Autoextraction in a child with autistic spectrum disorder

Ross-Russell, M; Sloan, Patrick

doi:10.1038/sj.bdj.4812250

Cited by 19 publications

(21 citation statements)

References 8 publications

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“…Ross-Russell and Sloan [17] present the case of a seven-year-old boy with mild ASD who experienced unexplained dental pain and subsequently went on to extract his own lower right deciduous canine tooth. He has also demonstrated SIB in the form of head banging.…”

Section: Resultsmentioning

confidence: 99%

“…Stereotyped and self-injurious behaviours (SIBs) are also exhibited in significant numbers of individuals with ASD [11–15] which has been associated with apparent pain insensitivity [16]. As many as 70% of ASD patients may show self-injurious behaviour at some point in their lives, but this is typically found in more severely affected individuals and takes on many forms including head banging, scratching, bruising, and biting [17]. However, the role of pain in relation to self-injury is unclear [18–22].…”

Section: Introductionmentioning

confidence: 99%

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Pain Sensitivity and Observer Perception of Pain in Individuals with Autistic Spectrum Disorder

Allely

2013

The Scientific World Journal

114

117

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The peer-reviewed literature investigating the relationship between pain expression and perception of pain in individuals with ASD is sparse. The aim of the present systematic PRIMSA review was twofold: first, to see what evidence there is for the widely held belief that individuals with ASD are insensitive to pain or have a high pain threshold in the peer-reviewed literature and, second, to examine whether individuals with ASD react or express pain differently. Fifteen studies investigating pain in individuals with ASD were identified. The case studies all reported pain insensitivity in individuals with ASD. However, the majority of the ten experimental studies reviewed indicate that the idea that individuals with ASD are pain insensitive needs to be challenged. The findings also highlight the strong possibility that not all children with ASD express their physical discomfort in the same way as a neurotypical child would (i.e., cry, moan, seek comfort, etc.) which may lead caregivers and the medical profession to interpret this as pain insensitivity or incorrectly lead them to believe that the child is in no pain. These results have important implications for the assessment and management of pain in children with ASD.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pain Sensitivity and Observer Perception of Pain in Individuals with Autistic Spectrum Disorder

Allely

2013

The Scientific World Journal

114

117

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“…Oralno samopovređivanje uključuje autoekstrakciju zuba (najčešće mlečnih), ugrize jezika, usana, obraza, a takođe i mehaničko povređivanje čitave oralne sluzokože 12,13,14 . Izazivanjem takvih povreda, autistično dete skreće pažnju na sebe i izaziva neku svoju želju ili potrebu.…”

Section: Oral Health In Children With Asdunclassified

“…Self-inflicted oral injuries are common in children with ASD due to their reduced pain sensation, non-specific responses, and oral cavity perceptual disorders. Self-inflicted oral injuries involve autoextraction of teeth (most commonly primary teeth), tongue bites, lip and cheek bites, and mechanical injuries of the oral mucosa as a whole 12,13,14 . By the infliction of such injuries, a child with ASD commonly draws attention, and expresses a need or a wish.…”

Section: Preventiva Profilaksa I Terapija Oboljenja Usta I Zuba Kod mentioning

confidence: 99%

Dental health care for children with autism spectrum disorders

Igić¹,

Kostadinović²,

Trickovic-Janjic³

et al. 2017

Acta stomatologica Naissi

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“…The patients can be highly insensitive to pain or tolerant to pain [13]. Both experimental and case studies imply that there is insensitivity to pain in ASD cases [13][14][15][16][17]. The pain assessment of individuals with ASD is largely unexplained [18,19].…”

Section: Introductionmentioning

confidence: 99%

A preliminary study of the genes related to aggression and insensitivity to pain in autism spectrum disorders

Şener

Sahin

Taheri

et al. 2017

Psychiatry and Clinical Psychopharmacology

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Objective: Autism spectrum disorders (ASDs) is a heterogeneous neuropsychiatric disorder with widespread abnormalities of social interaction and communication, showing severely restricted interests and extreme repetitive behavior. The relationship between aggressive behavior, insensitivity to pain, and ASDs could not be explained completely. Therefore, we aimed to contribute to the etiology by examining the gene expressions of OPRL1, TACR1, and HTR1E in patients with ASDs. Methods: This study was held in the Genome and Stem Cell Research Center of Erciyes University. In this present study, the expressions of OPRL1, TACR1, and HTR1E genes were studied in 22 ASD patients and 14 healthy controls. Quantitative Real-time Polymerase Chain Reaction (qRT-PCR) was used for gene expression studies.Results: There was a statistically significant difference in terms of the expression of the three genes, which we examined between the ASD patient and control groups. Positive and strong correlations were obtained between the three gene expressions in the ASD group and this finding was found to be statistically significant. Conclusions: Considering all these findings, large-scale and new researches are needed for revealing the roles of genes and their pathways which are related to aggression and insensitivity to pain in ASDs. Our results will lead to new research studies in this field. ARTICLE HISTORY

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Autoextraction in a child with autistic spectrum disorder

Cited by 19 publications

References 8 publications

Pain Sensitivity and Observer Perception of Pain in Individuals with Autistic Spectrum Disorder

Pain Sensitivity and Observer Perception of Pain in Individuals with Autistic Spectrum Disorder

Dental health care for children with autism spectrum disorders

A preliminary study of the genes related to aggression and insensitivity to pain in autism spectrum disorders

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