Is Visual Pedagogy Effective in Improving Cooperation towards Oral Hygiene and Dental Care in Children with Autism Spectrum Disorder? A Systematic Review and Meta-Analysis

Balian, Araxi; Cirio, Silvia; Salerno, Claudia; Wolf, Thomas Gerhard; Campus, Guglielmo; Cagetti, Maria Grazia

doi:10.3390/ijerph18020789

Cited by 21 publications

(29 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The scientific effectiveness of visual pedagogy for subjects with ASDs in the dental field [17] appears to be affected by several factors such as ASDs severity, previous use of visual pedagogy, previous dental experience and oral health status. In the present trial, a preliminary control of cofounding factors was performed, showing no statistically significant differences in the two groups.…”

Section: Discussionmentioning

confidence: 99%

“…Visual pedagogy, together with positive reinforcement, is a cognitive behavioural therapy commonly used to treat subjects with ASDs. Visual aids can be photographic images, drawings, symbols, or videos; in some cases, they can be combined with short texts as in social stories, in paper or digital format and organized as different types of pedagogical tools [16,17]. Social stories are short stories of visual elements such as images, drawings or photos associated with descriptive sentences [18].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial

et al. 2022

Self Cite

View full text Add to dashboard Cite

Autism Spectrum Disorders (ASDs) are neurodevelopmental disorders that don’t have a direct effect on oral health, but severe difficulties in oral hygiene and dental procedures expose people with ASDs to an increased risk of oral diseases. This RCT aimed to evaluate which pedagogical tool was the best to prepare children with ASDs for their first dental examination, either video or photo aids. Two different criteria were used to evaluate their efficacy: the achieved steps into which the procedure was divided (n = 8), and the level of cooperation according to the Frankl Behavioral Scale. One hundred-thirteen subjects were randomly assigned to the two groups and 84 subjects completed the trial (Video group n = 41; Photo group n = 43). A predictive model for the achievement of the Preliminary (1–4) or Dental (4–8) steps was performed using a multivariate logistic regression procedure. Children in the Video group achieved more steps, but the comparison between groups was statistically significant only for the Preliminary steps (p = 0.04). The percentage of subjects judged as cooperating was similar in the two groups. The results of this study underline that behavioural intervention should be used as an effective strategy to prepare subjects with ASDs for a dental examination.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…After removing replicated papers and reports out of our selection criteria (n = 175 reports excluded as replicated), i.e. meta-analyses and/or systematic reviews dealing with "autism-dentistry and oral health", we were able to include an eligible number of 17 meta-analyses and systematic reviews, finally summarized in Table 1 (4,5,7,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Research Abstractmentioning

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

View full text Add to dashboard Cite

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.

show abstract

“…Quality assessment tool for before-after (pre-post) studies with no control group new activities or social behavior, and to reduce anxiety in unfamiliar circumstances. 45 This systematic review has exhibited a range of comparisons among various visual learning strategies. Some of the included randomized and non-randomized trials have compared visual strategies (videos, sign language, pictures, and videos-based groups) with no visual strategies or control groups and have reported better oral health outcomes in visual strategies groups.…”

Section: F I G U R Ementioning

confidence: 99%

Visual learning strategies for oral health promotion and treatment interventions in children and adolescents with hearing impairment – A systematic review

Shrivastava

Gupta

Nishant

et al. 2022

Special Care in Dentistry

View full text Add to dashboard Cite

AimPeople with hearing impairment (HI) prefer visual learning strategies in daily activities owing to their reliance on vision. The aim of this systematic review is to evaluate the effectiveness of visual learning as a communication strategy in improving oral hygiene and dental care of children and adolescents with HI.Methods and ResultsFour electronic databases were searched and complemented by hand searching for original intervention studies published till December 2021. Eligible studies were screened, data was extracted as per priori data collection form and analyzed by thematic content analysis. The quality of studies was assessed as per the validated tools appropriate for study designs including ROB2, ROBINS‐I, and NIH quality assessment tool. Out of 4159 records identified and 1302 duplicates removed, 24 original studies were identified and the visual learning strategies were classified into sign language, visual aids with or without sign language, customized educational demonstrations and the interim role of training the teachers. These strategies helped in improving oral hygiene status, oral health‐related knowledge and attitude as well as dental anxiety during treatment. Participants were found to be satisfied with these strategies, however, significant heterogeneity in the included studies precluded meaningful meta‐analysis. ROB2 and ROBINS were rated as high and serious in all included trials, respectively, and NIH Quality Assessment Tool for Pre‐Post Studies With No Control as fair in five studies and poor in three.ConclusionOur findings emphasize the significance of visual learning, however, long‐term rigorously designed trials are needed to better understand effective and patient‐centered communication methods for people with HI.

show abstract

Is Visual Pedagogy Effective in Improving Cooperation towards Oral Hygiene and Dental Care in Children with Autism Spectrum Disorder? A Systematic Review and Meta-Analysis

Cited by 21 publications

References 36 publications

Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial

Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial

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

Visual learning strategies for oral health promotion and treatment interventions in children and adolescents with hearing impairment – A systematic review

Contact Info

Product

Resources

About