“…The significantly higher prevalence of TDI in the study group (8.7%) compared to the control group (4.1%) may be related to several predisposing factors among CSHCN including: limited motor coordination, intellectual disabilities, involuntary physical movement, oral pathological reflexes, spasticity in masticatory muscles, slower responses to surrounding obstacles,7,[9][10][11] hyperactivity as in ADHD, 6,8 lack of coordination and sensation of the surroundings (visual and hearing impairment),17,18 or changes in behavior and social interaction (ASD) 4. The significantly higher prevalence of TDI in the study group (8.7%) compared to the control group (4.1%) may be related to several predisposing factors among CSHCN including: limited motor coordination, intellectual disabilities, involuntary physical movement, oral pathological reflexes, spasticity in masticatory muscles, slower responses to surrounding obstacles,7,[9][10][11] hyperactivity as in ADHD, 6,8 lack of coordination and sensation of the surroundings (visual and hearing impairment),17,18 or changes in behavior and social interaction (ASD) 4.…”