title: Oral health, medical diagnoses, and functioning profiles in children with disabilities receiving paediatric specialist dental care - a study using the ICF-CY.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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. [Box: see text].
authors.affiliation: National Oral Disability Centre, The Institute for Postgraduate Dental Education , Jönköping , Sweden .
authors.forename: Johanna
authors.initials: J
authors.lastname: Norderyd
authors.forename: Anne
authors.initials: A
authors.lastname: Lillvist
authors.forename: Gunilla
authors.initials: G
authors.lastname: Klingberg
authors.forename: Denise
authors.initials: D
authors.lastname: Faulks
authors.forename: Mats
authors.initials: M
authors.lastname: Granlund
mesh_terms: D000293:Adolescent; D057189:Checklist; D002648:Child; D002675:Child, Preschool; D019140:Dental Care for Children; D004185:Disability Evaluation; D019988:Children with Disabilities / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D009909:Oral Health / Q000592:standards*; D017410:Practice Guidelines as Topic; D011795:Surveys and Questionnaires
keywords: Children; ICF-CY; oral health