Evidence map›Paper›PMID 40704521›Full record

ArticleJournal of paediatrics and child health2025

Oral Health Inequities: Using Every Opportunity for Opportunistic Oral Healthcare.

John M D Thompson, Jessica Wilson, Catherine A Byrnes, Hugh Trengrove, Pauline Koopu, Corina Grey, Alison Leversha

Abstract read
In one paragraph

Article in Journal of paediatrics and child health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Dental Caries in Children and Youth With Cerebral Palsy: A Nationwide Study of Oral Health in Aotearoa New Zealand.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

John M D ThompsonDepartment of Paediatrics: Child and Youth Health, University of Auckland, Auckland, New Zealand.ORCID 0000-0001-6944-381X
Jessica WilsonDepartment Obstetrics, Gynaecology and Reproductive Sciences, University of Auckland, Auckland, New Zealand.
Catherine A ByrnesDepartment of Paediatrics: Child and Youth Health, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-3032-3172
Hugh TrengroveHospital Dental Service, Auckland District Health Board, Auckland, New Zealand.
Pauline KoopuHospital Dental Service, Auckland District Health Board, Auckland, New Zealand.
Corina GreySection of Epidemiology & Biostatistics, School of Population Health, University of Auckland, Auckland, New Zealand.
Alison LevershaDepartment of Paediatrics: Child and Youth Health, University of Auckland, Auckland, New Zealand.

Funding

Auckland DHB Charitable Trust
6 · The paper itself

Abstract

aimsThe aim of this study was to determine if caries-free rates and the number of teeth affected by caries in children from inpatient, day stay, and specialist outpatient clinic groups differed significantly from the population and by ethnicity.

methodsWe extracted admissions for general medical admissions (inpatient) and day stay surgery for grommets (day stay) for 2019 from Starship Children's Hospital, Auckland, New Zealand, and children on the Auckland bronchiectasis register (specialist outpatient clinic). Oral health data was extracted from the Auckland Regional Dental Service database until the end of 2021. The primary outcome was caries free at approximately 5 years of age (±1 year) and the secondary outcome was decayed, missing, filled teeth (dmft) score.

resultsThere were significant differences in the caries free rates and dmft scores by ethnicity at the population level and across all three selected patient groups. Compared to the ARDS population, neither the proportion with caries nor the number of teeth affected were different in the inpatient or day stay groups within ethnic groups. These patient groups were less likely to have an oral health record than the ARDS population. The specialist outpatient clinic group had significantly lower caries free status than the ARDS population.

conclusionsPoor oral health pervades children in the Auckland region with significant inequities. Structures and systems committed to reducing inequities for Māori and other underserved populations (including Pacific peoples) need to be developed urgently to improve access and uptake of the free service including the opportunistic circumstance of hospital appointments and admissions.

Indexed as

Dental CariesHealthcare DisparitiesHealth Status DisparitiesOral HealthChildChild, PreschoolFemaleHumansInfantMaleNew Zealandchildrencommunitygeneral paediatricsopportunisitic healthcareoral health

Identifiers

PMID40704521
PMCPMC12515267

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.