Community dental healthPub Date : 2026-06-01Epub Date: 2025-11-18DOI: 10.1177/0265539X251400503
Elizabeth Crouch, Joni Nelson, Peiyin Hung, Emma Boswell, Cassie Odahowski, Amy Martin
{"title":"Geographic disparities in children's oral health in the United States.","authors":"Elizabeth Crouch, Joni Nelson, Peiyin Hung, Emma Boswell, Cassie Odahowski, Amy Martin","doi":"10.1177/0265539X251400503","DOIUrl":"10.1177/0265539X251400503","url":null,"abstract":"<p><p><b>Objectives:</b> This study examines variations in access to dental care and oral health outcomes by residence for children and adolescents in the United States (US). <b>Methods:</b> This cross-sectional study of 50,277 children and adolescents derived child residence, child and caregiver demographic characteristics, as well as access to dental care and oral health from the 2021-2022 National Survey of Children's Health. Access measures include dental care receipt, preventive dental visit, forgone dental care, and fluoride treatment; oral health outcomes include teeth condition, oral health problems, and tooth decay status. All descriptive, bivariate and multivariate analyses consider sampling weights for population-based estimates. <b>Results:</b> Rural versus urban children had lower rates of reporting excellent/very good teeth condition (71.1% vs 74.4%, <i>p</i> = 0.0015), higher rates of one or more oral health problems (18.7% vs 15.6%, <i>p</i> = 0.0009) and tooth decay (16.6% vs 13.5%, <i>p</i> = 0.0008), and lower rates of receiving fluoride treatment (18.3% vs 15.5%, <i>p</i> = 0.0043). Regarding access to dental care, in the unadjusted analysis, rural children were less likely to receive preventive dental care (81.7% vs 84.5%, <i>p</i> = 0.0012) and more likely to forgo needed dental care than urban children (2.6% vs 1.6%, <i>p</i> = 0.0082). After adjusting for other child and caregiver characteristics, there was no significant difference between residence and preventive dental care. <b>Conclusions:</b> This study provides updated and timely information for policymakers and community partners and shows that rural US children were both more likely to experience oral health problems and less likely to receive needed dental care.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"144-151"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145539324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Community dental healthPub Date : 2026-06-01Epub Date: 2025-11-19DOI: 10.1177/0265539X251400455
Emma Barnes, Paul Brocklehurst, Anwen Cope
{"title":"The impact of dental caries and local-area deprivation on 5-year-olds' oral health-related quality of life (OHRQoL).","authors":"Emma Barnes, Paul Brocklehurst, Anwen Cope","doi":"10.1177/0265539X251400455","DOIUrl":"10.1177/0265539X251400455","url":null,"abstract":"<p><p><b>Objective:</b> To explore the impact of area-level deprivation on 5-year-olds' (school year 1) oral health-related quality of life (OHRQoL) in Wales. <b>Basic research design:</b> During the 2022/23 academic year, a sample of 5-year-old children in state-maintained schools in Wales were selected to undergo a clinical examination. A random stratified sample of 15,625 children were invited to participate. The British Association for the Study of Community Dentistry diagnostic criteria was used to calculate d3mft (decayed, missing, and filled teeth) and PUFA (pulpal involvement, ulceration, fistula, and abscess) scores for each child. <b>Main outcome measures:</b> Before the examination, parents/guardians completed the Early Childhood Oral Health Impact Scale (ECOHIS), a validated measure of OHRQoL. <b>Results and Conclusion:</b> Data were gathered from 8,463 children from 612 schools, with a mean age of 5.95 years. 28.6% had experienced dental caries. Mean d3mft was 1.07 (3.39 in those with caries experience) and PUFA was present in 2.0%. 18.4% of parents/guardians reported a negative impact on the ECOHIS and this increased to 35.1% amongst children with caries experience (d3mft>0). The most common impacts reported were pain (11.6%, 23.6% if d3mft>0) and feelings of guilt in parents/guardians (6.7%, 16.5% if d3mft>0). The highest levels of impact were recorded amongst children from deprived communities, and this persisted after controlling for caries experience or untreated decay (<i>p</i> < 0.05). These data reinforce the need for measures to tackle early childhood caries alongside other efforts to minimise childhood disadvantage.