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Oral health, medical diagnoses, and functioning profiles in children with disabilities receiving paediatric specialist dental care – a study using the ICF-CY
Hälsohögskolan Jönköping, Sweden. (CHILD)
Mälardalen University, School of Education, Culture and Communication, Educational Sciences and Mathematics. (BUSS)ORCID iD: 0000-0003-2547-1100
Tandvårdshögskolan Malmö, Sweden.
University Hospital of Clermont-Ferrand, France.
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2015 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, ISSN ISSN 0963-8288, Vol. 37, no 16, 1431-1438 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: To describe 0-16-year-old children with disabilities receiving paediatric specialist dental care from a biopsychosocial perspective, with focus on relationship between oral health, medical diagnosis, and functioning. Method: A questionnaire with an International Classification of Functioning, Disability and Health - Children and Youth version (ICF-CY) Checklist for Oral Health was completed using structured interview, direct observation, and information from dental records. Descriptive data analysis was performed together with principle component analysis to calculate factors of functioning used in cluster analysis in order to present functioning profiles. Results: Ninety-nine children with at least one major medical diagnosis were included. Twenty had previous caries experience. Two factors of functioning were calculated, labelled "Physical ability" and "Intellectual ability, communication, and behaviour". Based on functioning profiles three clusters were determined. There were no statistically significant differences in caries experience between medical diagnoses or clusters. Conclusion: It was possible to identify profiles of functioning in children with disabilities receiving specialist dental care. Despite complex disabilities, the children had good oral health. Neither medical diagnosis nor functioning was found to have a clear relationship with oral health. To understand the environmental context leading to high-quality oral health, further studies of dental management in relation to medical and oral diagnoses and child functioning are needed.

Place, publisher, year, edition, pages
2015. Vol. 37, no 16, 1431-1438 p.
National Category
Other Medical Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-26560DOI: 10.3109/09638288.2014.964374ISI: 000358630700005Scopus ID: 2-s2.0-84934280429OAI: oai:DiVA.org:mdh-26560DiVA: diva2:763843
Available from: 2014-11-17 Created: 2014-11-17 Last updated: 2015-12-23

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CiteExportLink to record
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Citation style
  • apa
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Language
  • de-DE
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