title: Evaluating the population with intellectual disability unable to comply with routine dental treatment using the International Classification of Functioning, Disability and Health.
abstract: OBJECTIVE
  The aim of this study was to investigate the use of general anaesthesia (GA) among patients with intellectual disability (ID) in relation to the International Classification of Functioning (ICF).
  
  
  METHODS
  Twenty-seven ICF codes related to the tolerance of the dental treatment were chosen. The sample consisted of 100 children with ID divided into two groups (50 patients in whom routine dental treatment had been accomplished and 50 patients who had been treated under GA). Differences between the groups were analysed using the chi-square test, bivariate correlation and multiple logistic regression analysis.
  
  
  RESULTS
  The GA group showed higher levels with regard to the following codes: b117--intellectual function, b2801--pain in head and neck, d310--communication, d530--toileting, d540--dressing, e310--immediate family, e5400--transportation services and e5850--education and training services. The severity of ID significantly correlated with the 'Activities and Participation' codes. Three predictors of GA treatment were identified: 'Pain in head and neck' (p < 0.001), 'Transportation services, systems and policies' (p < 0.05) and 'Education and training services, systems and policies' (p < 0.05).
  
  
  CONCLUSIONS
  The use of GA increases with the severity of ID. Acute and painful conditions result in more frequent use of GA. Unfavourable environmental factors present barrier to routine dental management.
authors.affiliation: Department for Paediatric and Preventive Dentistry, Faculty of Medicine, Dentistry Clinic of Vojvodina, Novi Sad, Serbia. bpetrovicns@yahoo.com
authors.forename: Bojan
authors.initials: B
authors.lastname: Petrovic
authors.forename: Dejan
authors.initials: D
authors.lastname: Markovic
authors.forename: Tamara
authors.initials: T
authors.lastname: Peric
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000768:Anesthesia, General / Q000379:methods / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D003730:Dental Care for Persons with Disabilities; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D006304:Health Status; D006801:Humans; D008607:Intellectual Disability; D038801:International Classification of Diseases; D016015:Logistic Models; D008297:Male; D011159:Population Surveillance; D011446:Prospective Studies; D055815:Young Adult