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"160-166"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145556208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of readability level of Turkish websites on gingival recession.","authors":"Suleyman Emre Meseli, Poyraz Besiroglu, Hilal Cuhadar Besiroglu, Ezgi Sila Taskaldiran","doi":"10.1177/0265539X251379259","DOIUrl":"10.1177/0265539X251379259","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the readability level (RL) and textual content quality (TCQ) of Turkish websites providing information about \"gingival recession\" (GR) to understand their implications for public health, specifically concerning health literacy and access to care. Ensuring online health information is accessible is crucial for promoting informed decision-making and preventive health behaviors.</p><p><strong>Basic research design: </strong>Cross-sectional and assessment of RL and TCQ on Turkish websites.</p><p><strong>Subjects: </strong>After excluding ineligible websites, a total of 46 websites about GR obtained from the first 10 search result pages on Google were analyzed.</p><p><strong>Main outcome measures: </strong>RL was assessed using Ateşman's and Bezirci-Yılmaz's formulas, validated as Turkish formulas. TCQ was scored using six criteria. Analyses compared the mean values and revealed the associations between variables.</p><p><strong>Results: </strong>The Bezirci-Yılmaz formula indicated a master's degree RL (17.96 ± 4.95), suggesting high reading difficulty for the public. The Ateşman formula indicated moderate readability (57.08 ± 12.74). The mean TCQ was low (2.89 ± 1.08), indicating insufficient information content. RL were positively associated with word count (<i>p</i> < 0.001 for both) but not with TCQ (<i>p</i> > 0.05 for both).</p><p><strong>Conclusion: </strong>Turkish websites on GR are significantly harder to read than recommended for public health materials and the average literacy level in Turkiye. This, combined with low content quality, creates a barrier to understanding essential dental health information, potentially worsening health disparities. Addressing this issue is a public health imperative to improve equitable access to crucial dental health information, empower individuals to take proactive steps for their oral health, and advance national oral health objectives.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"178-186"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145556410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Community dental healthPub Date : 2026-06-01Epub Date: 2025-11-18DOI: 10.1177/0265539X251400878
Yoon-Jeong Shin, Mandakini Mohan, Maung Maung Kyaw Moe, Joseph Curtis, Chonghwa Kim, Woosung Sohn, Du-Hyeong Lee
{"title":"Perceptions of benefits, barriers, and educational strategies for digital dentistry in Southeast Asia: A multi-country cross-Sectional pilot survey.","authors":"Yoon-Jeong Shin, Mandakini Mohan, Maung Maung Kyaw Moe, Joseph Curtis, Chonghwa Kim, Woosung Sohn, Du-Hyeong Lee","doi":"10.1177/0265539X251400878","DOIUrl":"10.1177/0265539X251400878","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed dental professionals' perceptions of the benefits, barriers, and educational strategies for digital dentistry in Southeast Asia, focusing on low- and middle-income nations.</p><p><strong>Methods: </strong>A questionnaire assessing perceptions of digital dentistry was developed and distributed via a multi-country survey of dental professionals in Southeast Asian countries. The questionnaire explored the perceived benefits of digital technologies, barriers to adopting digital workflows, and preferred methods for digital dentistry education. The survey included five-point Likert scale items and multiple-choice questions. Responses were collected anonymously online and stratified by country and participant characteristics. Statistical analyses included the Kruskal-Wallis test, Mann-Whitney U tests (with Bonferroni correction), and regression analyses (α = 0.05).</p><p><strong>Results: </strong>Overall, 113 dentists from six Southeast Asian countries participated. Participants rated accuracy, productivity, and communication as key benefits. Most benefit ratings showed no significant cross-country differences except for profitability (<i>p</i> = .007). Clinical experience was positively associated with perceived communication benefits (<i>p</i> = .040). Cost was identified as the primary barrier to digital system adoption. Preferred educational methods included workshops, physical centers, and mentorships. A marginal association was observed between the country and likelihood of receiving on-site training (<i>p</i> = .065).</p><p><strong>Conclusion: </strong>Although expectations for the clinical value of digital dentistry were high across Southeast Asia, economic and infrastructural challenges remain significant barriers to adoption. Tailored education strategies should be developed considering each country's context and practitioner needs.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"152-159"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145548624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Community dental healthPub Date : 2026-06-01Epub Date: 2025-11-23DOI: 10.1177/0265539X251400500
