Effect of Culturally Adapted Dental Visual Aids on Oral Hygiene Status during Dental Visits in Children with Autism Spectrum Disorder: A Randomized Clinical Trial

Aljubour, Ala; AbdElBaki, Medhat A.; Meligy, Omar El; Al-Jabri, Basma; Sabbagh, Heba Jafar

doi:10.3390/children9050666

Cited by 6 publications

(13 citation statements)

References 28 publications

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“…Ten studies (four RCTs and six non‐randomized clinical studies) sustained the final rigorous PICO search and were included for the qualitative and quantitative synthesis, 1,11,28–35 among them four studies are randomized control trials; 32–35 Control group is not there in few studies 1,11,28–30 …”

Section: Resultsmentioning

confidence: 99%

Effectiveness of picture‐based interventions of toothbrush training on improvement of oral hygiene in children with autism spectrum disorders: A systematic review and meta‐analysis

Godbole,

Tirupathi,

Nair

et al. 2023

Special Care in Dentistry

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BackgroundChildren with autism exhibit a higher risk of poor oral health due to difficulty in the performance of simple tasks such as toothbrushing.AimThis current systematic review aims to evaluate the effectiveness of Picture based intervention of toothbrush training on improvement of oral hygiene in children with autism spectrum disorders (ASD)Materials and methodsProspero registered (CRD42023450156). PubMed, Cochrane, Scopus databases are searched from years January 1, 1980 to August 1, 2023 using broad search terms (brush) AND (autism).ResultsThe search queries have identified 853 titles, from three databases (PubMed, Scopus, Cochrane), after application of filters for exclusion of systematic reviews and meta‐analysis, duplicate exclusion and removal of irrelevant titles led to the final inclusion of 24 articles for full text screening. From the 24 included studies, 10 studies (four RCTs and six non‐randomized clinical studies) sustained the final rigorous PICO search. Quantitative pooling of data were performed for limited articles.ConclusionLow quality evidence suggest that picture‐based intervention of toothbrush training has significant improvement (p ≤ .05) in improving toothbrushing habit as well as performance as indicated by the Plaque Index score (PI), Gingival index (GI) and Oral hygiene index score (OHI‐S).

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Section: Resultsmentioning

confidence: 99%

Effectiveness of picture‐based interventions of toothbrush training on improvement of oral hygiene in children with autism spectrum disorders: A systematic review and meta‐analysis

Godbole,

Tirupathi,

Nair

et al. 2023

Special Care in Dentistry

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“…Unfortunately, skincare may have a direct cost of time and effort with delayed benefits; however, dermatologists, psychiatrists, and primary care providers may overcome this uneven cost-benefit analysis perceived by patients through suitable communication. Visual aids, narrative stories, and clear statistical information on risks have all shown usefulness in mitigating risk-benefit alterations in ADHD and similar disorders (Aljubour et al, 2022;Bellani et al, 2011;Sleath et al, 2014). While we do not advocate graphic exaggeration, providers may find it helpful to describe and display a vivid case of acne scarring or lichen simplex chronicus, complications of acne, and eczema, respectively, to emphasize the importance of adhering to a patient-centered skin care regimen (UpToDate, n.d.; Yim et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Co-occurring ASD Mediates Impact of ADHD on Atopic Dermatitis and Acne: A Retrospective Cohort Study

Osman,

Gerard,

Hale

2023

J Atten Disord

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Background: ADHD and ASD are associated with dermatologic manifestations, yet little research investigates co-occurring ADHD/ASD and common dermatologic conditions. Objective: To investigate associations between ADHD, ASD, acne vulgaris, and atopic dermatitis. Methods: Using de-identified patient records from the TriNetX database, we created four cohorts on ADHD diagnosis, ASD diagnosis, both, neither. Cohorts were separated into males and females. We balanced each cohort based on age, sex, race, and ethnicity to the baseline cohort with neither ASD or ADHD. Finally, we examined prevalence of acne and eczema. Results: The cohort sizes varied from 19,764 to 345,626. Compared to matched peers, males with ADHD or ADHD/ASD had increased prevalence of acne, and all neurodivergent males had increased prevalence of eczema. Females with ADHD had an increase in both. Females with ADHD/ASD had no significant differences, and females with ASD had a decreased risk of eczema. Limitations: Due to database limitations, we are unable to: analyze symptom severity, skincare routine, or treatment adherence. Conclusions: The decreased risk of eczema in females with ASD and lack of significant difference in incidence of acne or eczema in females with ADHD/ASD compared to matched peers suggests research into approaches to skincare in males versus females with ASD may provide clinically relevant insights.

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“…Searching for appropriate and optimal cooperation between families and dentists by adopting new strategies to improve the management and frequency of dental examinations of autistic subjects may represent the simplest solution to overcome the enormous difficulty of treating autistic children. Furthermore, it may prove possible to use virtual technology and multi-media devices to manage the best possible behavioral relationship with the autistic subject to achieve correct oral hygiene (53,(114)(115)(116).…”

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

confidence: 99%

“…Furthermore, it may prove possible to use virtual technology and multi-media devices to manage the best possible behavioral relationship with the autistic subject to achieve correct oral hygiene ( 53 , 114 – 116 ).…”

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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Effect of Culturally Adapted Dental Visual Aids on Oral Hygiene Status during Dental Visits in Children with Autism Spectrum Disorder: A Randomized Clinical Trial

Cited by 6 publications

References 28 publications

Effectiveness of picture‐based interventions of toothbrush training on improvement of oral hygiene in children with autism spectrum disorders: A systematic review and meta‐analysis

Effectiveness of picture‐based interventions of toothbrush training on improvement of oral hygiene in children with autism spectrum disorders: A systematic review and meta‐analysis

Co-occurring ASD Mediates Impact of ADHD on Atopic Dermatitis and Acne: A Retrospective Cohort Study

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

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