Underserved","volume":"53","author":"Fricton J.","year":"2009","journal-title":"Clinics"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2022.38"},{"key":"e_1_2_12_23_1","unstructured":"America's Health Rankings Teeth Extractions\u2014Age 65+ in United States(2025) https:\/\/www.americashealthrankings.org\/explore\/measures\/teeth_extractions_sr."}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.70195","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/scd.70195","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.70195","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:46:46Z","timestamp":1789994806000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.70195"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/scd.70195"],"URL":"https:\/\/doi.org\/10.1111\/scd.70195","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"value":"0275-1879","type":"print"},{"value":"1754-4505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-09-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70195"}}