Autism spectrum disorder and dentoalveolar trauma: A systematic review and meta-analysis

Andonovski, Marie-Elisabette; Antonarakis, Gregory S.

doi:10.1016/j.jormas.2022.06.026

Cited by 4 publications

(1 citation statement)

References 23 publications

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“…Autism impacts access to dental care and the development of proper oral hygiene because of difficulties in communication, altered sensitivity, and behavioral conundrums ( 11 ), even if the prevalence of malocclusion ( 12 ) and decayed, missing, and filled teeth index ( 13 ) were found to be similar to control subjects. Children with ASD may present not only dental caries but also traumatic injuries ( 14 ), sometimes self-inflicted, saliva drooling or bruxism ( 15 ), and a higher plaque index ( 16 ). Although very scarce data on the co-occurrence of craniofacial anomalies and ASD are present in the literature, children with those anomalies present a higher prevalence of ASD ( 17 ); hence, it is worth considering the possible involvement of connective tissue in ASD pathogenesis ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

Behavioral guidance for improving dental care in autistic spectrum disorders

Pastore,

Bedin,

Marzari

et al. 2023

Front. Psychiatry

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IntroductionAutism spectrum disorders (ASDs) impair many aspects of everyday life and may prevent access to dental care, often limiting it to emergencies. Impaired oral health has long-lasting negative consequences on health status and on the acquisition of oral habits (e.g., oral respiration and grinding) or competencies (e.g., proper speech production). Children with ASD may be scared in the dental setting, which is rich in sensory stimuli and requires physical contact. Due to their behavioral manifestations, they represent a challenge for dentists and hygienists. We created a dedicated pathway with behavioral support for children with ASD to allow dental care and possibly limit the use of general anesthesia.MethodsWe evaluated the effects of behavioral support in a quasi-experimental design by comparing two groups of children with ASD. The first group (n = 84) was visited every 2 months for 3 years and received additional support (visual aids, caregiver training, and longer visit duration). A control group, matched for age and sex, was visited at least twice a year or more, if needed, according to standard healthcare guidelines.ResultsCompliance with the schedule was high throughout the 3 years. The degree of collaboration significantly improved after 1 year in the supported group, while the control group did not change. At the end of the study, collaboration remained significantly higher than at the beginning in the supported group. Half of dental treatments were possible without general anesthesia in supported children. No adverse effect was apparent on collaboration due to COVID-19 restrictions.DiscussionBehavioral techniques improved the compliance of ASD children to regular dentistry visits and treatment. Furthermore, oral hygiene at home was similarly improved, addressing oral health from a lifelong perspective.

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Section: Introductionmentioning

confidence: 99%

Behavioral guidance for improving dental care in autistic spectrum disorders

Pastore,

Bedin,

Marzari

et al. 2023

Front. Psychiatry

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Autism spectrum condition: an update for dental practitioners - Part 2

Lee,

Clough

2024

Br Dent J

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Treatment of Dento-alveolar Traumatic Injuries in a Child with Autism Spectrum Disorder (ASD)

Osman,

Dodhia,

Fan

et al. 2024

Dent Update

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This case report details the multidisciplinary management and follow-up of a 9-year-old boy diagnosed with autism spectrum disorder (ASD). He presented with severe intrusion injuries after a fall to his permanent maxillary central and lateral incisor teeth. The patient was initially seen in the emergency department by the maxillofacial team. Owing to the complexity of the dento-alveolar injury, it was felt that a multidisciplinary approach would improve patient outcomes. In theatre, both maxillofacial and paediatric dental teams managed the acute trauma. The paediatric dental team continued to review and follow-up with the child. A multidisciplinary team is ideal for managing paediatric patients with severe dental trauma and complex behavioural needs. This approach ensures the best care for patients and favourable outcomes. CPD/Clinical Relevance: Multidisciplinary management is important in paediatric dento-alveolar trauma.

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Autism spectrum disorder and dentoalveolar trauma: A systematic review and meta-analysis

Cited by 4 publications

References 23 publications

Behavioral guidance for improving dental care in autistic spectrum disorders

Behavioral guidance for improving dental care in autistic spectrum disorders

Autism spectrum condition: an update for dental practitioners - Part 2

Treatment of Dento-alveolar Traumatic Injuries in a Child with Autism Spectrum Disorder (ASD)

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