Region Jnkpings ln Odontologiska Institutionen
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Swedish and French children with special needs in oral health - an
ICF-CY study

Norderyd J*, Faulks D
 

Aim

Child specialist dental care varies and comparisons are difficult. WHO´s International Classification of Functioning, Disability and Health - Child and Youth version (ICF-CY) provides a common language within the biopsychosocial model, but has not been widely used in dentistry. The aim was to compare ICF-CY data between two specialist dental centres in France and Sweden respectively.

Material and methods

A developed ICF-CY checklist for oral health was used and data concerning 82 French and 56 Swedish patients 0-16 years of age with special dental needs was collected and analyzed.

Results

All children at the Swedish and the majority of the children at the French centre had a significant medical diagnosis and at both centres over 50% reported impairment in the ICF-CY domain body function regarding 'mental functions'. More children in the French group had caries while the Swedish group showed more disorders of tooth development/eruption and malocclusions. At both centres a majority had restriction in the Activities and Participation domain items 'Acquiring skills', 'Carrying out daily routine', and 'Handling stress', but with significantly more children in the Swedish group. In the Environment domain statistically more Swedish children noted 'social norms' whereof 80% reported it as a facilitating factor, while 'Individual attitudes of health-related professionals' and 'Other professionals' was reported by more French children and most of them regarded both items as facilitators.

Conclusion

Despite great differences between the Swedish and the French health care systems, and despite a heterogeneous patient population in terms of medical diagnoses, the similarities between patients outweighed the differences in terms of function, activities and participation.

 

 

 

 

 

 

 

 

 

Uppdaterad: 2013-04-03
Anna Thofelt, Avdelningen för odontologisk radiologi Jönköping, Folktandvården