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Which factors most influence referral for restorative dental treatment under sedation and general anaesthesia in children with complex disabilities: Caries severity, child functioning or dental service organisation?
Jönköping University, School of Health and Welfare, HHJ. CHILD. National Oral Disability Centre for Rare Disorders, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France.
Facultad de Odontología, Universidad Nacional de Córdoba, Cordoba, Argentina.
Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD. Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work.ORCID iD: 0000-0001-9597-039X
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2018 (English)In: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 28, no 1, p. 71-82Article in journal (Refereed) Published
Abstract [en]

Background

The UN Convention on the Rights of the Child gives all children right to the highest standard of services for treatment and rehabilitation. For children with disabilities, sedation and general anaesthesia (GA) are often indicated for dental treatment; however, accessibility to this varies. The International Classification of Functioning, Disability and Health – Child and Youth version (ICF-CY) enables a biopsychosocial description of children undergoing dental treatment.

Aim

To investigate conscious sedation and GA in children with complex disabilities and manifest caries and analyse how caries, child functioning, and dental service organisation relate to dental GA (DGA), comparing Argentina, France, and Sweden using the ICF-CY.

Design

Quantitative, cross-sectional; data collected through structured interviews, observation, and dental records.

Results

Sedation and DGA were common. Children with limitations in interpersonal interactions and relationships were more likely to have had DGA (OR: 5.3, P = 0.015). Level of caries experience was strongly correlated with experience of DGA. There were significant differences between countries regarding caries prevalence, sedation, DGA, and functional and environmental factors.

Conclusions

Although caries experience and child functioning are important, dental health service organisation had the most impact on the incidence of DGA, and for the use of conscious sedation, for children with complex disabilities.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 28, no 1, p. 71-82
National Category
Dentistry Pediatrics
Identifiers
URN: urn:nbn:se:hj:diva-35380DOI: 10.1111/ipd.12305ISI: 000418274800010PubMedID: 28514516Scopus ID: 2-s2.0-85038406860Local ID: HHJCHILDISOAI: oai:DiVA.org:hj-35380DiVA, id: diva2:1089070
Available from: 2017-04-18 Created: 2017-04-18 Last updated: 2018-04-13Bibliographically approved

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Norderyd, JohannaGranlund, Mats

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