Harriet Boyd, Julia Csikar, Karen Vinall-Collier, Sam Elkington
{"title":"Exploring the outcomes of community based dental interventions delivered by dental students for people experiencing homelessness: A scoping review.","authors":"Harriet Boyd, Julia Csikar, Karen Vinall-Collier, Sam Elkington","doi":"10.1177/0265539X251400500","DOIUrl":"10.1177/0265539X251400500","url":null,"abstract":"<p><p><b>Background:</b> People experiencing homelessness (PEH) have significantly poorer oral health compared to the general population, with barriers to dental care exacerbating health inequalities. Community-based dental interventions delivered by dental students offers a potential solution for improving oral health among PEH. <b>Objectives:</b> This scoping review aims to map existing literature on community-based dental interventions provided by dental students to PEH and to explore the reported outcomes of these from the perspectives of PEH. <b>Methods:</b> A scoping review was conducted using the PRISMA-ScR checklist. The comprehensive search was conducted across multiple databases and reference lists were hand searched. The Population, Concept, Context (PCC) framework using Joanna Briggs Institute (JBI) methodology was followed to guide the search strategy and eligibility criteria. Studies were screened against the eligibility criteria by two reviewers. <b>Results:</b> Six studies met the inclusion criteria, originating from the UK, Australia, the USA, and Canada. Interventions included oral health education and clinical treatments. Thematic analysis identified two overarching themes: 'experience of the intervention' and 'impact of the intervention.' High levels of satisfaction were reported, with participants noting improved oral health knowledge and intentions to improve oral health behaviours. <b>Conclusions:</b> Community-based dental interventions were well-received by PEH and led to improved oral health knowledge, oral health behaviour change and psychosocial wellbeing. The interventions fostered dignity and trust through respectful care, while also enriching dental education by promoting empathy and social accountability. Despite promising short-term outcomes, further inclusive and longitudinal research is needed to assess long-term impact and global relevance.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"111-122"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145586177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Community dental healthPub Date : 2026-06-01Epub Date: 2025-11-25DOI: 10.1177/0265539X251400501
Suvetha Manoharan, Niall Mc Goldrick
{"title":"Attitudes, behaviours, and perceptions of E-cigarettes among students at the University of Dundee.","authors":"Suvetha Manoharan, Niall Mc Goldrick","doi":"10.1177/0265539X251400501","DOIUrl":"10.1177/0265539X251400501","url":null,"abstract":"<p><p><b>Objective:</b> To explore attitudes, behaviours, and perceptions of e-cigarettes among students at the University of Dundee, Scotland, UK. <b>Basic research design:</b> A mixed-methods study approach combining an online questionnaire and focus groups. <b>Clinical setting:</b> University of Dundee campus environment. <b>Participants:</b> University of Dundee students aged 18 and older. Seventy-five participants completed the questionnaire, with five participants in-person focus groups. <b>Interventions:</b> No interventions applied; observational study only. <b>Main outcome measures:</b> E-cigarette awareness, usage patterns, visibility, perceptions of safety compared to traditional cigarettes, influence of flavours and packaging, attitudes towards public space usage, and environmental concerns. <b>Results:</b> Among participants, 99% were aware of e-cigarettes, with 37% reporting use. Demographics showed 40% aged 21-25, with 73% women and 24% men. Among focus group participants, 20% were current e-cigarette users, 20% had tried e-cigarettes, and 60% were non-smokers. E-cigarettes were highly visible to 75% of respondents, and 94% believed flavours and packaging influenced appeal. Most participants (76%) perceived e-cigarettes as safer than traditional cigarettes. Qualitative themes revealed addiction concerns, social influences, and uncertainty about long-term health effects. <b>Conclusions:</b> This study revealed complex attitudes towards e-cigarettes among university students, highlighting both their perceived benefits as smoking cessation aids and concerns about non-smoker appeal. Findings emphasise the need for comprehensive education, targeted policies, and research into long-term health and environmental impacts. Future studies should examine longitudinal effects, education intervention effectiveness, and environmental consequences of e-cigarette use.