scholarly journals Dental care for children with autism spectrum disorder

2018 ◽  
Vol 50 (3) ◽  
pp. 160
Author(s):  
Amrita Widyagarini ◽  
Margaretha Suharsini

Background: Providing dental treatment for children with autism spectrum disorder (ASD) represents a challenge for dentists. In the dental care of such children, the treatment plans implemented are usually determined by several factors, including: the type of autism spectrum disorder, the degree of patient cooperation, dentist/patient communication, the required treatment, self-care skills and parental/dentist support. Purpose: The purpose of this case report was to report the dental care delivered in the cases of two pediatric patients with ASD. Case 1: A 10.7 year-old boy with a nonverbal form of ASD who was experiencing recurrent pain in his lower left posterior tooth and also presented a blackened tooth. Case 2: A 9.6 year-old boy with a nonverbal form of ASD suffering from numerous painful cavities. Case management 1: On the day of the first visit, the boy was the subject of several behavioral observations. During the day of the second visit, he underwent a brief intraoral examination at a dental unit in order to arrive at a temporary diagnosis before appropriate was decided upon treatment in consultation with his parents. The implemented treatment plans comprised dental extraction and preventive restoration under general anesthesia. Case management 2: On the first visit, the boy underwent behavioral observations followed by early intraoral examination involving physical restraint approach. During the second visit, several treatment plans such as: general anesthesia, tooth extraction, restoration, and pulp-capping treatment were formulated. Conclusion: It can be concluded that general anesthesia was considered an appropriate dental treatment plan since the two patients in question were extremely co-operative during the necessary procedures. In other words, pediatric dental care treatment plans in cases of ASD should be determined by clearly-defined criteria, specifically the benefits and risks of the treatment plans for the safety of both patient and dental care team.

Author(s):  
A. S. Dontsova ◽  
O. V. Gulenko ◽  
E. A. Skatova

Relevance. Dental care is one of the principal unmet health needs of children with autism spectrum disorder (ASD). Based on the available publications, the study discusses the dental profile of a child with autism and the social factors affecting the oral health of such children.Materials and methods. A search was performed of publications for the 15 years in the Medline database using the terms autism”, behavior management/techniques”, child”, dental care for children with other abilities”, dental education”, dental disease”, pediatric dentistry” to find relevant publications.Results. In the found publications, the authors most frequently mention poor oral hygiene. However, they disagree regarding the caries occurrence rate in children with ASD. Insufficient specialized training of dentists on interaction with special children may be one of the reasons for the limited access to dental care.Conclusions. Dental treatment of an autistic child requires a thorough knowledge of comorbidity, relevant behavioral management and customization of treatment protocols according to individual needs. The effectiveness, safety and rationale of the known dental treatment strategies for children with ASD require further study and improvement.


2021 ◽  
Vol 2 (3) ◽  
pp. 311-317
Author(s):  
Isabel Margarita Barrera Yáñez ◽  
Shirley Alexandra Alfaro

Introducción: En el CESFAM de Lota Alto hay un aumento de pacientes con Trastorno del Espectro Autista, lo que sumado a la falta de capacitación de los profesionales dificulta la atención de estos niños, aumentando el tiempo sillón para la realización de cualquier procedimiento dental (2019). Objetivo: Lograr una atención odontológica más eficiente y eficaz en el paciente con Trastorno del Espectro Autista. Materiales   y   métodos: Estudio Observacional Descriptivo, de percepción del odontólogo al aplicar las intervenciones como Pictograma, fotogramas y escala de Eva en la atención odontológica de niños con Trastorno de Espectro Autista (TEA), Indicadores que evaluarán la aplicación: Disminución en el tiempo de atención con Escala de Likert. Resultados: Mediante la aplicación de Fotogramas como carta de presentación, Pictogramas sobre la realización de sellantes y Escala EVA con caritas el cual respecto a la molestia o dolor. Después de 2 meses de aplicación se consultó al Odontólogo. Donde el uso de la escala EVA obtuvo 100% satisfacción total en odontólogo destacando por su bajo costo y gran utilidad. De acuerdo a los resultados se lograr una atención odontológica más eficiente y eficaz la aplicación de Pictogramas, Fotogramas y Escala EVA. Conclusión: Se demostró la utilidad para el manejo de pacientes infantiles en general y con TEA funcionales, con buena acogida del personal de salud, y padres. Lo que a futuro se convertirá en una mayor productividad y a su vez las experiencias positivas creadas y mejora continua de estrategias de adaptación, donde lo más destacado es su bajo costo, como también la eficiencia y eficacia del producto, y mínimo costo.


