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      Oral hygiene and habits of children with autism spectrum disorders and their families

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          Abstract

          Background

          Children with Autism Spectrum Disorders (ASD) frequently receive poorer health care then the general population. Frequently the speech-language pathologist is the only health professional that follows the child’s everyday life and therefore is the only resource for guidance regarding basic health habits. Poor oral health may result in severe discomfort and other health problems that can be prevented by simple routine habits and adequate professional follow-up. The aim of the present study was to gather information about oral hygiene and dental care habits of children with ASD and their families. The hypothesis was that these children have poorer oral care habits than their families.

          Material and Methods

          Participants were parents of 120 children with autism, aged 4 to 12 years in two different cities of the state of Sao Paulo. They answered to a simple questionnaire about oral hygiene and health care habits.

          Results

          Indicated that there is a significant difference ( p< 0.001) between the children and their families regarding basic oral hygiene habits, such as brushing and flossing, as well as routine visits to the dentist.

          Conclusions

          This information clearly indicates the need for education programs aiming to encourage the inclusion children with ASD in the basic habits of oral care carried-out by the families.

          Key words:Autism disorder, oral hygiene habits, oral health.

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          Most cited references26

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          Unmet dental needs and barriers to dental care among children with autism spectrum disorders.

          Mail-in pilot-tested questionnaires were sent to a stratified random sample of 1,500 families from the North Carolina Autism Registry. Multivariate logistic regression analysis was used to determine the significance of unmet dental needs and other predictors. Of 568 surveys returned (Response Rate = 38%), 555 were complete and usable. Sixty-five (12%) children had unmet dental needs. Of 516 children (93%) who had been to a dentist, 11% still reported unmet needs. The main barriers were child's behavior, cost, and lack of insurance. The significant predictor variables of unmet needs were child's behavior (p = 0.01), child's dental health (p < 0.001), and caregiver's last dental visit greater than 6 months (p = 0.002). Type of ASD did not have an effect on having unmet dental needs.
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            Oral health among preschool children with autism spectrum disorders: A case-control study.

            To assess and compare the oral health status of preschool children with and without autism spectrum disorders.
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              Management of children with autism spectrum disorder in the dental setting: Concerns, behavioural approaches and recommendations

              Objectives: This article reviews the present literature on the issues encountered while coping with children with autistic spectrum disorder from the dental perspective. The autistic patient profile and external factors affecting the oral health status of this patient population are discussed upon the existing body of evidence. Material and Methods: The MEDLINE database was searched using the terms ‘Autistic Disorder’, ‘Behaviour Control/methods’, ‘Child’, ‘Dental care for disabled’, ‘Education’, ‘Oral Health’, and ‘Pediatric Dentistry’ to locate related articles published up to January 2013. Results: Most of the relevant studies indicate poor oral hygiene whereas they are inconclusive regarding the caries incidence in autistic individuals. Undergraduate dental education appears to determine the competence of dental professionals to treat developmentally disabled children and account partly for compromised access to dental care. Dental management of an autistic child requires in-depth understanding of the background of the autism and available behavioural guidance theories. The dental professional should be flexible to modify the treatment approach according to the individual patient needs. Key words:Autism spectrum disorder, dental management, children.
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                Author and article information

                Journal
                J Clin Exp Dent
                J Clin Exp Dent
                Medicina Oral S.L.
                Journal of Clinical and Experimental Dentistry
                Medicina Oral S.L.
                1989-5488
                1 August 2020
                August 2020
                : 12
                : 8
                : e719-e724
                Affiliations
                [1 ]PhD, Associate Professor. Bauru School of Dentistry, University of Sao Paulo, Bauru, São Paulo, Brazil
                [2 ]PhD. School of Medicine, University of São Paulo, São Paulo, Brazil
                [3 ]Master. Bauru School of Dentistry, University of Sao Paulo, Bauru, São Paulo, Brazil
                [4 ]PhD. Bauru School of Dentistry, University of Sao Paulo, Bauru, São Paulo, Brazil
                [5 ]PhD, Associate Professor. School of Medicine, University of São Paulo, São Paulo, Brazil
                Author notes
                Alameda Dr. Octávio Pinheiro Brisolla 9-75 Bauru, São Paulo, Brazil , E-mail: simonehage@ 123456usp.br
                Article
                56440
                10.4317/jced.56440
                7474948
                32913567
                0b15bbf1-5931-4f2d-90b2-8c452414baf3
                Copyright: © 2020 Medicina Oral S.L.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 13 April 2020
                : 15 October 2019
                Categories
                Research
                Odontostomatology for the Disabled or Special Patients

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