{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T10:09:21Z","timestamp":1784196561216,"version":"3.55.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100015829","name":"Ministerstwo Zdrowia","doi-asserted-by":"publisher","award":["11\/1\/2016\/1210"],"award-info":[{"award-number":["11\/1\/2016\/1210"]}],"id":[{"id":"10.13039\/501100015829","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Community Dental Health"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Caring for oral health is especially important during adolescence because the habits formed at this age tend to persist throughout life. This study was performed to assess adolescents\u2019 use of dental care, the reasons for avoiding dental visits, and the reasons for their most recent visit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      The research included a clinical assessment of dentition and periodontal tissues, along with questionnaire-based studies. The number of teeth (T) and tooth surfaces (S) with carious lesions \u2013 ICDAS code 1 and 2 (D\n                      <jats:sub>1-2<\/jats:sub>\n                      ) and ICDAS code \u22653 (D\n                      <jats:sub>\u22653<\/jats:sub>\n                      ) \u2013 as well as teeth missing due to caries (M), fillings (F), the presence of gingival bleeding, and periodontal pocket depth were assessed for all teeth. Values for D\n                      <jats:sub>1-2<\/jats:sub>\n                      D\n                      <jats:sub>\u22653<\/jats:sub>\n                      MFT\/S indices and their components, along with the frequency of caries and periodontal problems, were calculated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 1611 18-year-olds from both rural and urban areas were included in the study. Dental caries were observed in 94% of participants, with a mean D\n                      <jats:sub>1-2<\/jats:sub>\n                      D\n                      <jats:sub>\u22653<\/jats:sub>\n                      MFT value of 7.07 \u00b1 4.52. Gingival bleeding was the most common periodontal issue, affecting 31% of the group. One in four respondents had not visited a dentist in the past year or longer. Fear of pain was the most frequently reported reason for avoiding dental visits.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Fear of pain associated with dental treatment and the belief that dental problems will resolve on their own highlight the need for education targeting young people. Such education should emphasize the benefits of regular dental care and dispel the myth that dental treatment is inherently painful.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0265539x251385509","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T11:19:33Z","timestamp":1763032773000},"page":"50-60","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of dental care by 18-year-olds in Poland and its impact on the condition of teeth and gums"],"prefix":"10.1177","volume":"43","author":[{"given":"Dorota","family":"Olczak-Kowalczyk","sequence":"first","affiliation":[{"name":"Medical University of Warsaw"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Turska-Szybka","sequence":"additional","affiliation":[{"name":"Medical University of Warsaw"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Sobiech","sequence":"additional","affiliation":[{"name":"Medical University of Warsaw"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcin","family":"Studnicki","sequence":"additional","affiliation":[{"name":"Warsaw University of Life Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0605-665X","authenticated-orcid":false,"given":"Jacek","family":"Tomczyk","sequence":"additional","affiliation":[{"name":"Cardinal Stefan Wyszynski University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,13]]},"reference":[{"issue":"3","key":"e_1_3_6_2_1","first-page":"50","article-title":"Prevalence and severity of dental caries among public school students aged 16-l8 in Hai'l, Kingdom of Saudi Arabia","volume":"11","author":"Aljanakh M","year":"2017","unstructured":"Aljanakh M (2017) Prevalence and severity of dental caries among public school students aged 16-l8 in Hai'l, Kingdom of Saudi Arabia. International Journal of Health Sciences 11(3): 50\u201353.","journal-title":"International Journal of Health