{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:23:47Z","timestamp":1787747027577,"version":"build-2784847793"},"reference-count":40,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Research Question:<\/jats:title>\n                    <jats:p>This systematic review aimed to evaluate the barriers to accessing oral healthcare services among children with Down syndrome (DS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Protocol:<\/jats:title>\n                    <jats:p>The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines and registered in PROSPERO (CRD420250656328). The Population, Exposure\/Environment, and Outcome framework was followed for developing the research question.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Literature Search:<\/jats:title>\n                    <jats:p>A comprehensive search strategy using MeSH terms was conducted across PubMed, Google Scholar, and the Cochrane Library, PsycINFO from inception to January 2026.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Extraction:<\/jats:title>\n                    <jats:p>Two independent reviewers screened the studies based on predefined eligibility criteria and extracted data on study characteristics and reported barriers. Discrepancies were resolved through mutual discussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Quality Appraisal:<\/jats:title>\n                    <jats:p>The Mixed Methods Appraisal Tool (MMAT) was utilized for quality assessment of the included studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Analysis and Results:<\/jats:title>\n                    <jats:p>A total of 1072 records were identified, of which seven studies met the inclusion criteria. A descriptive and thematic synthesis of included studies was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretations of Results:<\/jats:title>\n                    <jats:p>Children with DS face multifactorial barriers in accessing oral health care. The findings revealed several challenges to oral healthcare access, including caregiver-related factors, financial constraints, limited availability and accessibility of services, and inadequate professional expertise.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_207_26","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:00:18Z","timestamp":1787673618000},"page":"374-381","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Barriers to oral health care in children with Down syndrome"],"prefix":"10.4103","volume":"44","author":[{"given":"Subakeerthi","family":"Thirumal","sequence":"first","affiliation":[{"name":"Department of Paediatric and Preventive Dentistry, Chettinad Dental College and Research Institute, Kelambakkam, Tamil Nadu, 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