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"89-97"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145596061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Demographic and behavioural correlates of toothbrushing practices among schoolchildren in Albania.","authors":"Andis Qendro, Genc Burazeri, Alketa Qosja, Eugena Tomini, Loreta Kuneshka, Gentiana Qirjako","doi":"10.1177/0265539X251400600","DOIUrl":"10.1177/0265539X251400600","url":null,"abstract":"<p><p><b>Objective:</b> Nonadherence to recommended twice daily toothbrushing with a fluoride toothpaste increases the risk of dental caries and periodontal diseases in children. This study aimed at assessing the prevalence and demographic and behavioural correlates of toothbrushing practices among Albanian children. <b>Design and Setting:</b> Cross-sectional study in Albania in 2022. <b>Participants:</b> A nationwide representative sample of 5454 schoolchildren aged 11, 13 and 15 years. <b>Measures:</b> Information on toothbrushing habits, other behavioural factors, and sociodemographic characteristics. <b>Statistical Analysis:</b> Binary logistic regression to assess the association of toothbrushing with demographic characteristics and behavioural factors. <b>Results:</b> Half (56%) of schoolchildren reported brushing their teeth more than once per day (46% in boys vs 66% in girls). Inadequate toothbrushing (≤once/day) was associated with male gender (OR = 2.7, 95% CI = 2.3, 3.0), age 13 (OR = 1.3, 95% CI = 1.1, 1.5), lower family affluence (OR = 1.5, 95% CI = 1.4, 1.8), smoking (OR = 1.4, 95% CI = 1.1, 1.7), inadequate physical exercise (OR = 1.5, 95% CI = 1.3, 1.7), non-daily breakfast consumption (OR = 1.2, 95% CI = 1.1, 1.4), and non-daily fruit consumption (OR = 1.8, 95% CI = 1.6, 2.1). <b>Conclusions:</b> Adequate toothbrushing (at least twice/day) among Albanian children is low compared with most European countries, which should be a cause of serious concern for policymakers and decisionmakers in this post-communist country. There is an urgent need to implement oral health promotion programs in Albania targeting especially boys and children from low socioeconomic families.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"132-137"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145539380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Community dental healthPub Date : 2026-06-01Epub Date: 2025-11-17DOI: 10.1177/0265539X251400449
Hong Wang, Mei Zhao
{"title":"Causal relationship between Helicobacter pylori and periodontal disease: Two-sample Mendelian randomization study.","authors":"Hong Wang, Mei Zhao","doi":"10.1177/0265539X251400449","DOIUrl":"10.1177/0265539X251400449","url":null,"abstract":"<p><p><b>Objective:</b>This study aims to investigate the causal inference underlying this association through the application of Mendelian randomization (MR) analysis. <b>Basic research design:</b> A Two-Sample Mendelian Randomization Study. <b>Clinical setting:</b> NA. <b>Participants:</b> This study uses summary data from genome-wide association studies (GWAS) of seven antibodies targeting <i>Helicobacter pylori</i> (<i>H. pylori</i>) and periodontal diseases, employing a two-sample MR design. It analyzed 97,830 cases and 272,252 controls for gingivitis, 4784 cases for chronic periodontitis, and 367 cases for acute periodontitis. <b>Interventions:</b> NA. <b>Main outcome measures:</b> This study aimed to overcome the limitations of observational studies and provide insights into whether <i>H. pylori</i> plays a causal role in the development of periodontal disease (PD). <b>Results:</b>The genetic prediction results indicate a statistically significant association between <i>H. pylori</i> UREA antibody levels and the risk of acute periodontitis (OR = 0.7, 95% CI: 0.50-0.98, <i>p</i> = 0.035). In the Weighted Median method, comparable results were obtained (OR = 0.61, 95% CI: 0.39 - 0.95, <i>p</i> = 0.028). However, we did not identify a causal association between genetically predicted levels of other <i>H. pylori</i> antibodies and periodontal disease. For sensitivity analysis, heterogeneity was detected in studies of CagA antibody and acute periodontitis through Cochran's Q tests, and one outlier was identified using MR-PRESSO. Upon exclusion of outliers, the results remained robust and were not influenced by other factors. <b>Conclusions:</b>The study results revealed a causal relationship between <i>H. pylori</i> UREA antibody levels and acute periodontitis, indicating that <i>H. pylori</i> UREA antibody levels are a protective factor against acute periodontitis.