“…In addition, lip incompetence significantly increased the risk of TDI (P=.009). 7,9,10,15,16 This indicates the need to further investigate the varying barriers to dental care in CSHCN, including economics, numbers of trained and willing practitioners, parent and caregiver awareness, problems in transportation, and negative thoughts related to oral health care. 21,22 Regarding the treatment sought, only 27.7% of the study group had previously sought treatment for TDI.…”