International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 14 , ISSUE 4 ( July-August, 2021 ) > List of Articles

RESEARCH ARTICLE

Oral Health Assessment of Children with Autism Spectrum Disorder in Special Schools

Adesh Kakade, Bhagyashree Deshmukh, Akanksha Juneja

Keywords : Autism, Cross sectional study, Oral health status

Citation Information : Kakade A, Deshmukh B, Juneja A. Oral Health Assessment of Children with Autism Spectrum Disorder in Special Schools. Int J Clin Pediatr Dent 2021; 14 (4):548-553.

DOI: 10.5005/jp-journals-10005-1972

License: CC BY-NC 4.0

Published Online: 29-10-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Background: Sensory over-responsivity is an important factor influencing the ability of children with an autism spectrum disorder to receive proper oral care. Dental care remains the most prevalent, unmet health care need for children with special health care needs. Aim and objective: To assess the oral health of children with autism in special schools. Materials and methods: A cross-sectional study was conducted to record the oral health problems of 142 autistic children attending special schools across the suburbs of Mumbai city in India. Clinical examination was carried out for the presence of dental plaque, gingivitis, caries, restorations, traumatic injuries, and self-injurious habits. The participants were divided into three groups based on their age. Results: Children with primary and mixed dentition had a higher incidence of dental caries when compared with the permanent dentition group. Good oral hygiene was observed in the study population with a mean OHI-S score of 0.88 ± 0.79. Traumatic dental injuries, bruxism, drooling of saliva from the corner of the mouth, and self-injurious habits were also recorded. Conclusion: Due to the nature of their neurological deficit and difficulty in providing dental treatment, it is recommended that preventive dental care be enforced on these children.


HTML PDF Share
  1. Lewis C, Robertson AS, Phelps S. Unmet dental care needs among children with special health care needs: implications for the medical home. Pediatri 2005;116(3):e426–e431.
  2. American Academy of Pediatric Dentistry. Management of dental patients with special health care needs. Pediatr Dent 2017;39(6):229–234.
  3. Anders PL, Davis EL. Oral health of patients with intellectual disabilities: a systematic review. Special Care in Dent 2010;30(3):110–117.
  4. Charles JM. Dental care in children with developmental disabilities: attention deficit disorder, intellectual disabilities, and autism. J Dent Child 2010;77(2):84–91.
  5. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub; 2013.
  6. Klein U, Nowak AJ. Autistic disorder: a review for the pediatric dentist. Pediatr Dent 1998;20:312–317.
  7. DeMattei R, Cuvo A, Maurizio S. Oral assessment of children with an autism spectrum disorder. Am Dent Hygien’ Assoc 2007;81(3):65–65.
  8. Kopel HM. The autistic child in dental practice. ASDC J Dent Child 1977;44(4):302.
  9. Du RY, Yiu CK, King NM, et al. Oral health among preschool children with autism spectrum disorders: a case-control study. Autism 2015;19(6):746–751.
  10. Jaber MA. Dental caries experience, oral health status and treatment needs of dental patients with autism. J Appl Oral Sci 2011;9(3):212–217.
  11. Marshall J, Sheller B, Mancl L. Caries-risk assessment and caries status of children with autism. Pediatr Dent 2010;32(1):69–75.
  12. World Health Organization. Oral Health Surveys: Basic Methods. World Health Organization; 2013.
  13. Greene JG, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc 1964;68(1):7–13.
  14. Miglani DC, Beal JF, James PM, et al. The assessment of dental cleanliness status of the primary dentition using a modification of the simplified oral hygiene index (OHIS-M). J Indian Dent Assoc 1973;45(12):385–388.
  15. Damle SC, Patel AR. Caries prevalence and treatment need amongst children of Dharavi Bombay, India. Community Dent Oral Epidemiol 1994;22(1):62–63.
  16. Ravikumar D, Sujatha S. Break the barrier: bringing children with special health care needs into mainstream dentistry. Int J Pedodontic Rehabil 2016;1(1):42–44.
  17. Baio J, Wiggins L, Christensen DL, et al. Prevalence of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2014. MMWR Surveill Summar 2018;67(6):1–28.
  18. Baker AE, Lane A, Angley MT, et al. The relationship between sensory processing patterns and behavioural responsiveness in autistic disorder: a pilot study. J Autism Develop Dis 2008;38(5):867–875.
  19. Stein LI, Polido JC, Mailloux Z, et al. Oral care and sensory sensitivities in children with autism spectrum disorders. Special Care in Dent 2011;31(3):102–110.
  20. Namal N, Vehit HE, Koksal S. Do autistic children have higher levels of caries? Cross-sectional study in Turkish children. J Indian Soc Pedod Prev Dent 2007;25(2):97–102.
  21. Lowe O, Lindemann R. Assessment of the autistic patient's dental needs and ability to undergo dental examination. ASDC J Dent Child 1985;52(1):29–35.
  22. Rekha CV, Arangannal P, Shahed H. Oral health status of children with autistic disorder in Chennai. Eur Arch Paediatr Dent 2012;13(3):126–131.
  23. Shapira J, Mann J, Tamari I, et al. Oral health status and dental needs of an autistic population of children and young adults. Special Care Dent 1989;9(2):38–41.
  24. Yashoda R, Puranik MP. Oral health status and parental perception of child oral health related quality-of-life of children with autism in Bangalore, India. J Indian Soc Pedod Prev Dent 2014;32(2):135–139.
  25. Subramaniam P, Gupta M. Oral health status of autistic children in India. J Clin Pediatr Dent 2011;36(1):43–48.
  26. Lotter V. Epidemiology of autistic conditions in young children. Soc Psychia 1967;1(4):163–173.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.