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"123-131"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145539329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association between functional limitation and use of dental services among older Americans.","authors":"Cheng Qian, Wael Sabbah, Rolla Mira","doi":"10.1177/0265539X261456989","DOIUrl":"https://doi.org/10.1177/0265539X261456989","url":null,"abstract":"<p><p>The objective of the study is to assess the relationship between functional limitation and use of dental services among older American adults; and whether this relationship is independent from socioeconomic factors. We used data pertaining to older American adults aged 60 years and over from the 2022 Behavioral Risk Factor Surveillance System (BRFSS). Functional limitation was indicated by difficulties in hearing, seeing, concentrating or remembering, walking or climbing stairs, dressing or bathing, and doing errands alone. Use of dental service was indicated by one or more dental visit within the past year. Logistic regression was conducted to assess the association between any limitation and use of dental service adjusting for income, education, health insurance, smoking, tooth extraction, age, sex and ethnicity. The analysis included 142,095 participants. Dental visit within past year, and functional limitations were reported by 67.4% and 39.7% of the participants, respectively. Functional limitation was negatively associated with dental visit in the previous year with Odds Ratios 0.69 (95% Confidence Intervals: 0.65, 0.74) in the fully adjusted model. Functional limitation could be a potential and additional barrier to use of dental services among older Americans. Public health strategies should consider alternative care models for those with functional limitations.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261456989"},"PeriodicalIF":0.9,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148101099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrea Sherriff, Ryan Stewart, William Wright, Lucy Docherty, Katie Dudman, Robin Young, Deborah Cairns, Angela Henderson, David I Conway
{"title":"Dental general anaesthetic and access to dental services for young people with intellectual disabilities, autism and other educational additional support needs: A population-based record linkage cohort study.","authors":"Andrea Sherriff, Ryan Stewart, William Wright, Lucy Docherty, Katie Dudman, Robin Young, Deborah Cairns, Angela Henderson, David I Conway","doi":"10.1177/0265539X261450852","DOIUrl":"https://doi.org/10.1177/0265539X261450852","url":null,"abstract":"<p><p><b>Objective:</b> There is evidence to show that young children with educational additional support needs (ASN) have poorer oral health and less access to primary care dental services than their peers however, less is known about the oral health and dental service access of young people with ASN as they embark on secondary education. This study investigates the rates of tooth extraction under general anaesthesia and primary care dental attendance in young people with educational ASN attending secondary school in Scotland. <b>Methods:</b> A multi-cohort study of 214,142 young people followed up from age 12 to 16 years in Scotland using data linkage of three routine databases: Pupil Census; Scottish Morbidity Records; and Management Information and Dental Accounting System. Rates of tooth extraction under general anaesthetic in hospital and access to primary care dental services were compared among young people with ASN to those with no recorded ASN. <b>Results:</b> Tooth extraction under general anaesthesia was higher among young people with autism (Adjusted Risk Ratio (aRR) = 2.48; 95% Confidence Interval (CI) = 1.85 to 3.25) and with intellectual disabilities (aRR = 1.76; 95% CI = 1.43 to 2.16) compared to those with no ASN. Regular attendance at primary dental care was less likely for young people with any ASN, particularly among those with intellectual disabilities and social-related ASN. <b>Conclusions:</b> Young people with ASN experience greater inequalities in oral health and dental care, which would also include preventive interventions, than their peers without ASN. Early intervention through national oral health improvement programmes such as Childsmile may help reduce these inequalities.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261450852"},"PeriodicalIF":0.9,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}