Dietary Sugar Exposure and Oral Health Status in Children with Autism Spectrum Disorder: A Case-control Study

Moorthy, Lakshmi N.; Dixit, Uma; Kole, Rachita C.; Gajre, Mona

doi:10.1007/s10803-021-05151-0

Cited by 14 publications

(7 citation statements)

References 52 publications

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“…Many parents give sweets as rewards which could suggest higher sugar consumption in our study. 19 These findings suggest that dentists have a larger role to educate and reinforce the parents about routine oral hygiene regimens and provide solutions to alleviate some of the challenges faced by the parents of children with ASD. Parents can get distracted and overwhelmed by children's other problems and stressors at home which may lead to less attention towards routine dental care.…”

Section: Discussionmentioning

confidence: 95%

Oral hygiene practice and home‐care challenges in children with autism spectrum disorder in San Francisco: Cross‐sectional study

Nagda,

Le,

Lin

et al. 2023

Special Care in Dentistry

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IntroductionAutism spectrum disorder (ASD) is characterized by challenges in social interaction, communication, and stereotypical patterns of behavior. They are more likely to have tooth brushing issues and need help with routine dental care. Children with ASD could face difficulty in accessing dental care as the parents have a challenging task in finding a dentist that would treat the child with special needs. As a result, dental care is often neglected. The aims of this study are to evaluate oral hygiene practices and challenges in children with ASD and compare it with typically developing peers (TDP).MethodThe sample size of the study was 60. Parents of children aged 3–10 were recruited and divided in 2 groups with 30 in each group. Age and gender of children were matched. ASD group included children with medical diagnosis of ASD only and no other co‐morbidities. Children in TDP group had no diagnosis of ASD, and reported no disability, or any other diagnosis. Parents were asked to complete the questionnaire which asked about their demographic information, child's oral care regimens, and their knowledge about dental care. Chi‐squared tests and t‐test were used for statistical analysis. A p‐value of .05 was used for determining statistical significance.ResultsMany children with ASD (47%) had to travel more than 20 miles for their dental home compared to 13% with TDP (p < .05). Only 60% of children with ASD brushed twice a day with 70% of parents reporting that it is difficult to brush their child's teeth compared to TDP with 93% of children brush twice daily (p < .05). Significantly a smaller number of children with ASD (47%) allowed their parent to brush their teeth as compared to 93% of TSD children (p < .001).ConclusionParents of children with autism spectrum disorder travel longer distance to find a dental home and face more difficulty in maintaining their child's daily oral hygiene.

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Section: Discussionmentioning

confidence: 95%

Oral hygiene practice and home‐care challenges in children with autism spectrum disorder in San Francisco: Cross‐sectional study

Nagda,

Le,

Lin

et al. 2023

Special Care in Dentistry

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“…Various studies have similar results with a higher prevalence of ASD in boys than in girls. 13,20,21 The results showed that (66,7%) children with ASD had a low frequency of cariogenic food consumption. Our results are in line with the previous studies that have investigated ASD children consume low-carbohydrate foods and tend to dislike sweet foods.…”

Section: Discussionmentioning

confidence: 99%

The association of cariogenic foods consumption frequency on the occurrence of dental caries in children with autism spectrum disorders

2023

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Introduction: Dental caries is a multifactorial disease that invades the hard tissues of the teeth. Dental caries is among the most common oral manifestations in children with autism spectrum disorders (ASD). ASD is a neurodevelopmental disorder characterized by deficits in social interactions, communication difficulties, and restricted repetitive behavior. ASD children have a higher risk of dental caries due to their difficulty maintaining good oral hygiene and poor diet, such as having a high preference for cariogenic foods. This study aims to analyze the association between cariogenic foods consumption frequency and the occurrence of dental caries in ASD children. Methods: Quantitative study was performed with a cross-sectional design and total sampling techniques on 15 ASD children. Data analysis using Spearman Rank test. Results: This study found (66,7%) of ASD children had low levels of cariogenic foods consumption. Respectively, the ASD children’s deft and DMFT indices were (3.3) and (4.4). A significant value between the frequency of consumption of cariogenic foods and DMFT/deft was (0.297). The level of relationship between the frequency of consumption of cariogenic foods with DMFT/deft is (0.289), indicating a low association. Conclusions: There is no association between cariogenic foods consumption frequency and the occurrence of dental caries in children with ASD. The average indices of DMFT and deft of ASD children are at moderate levels. ASD children have low levels of cariogenic food consumption frequency.Keywords: Autism Spectrum Disorder (ASD), Cariogenic Foods, Dental Caries.

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“…Dietary sugar exposure is considered the leading cause of caries (as DMFT/dmft ratio) in ASD children, as 85.7% of those subjects consume sugar-enriched snacks in their diet ( 85 ). However, a survey from Moorthy et al on 136 autistic children and 136 neurotypical, healthy children aged 5–12 years in a case-control study reported that there was no significant difference in DMFT/dmft between the two groups, even though ASD children, even with better oral hygiene practice, showed a worse OHI-S score than controls ( 86 ). This contradictory evidence may be considered a misleading message.…”

Section: Prevention Of Oral and Dental Disorders In Autistic Subjects...mentioning

confidence: 99%

Insights on dental care management and prevention in children with autism spectrum disorder (ASD). What is new?

Zerman

Zotti²,

Chirumbolo³

et al. 2022

Front. Oral. Health

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Autistic subjects represent a severe concern to dentistry due to the considerable difficulty in managing their oral health, maintaining routine toothbrushing, and preventing dental and periodontal problems. The social and economic burden of managing dental care in autism spectrum disorder (ASD) children is particularly cumbersome for families and public and private health expenditure, especially when children reach the dentist following a late diagnosis with evident oral health problems. An early diagnosis of ASD helps dentists better address these children's oral health. Unfortunately, insufficient attention is paid to the training and education of general pediatricians, dentists, and dental hygienists, allowing them to get to approach the different clinical aspects of ASD. Usually, children diagnosed with ASD are scheduled for dental appointments like their neurotypical peers, whereas their needs are typically complex and personalized. Scant attention is also devoted to these patients by commercial manufacturers of dental products and devices for oral hygiene and prevention of caries and periodontal diseases, leaving parents without the support and often failing when they address the oral health of autistic children. The difficulties of oral care do not derive simply from the behavior of ASD patients, as is commonly assumed, and therefore cannot be overcome solely by the patience and attention of parents and dentists. Genetics, dietary habits, sensory impairments, and cognition disorders are other causes contributing in various degrees to the impact on the mood and psychological reactions of autistic children towards dentists. How can we prevent teeth caries, periodontal disorders, and other oral health impairments by properly managing ASD children? This manuscript gives an up-to-date overview of these problems and helps to provide good remarks.

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Dietary Sugar Exposure and Oral Health Status in Children with Autism Spectrum Disorder: A Case-control Study

Cited by 14 publications

References 52 publications

Oral hygiene practice and home‐care challenges in children with autism spectrum disorder in San Francisco: Cross‐sectional study

Oral hygiene practice and home‐care challenges in children with autism spectrum disorder in San Francisco: Cross‐sectional study

The association of cariogenic foods consumption frequency on the occurrence of dental caries in children with autism spectrum disorders

Insights on dental care management and prevention in children with autism spectrum disorder (ASD). What is new?

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