{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T12:06:21Z","timestamp":1789387581902,"version":"build-2803163510"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess oral health outcomes for children with cerebral palsy (CP) in Aotearoa New\u00a0Zealand and examine whether the level of motor impairment, using the Gross Motor Function Classification System (GMFCS), is associated with increased dental caries at ages 5 and 12 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Longitudinal study linking clinical data from New Zealand Cerebral Palsy Register (NZCPR) for 1220 individuals with CP (aged \u2264 21 years) to national Community Oral Health Service records, 2008\u20132023. Oral health outcomes were measured using dmft\/DMFT indices (decayed, missing, filled teeth) for primary and permanent dentitions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>981 (80%) participants had \u2265 1 dmft\/DMFT records. 306\/429 (71%) with recorded dmft at age 5 years and 167\/230 (73%) with recorded DMFT at age 12 years were caries\u2010free. Caries\u2010free rates did not vary across GMFCS levels. Adjusting for confounders, dental decay was more common in children of NZ M\u0101ori, Pacific Peoples and Asian ethnicities compared to European children at age 5 years, [OR 3.60 (1.91, 6.80), OR 5.11 (2.36, 11.05), OR 3.06 (1.38, 6.79) respectively] and in NZ M\u0101ori at 12 years [OR 3.18 (1.42, 7.12)].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>GMFCS was not associated with poorer oral health outcomes. However, significant ethnic disparities highlight the need for culturally responsive oral health interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70245","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T11:35:53Z","timestamp":1789385753000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dental Caries in Children and Youth With Cerebral Palsy: A Nationwide Study of Oral Health in Aotearoa New Zealand"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6716-5545","authenticated-orcid":false,"given":"Alexandra","family":"Sorhage","sequence":"first","affiliation":[{"name":"Starship Children's Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6944-381X","authenticated-orcid":false,"given":"John M. D.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences, Paediatrics Child &amp; Youth Health  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4611-4495","authenticated-orcid":false,"given":"Jessica","family":"Wilson","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences, Paediatrics Child &amp; Youth Health  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3242-0889","authenticated-orcid":false,"given":"Karen","family":"Lansdown","sequence":"additional","affiliation":[{"name":"Auckland University of Technology  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Agnew","sequence":"additional","affiliation":[{"name":"Hospital &amp; Specialist Dentistry Regional Service  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Hogan","sequence":"additional","affiliation":[{"name":"Cerebral Palsy Society  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4002-1175","authenticated-orcid":false,"given":"Anna H.","family":"Mackey","sequence":"additional","affiliation":[{"name":"Starship Children's Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9271-0530","authenticated-orcid":false,"given":"Susan","family":"Stott","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15266"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/s001216220500112x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.16274"},{"key":"e_1_2_8_5_1","first-page":"8","article-title":"A Report: The Definition and Classification of Cerebral Palsy April 2006","volume":"109","author":"Rosenbaum P.","year":"2007","journal-title":"Developmental Medicine and Child Neurology Supplement"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12080"},{"key":"e_1_2_8_7_1","unstructured":"The New Zealand Cerebral Palsy Register Report. 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