2020 ◽  
Vol 10 (7) ◽  
pp. 444 ◽  
Author(s):  
Antonio Narzisi ◽  
Mariasole Bondioli ◽  
Francesca Pardossi ◽  
Lucia Billeci ◽  
Maria Claudia Buzzi ◽  
...  

Children with autism spectrum disorder (ASD) show worse oral health than their peers. Their access to health services is, at present, inadequate: few high-quality interventions have been designed and implemented to improve their care procedures so far. The purpose of this study is to describe an experience of dental care supported by Information and Communication Technologies (ICT), for children with ASD in a public health service. In our study, 59 children (mean age 9.9 years; SD = 5.43) participated in the MyDentist project. It integrates classic dental care techniques with new practices for desensitization and fear control, delivered through an enhanced customized ICT-based intervention aiming at familiarizing the child with ASD with the medical setting and procedures. Two questionnaires were filled out by parents to describe the acceptability of the MyDentist experience for their children. Significant results were shown from T0 (before initiating MyDentist) to T1 (after 6 months of the MyDentist experience) regarding improved oral hygiene and cooperation during dental treatments. Families positively assessed the use of ICT support. In conclusion, the project demonstrated acceptability by parents, suggesting that public health dental care and prevention can be successfully implemented without resorting to costly pharmacological interventions (with potential side effects), taking better care of children’s health.


2016 ◽  
Vol 15 (09) ◽  
pp. 100-105 ◽  
Author(s):  
Dr. Nithya Annie Thomas ◽  
Dr. Priya Shetty ◽  
Dr. Sowmya B. ◽  
Dr. Venkatesh Kodgi

2017 ◽  
Vol 39 ◽  
pp. 63-72 ◽  
Author(s):  
Leah I. Stein Duker ◽  
Benjamin F. Henwood ◽  
Ricky N. Bluthenthal ◽  
Emma Juhlin ◽  
José C. Polido ◽  
...  

2020 ◽  
Vol 50 (10) ◽  
pp. 3739-3747
Author(s):  
Rachel M. Fenning ◽  
Robin Steinberg-Epstein ◽  
Eric M. Butter ◽  
James Chan ◽  
Kelly McKinnon-Bermingham ◽  
...  

Author(s):  
Alfini Octavia

Introduction. Dental anxiety in children with Autism Spectrum Disorder(ASD) is challenging for dentists and dental staff. Children with autism usually show negative behavior toward dental treatment due to their limitations in social interaction, language, and communication. Consequently, the necessary dental procedure could not perform. Some procedures could be conducted to overcome dental anxiety. The purpose of this review is to report the relevant studies about the procedure to overcome dental anxiety to children with  Autism Spectrum disorder.Main body. Relevant articles during the year 2010- March 2020  were identified and retrieved from three internet databases  PubMed and  Cochrane. Through removing duplicates, title and abstract screening and applied inclusion criteria and exclusion criteria were also applied to the journals to find eligible studies.  Nine articles that were finally eligible to recommend the procedure that reduces the dental anxiety for the children with ASD.Conclusion. It can be concluded that the structural and visual approach and long-term follow-up of children with autism is the recommended approach to overcome dental anxiety.


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