Evidence map›Paper›PMID 41699601›Full record

SynthesisBMC oral health2026

Barriers to dental service utilization in children: a systematic review and meta-analysis.

Manal Mousa, Mohammad Alkandari, Haia Alabbasi, Roba Alhujailan, Khaleifa Bohamdi, Latifah Ahmad, Aisha Almatooq, Woroud Alsulimmani, Hesham Alhazmi

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

9 authors.

Manal MousaMinistry of Health, Sulaibikhat, Kuwait City, Kuwait.
Mohammad AlkandariMinistry of Health, Sulaibikhat, Kuwait City, Kuwait.
Haia AlabbasiMinistry of Health, Sulaibikhat, Kuwait City, Kuwait.
Roba AlhujailanMinistry of Health, Sulaibikhat, Kuwait City, Kuwait.
Khaleifa BohamdiMinistry of Health, Sulaibikhat, Kuwait City, Kuwait.
Latifah AhmadMinistry of Health, Sulaibikhat, Kuwait City, Kuwait.
Aisha AlmatooqMinistry of Health, Sulaibikhat, Kuwait City, Kuwait.
Woroud AlsulimmaniMinistry of Health, Sulaibikhat, Kuwait City, Kuwait.
Hesham AlhazmiPreventive Dentistry Department, Faculty of Dental Medicine, Umm Al- Qura University, Makkah, Saudi Arabia. haahazmi@uqu.edu.sa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral health is important for overall well-being, as it affects a person’s ability to speak and eat. However, the use of dental services is often limited by factors such as cost, transportation, and fear. This systematic review and meta-analysis study aims to assess the barriers that limit the use of dental services among children. MATERIALS AND

methodsThe study’s eligibility criteria included cross-sectional studies published in English up to August 2024 that reported parental perceptions of the barriers to dental service use among children. This systematic review follows the Cochrane Handbook for Systematic Reviews of Interventions and the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The Newcastle-Ottawa Quality Assessment Scale was used to evaluate the methodological quality of the included articles. For the meta-analysis, random-effects models were conducted, and forest plots were used to present the results.

resultsThree databases were searched: PubMed, Google Scholar, and Web of Science. A total of 794 titles were screened, and 11 studies were included in the final analysis. The primary outcome was the percentage of the children who did not utilize dental services due to cost, transportation, and fear. Among these included studies, 27% of parents identified cost as a barrier to their children’s use of dental services (95% CI: 0.12–0.46). An additional 14% of parents reported fear as a barrier (95% CI: 0.02–0.35), and 7% of parents reported transportation as a barrier (95% CI: 0.01–0.16).

conclusionThis systematic review and meta-analysis study identifies cost as the highest reported barrier by parents regarding dental service utilization by their children. It may be recommended to raise awareness about the importance of oral health and address these barriers by formulating targeted policies and healthcare strategies.

Indexed as

Dental Care for ChildrenHealth Services AccessibilityPatient Acceptance of Health CareChildHumansParentsBarrierChildDental careDental servicesOral health careUtilization

Identifiers

PMID41699601
PMCPMC13014793

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.