Sciences"},{"key":"e_1_3_6_3_1","first-page":"151","article-title":"Guideline on adolescent oral health care","volume":"37","author":"American Academy of Pediatric Dentistry (AAPD)","year":"2015","unstructured":"American Academy of Pediatric Dentistry (AAPD) (2015) Guideline on adolescent oral health care. Pediatric Dentistry 37(special issue): 151\u2013158.","journal-title":"Pediatric Dentistry"},{"key":"e_1_3_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12005"},{"key":"e_1_3_6_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12191955"},{"key":"e_1_3_6_6_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.2014.49"},{"issue":"06","key":"e_1_3_6_7_1","first-page":"1","article-title":"Rationale and evidence for the international caries detection and assessment system (ICDAS II)","volume":"15","author":"Banting D","year":"2012","unstructured":"Banting D, Deery C, Eggertsson H, et al. (2012) Rationale and evidence for the international caries detection and assessment system (ICDAS II). International Caries Detection and Assessment System (ICDAS) 15(06): 1\u201343.","journal-title":"International Caries Detection and Assessment System (ICDAS)"},{"key":"e_1_3_6_8_1","doi-asserted-by":"publisher","DOI":"10.1922\/CDH_4016Calado05"},{"key":"e_1_3_6_9_1","volume-title":"Demographic yearbooks of Poland in 2016","author":"Central Statistical Office","year":"2016","unstructured":"Central Statistical Office. (2016): Demographic yearbooks of Poland in 2016. New Delhi: Central Statistical Office."},{"issue":"2","key":"e_1_3_6_10_1","first-page":"112","article-title":"Obesity and dental caries in paediatric patients. A cross-sectional study","volume":"2","author":"Costacurta M","year":"2011","unstructured":"Costacurta M, Di Renzo L, Biachi A, et al. (2011) Obesity and dental caries in paediatric patients. A cross-sectional study. European Journal of Paediatric Dentistry 2(2): 112\u2013116.","journal-title":"European Journal of Paediatric Dentistry"},{"key":"e_1_3_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2011.00281.x"},{"key":"e_1_3_6_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/jispcd.JISPCD_184_21"},{"key":"e_1_3_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12215"},{"key":"e_1_3_6_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2018.1489978"},{"key":"e_1_3_6_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01666-1"},{"issue":"1","key":"e_1_3_6_16_1","first-page":"46","article-title":"Caries experience in 14-year-olds from Northeast Italy. Is socioeconomic-Status (SES) still a risk factor?","volume":"13","author":"Ferro R","year":"2012","unstructured":"Ferro R, Besostri A, Olivieri A, et al. (2012) Caries experience in 14-year-olds from Northeast Italy. Is socioeconomic-Status (SES) still a risk factor? European Journal of Paediatric Dentistry 13(1): 46\u201352.","journal-title":"European Journal of Paediatric Dentistry"},{"key":"e_1_3_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.alcr.2012.01.003"},{"key":"e_1_3_6_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41405-021-00084-3"},{"key":"e_1_3_6_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016350701317258"},{"key":"e_1_3_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12317"},{"key":"e_1_3_6_21_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2020.vol34.0029"},{"issue":"11","key":"e_1_3_6_22_1","first-page":"2050","article-title":"Evaluation of oral health status based on the decayed, missing and filled teeth (DMFT) index","volume":"48","author":"Moradi G","year":"2019","unstructured":"Moradi G, Mohamadi Bolbanabad A, Moinafshar A, et al. (2019) Evaluation of oral health status based on the decayed, missing and filled teeth (DMFT) index. Iranian Journal of Public Health 48(11): 2050\u20132057.","journal-title":"Iranian Journal of Public Health"},{"key":"e_1_3_6_23_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/2146160"},{"key":"e_1_3_6_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494812459620"},{"issue":"1","key":"e_1_3_6_25_1","first-page":"e52200","article-title":"Oral health considerations for adults aged 18 years or more seeking dental care in the past year: a CDC oral health data analysis","volume":"16","author":"Okobi E","year":"2024","unstructured":"Okobi E, Okobi OE, David AB, et al. (2024) Oral health considerations for adults aged 18 years or more seeking dental care in the past year: a CDC oral health data analysis. Cureus 16(1): e52200.","journal-title":"Cureus"},{"key":"e_1_3_6_26_1","volume-title":"Edukacja Prozdrowotna","author":"Olczak-Kowalczyk D","year":"2021","unstructured":"Olczak-Kowalczyk D (2021a) Wiedza i zachowania zdrowotne a pr\u00f3chnica z\u0119b\u00f3w u dzieci i m\u0142odzie\u017cy w Polsce w latach 2016\u20132019. In: Edukacja Prozdrowotna. Warsaw: Medical University of Warsaw."