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?

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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?

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dc.contributor.author Norderyd, Johanna
dc.contributor.author Faulks, Denise
dc.contributor.author Molina, Gustavo
dc.contributor.author Granlund, Mats
dc.contributor.author Klingberg, Gunilla
dc.date.accessioned 2017-09-13T14:29:56Z
dc.date.available 2017-09-13T14:29:56Z
dc.date.issued 2017 en_US
dc.identifier.issn 1365-263X en_US
dc.identifier.uri http://hdl.handle.net/2043/23328
dc.description.abstract 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. en_US
dc.language.iso eng en_US
dc.publisher Wiley en_US
dc.subject dentistry en_US
dc.subject disability en_US
dc.subject specialist dental care en_US
dc.subject child en_US
dc.subject adolescent en_US
dc.subject dental health en_US
dc.subject dental caries en_US
dc.subject ICF-CY en_US
dc.subject organisation en_US
dc.subject.classification Humanities/Social Sciences en_US
dc.title 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? en_US
dc.type Article, peer reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Odontology
dc.identifier.doi 10.1111/ipd.12305 en_US
dc.subject.srsc Research Subject Categories::ODONTOLOGY en_US
dc.relation.ispartofpublication International Journal of Paediatric Dentistry;
dc.description.authorversion No en_US
dc.description.publicationstatus Epub ahead of print/Online first en_US
dc.identifier.pmid 28514516
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