},{"key":"e_1_3_6_27_1","volume-title":"Uwarunkowania Stanu Zdrowia Jamy Ustnej i Uszkodzenia Urazowe Z\u0119b\u00f3w U Dzieci I M\u0142odzie\u017cy W Polsce W 2020 Roku","author":"Olczak-Kowalczyk D","year":"2021","unstructured":"Olczak-Kowalczyk D (2021b) Monitorowanie stanu zdrowia jamy ustnej populacji polskiej w latach 2016-2020. In: Uwarunkowania Stanu Zdrowia Jamy Ustnej i Uszkodzenia Urazowe Z\u0119b\u00f3w U Dzieci I M\u0142odzie\u017cy W Polsce W 2020 Roku. Warsaw: Medical University of Warsaw."},{"issue":"2","key":"e_1_3_6_28_1","first-page":"87","article-title":"Socio-economic and lifestyle factors in relation to priority of dental care in a Swedish adolescent population","volume":"34","author":"\u00d6stberg AL","year":"2010","unstructured":"\u00d6stberg AL, Ericsson JS, Wennstrom JL, et al. (2010) Socio-economic and lifestyle factors in relation to priority of dental care in a Swedish adolescent population. Swedish Dental Journal 34(2): 87\u201394.","journal-title":"Swedish Dental Journal"},{"key":"e_1_3_6_29_1","first-page":"15","article-title":"Self-reported dental health, care and need of teenagers and young adults: findings from the New Zealand health surveys","volume":"120","author":"Pledger M","year":"2024","unstructured":"Pledger M, Buckley S, Cumming J (2024) Self-reported dental health, care and need of teenagers and young adults: findings from the New Zealand health surveys. New Zealand Dental Journal 120: 15\u201322.","journal-title":"New Zealand Dental Journal"},{"issue":"3","key":"e_1_3_6_30_1","first-page":"281","article-title":"Cariogenic bacteria and dental health status in adolescents: the role of oral health behaviours","volume":"15","author":"Relvas M","year":"2014","unstructured":"Relvas M, Coelho C, Velazco Henriques C, et al. (2014) Cariogenic bacteria and dental health status in adolescents: the role of oral health behaviours. European Journal of Paediatric Dentistry 15(3): 281\u2013287.","journal-title":"European Journal of Paediatric Dentistry"},{"key":"e_1_3_6_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18031295"},{"key":"e_1_3_6_32_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0722.2000.108003175.x"},{"key":"e_1_3_6_33_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413-812320152112.12582015"},{"key":"e_1_3_6_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.2006.00335.x"},{"key":"e_1_3_6_35_1","volume-title":"Oral Health Surveys","author":"World Health Organization (WHO)","year":"2013","unstructured":"World Health Organization (WHO) (2013) Oral Health Surveys. 5th edition. Geneva: World Health Organization.","edition":"5"},{"key":"e_1_3_6_36_1","volume-title":"Oral Health Services","author":"World Health Organization","year":"2015","unstructured":"World Health Organization (2015) Oral Health Services. Geneva. World Health Organization. Available at: https:\/\/www.who.int\/oral_health\/action\/services\/en\/"},{"key":"e_1_3_6_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(01)00252-X"},{"key":"e_1_3_6_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01640-x"}],"container-title":["Community Dental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X251385509","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0265539X251385509","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X251385509","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:52:40Z","timestamp":1784195560000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0265539X251385509"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,13]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/0265539X251385509"],"URL":"https:\/\/doi.org\/10.1177\/0265539x251385509","relation":{},"ISSN":["0265-539X","2515-1746"],"issn-type":[{"value":"0265-539X","type":"print"},{"value":"2515-1746","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,13]]}}}