International Journal of Clinical Pediatric Dentistry

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VOLUME 5 , ISSUE 1 ( January-April, 2012 ) > List of Articles


Dental Survey of Institutionalized Children with Autistic Disorder

Gagandeep Mohinderpal Chadha, Pradnya Kakodkar, Vishwas Chaugule, Vidya Nimbalkar

Keywords : Autism, Dietary pattern, Oral hygiene practices, Oral health status, Dental needs, Institutionalized, India

Citation Information : Mohinderpal Chadha G, Kakodkar P, Chaugule V, Nimbalkar V. Dental Survey of Institutionalized Children with Autistic Disorder. Int J Clin Pediatr Dent 2012; 5 (1):29-32.

DOI: 10.5005/jp-journals-10005-1130

License: CC BY-NC 4.0

Published Online: 01-04-2018

Copyright Statement:  Copyright © 2012; The Author(s).


The objective of this study was to assess the oral hygiene practices, dietary pattern, dental caries status and needs of institutionalized autistic children. The sample consisted of 35 children (28 males and 7 females) in the age group of 5 to 10 years from two institutions in Maharashtra, India. The parents of the children were interviewed regarding oral hygiene practices of their respective ward and instructed to maintain a 4-day diet chart for their children. A clinical examination was conducted using WHO dentition status and treatment needs index and a simplified oral hygiene index for ages 4 to 6 years and 7 to 10 years (deciduous and mixed dentition) was used to assess the oral hygiene. The results of diet chart analysis according to Nizel AE and Papas AS score showed the ‘at meal’ sugar exposure close to nil, while the ‘in between’ meal sugar exposure was observed to be more than three times per day among maximum children. The oral hygiene status was poor with abundance of soft debris and fair calculus accumulation. The mean caries experience (deft) in these children was 6.4. The present study provided baseline data which has been used for planning a comprehensive oral health care program.

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  2. Rutter M. Incidence of autism spectrum disorders: Changes over time and their meaning. Acta Paediatr 2005;94(1):2-15.
  3. Veenstra-Vanderweele J, Cook E Jr, Lombroso PJ. Genetics of childhood disorders: XLVI, Autism (Part 5): Genetics of autism. J Am Acad Child Adolesc Psychiatry 2003;42(1):116-118.
  4. Morgan CN, Roy M, Chance P, Nasr A, Hand M, Mlele T. Roy A. A community survey establishing the prevalence rate of autistic disorder in adults with learning disability. Psychiatr Bull 2002;26(4):127-130.
  5. Hulland S, Sigal MJ. Hospital-based dental care for persons with disabilities: A study of patient selection criteria. Spec Care Dentist 2000; 20(4):131-138.
  6. O'Brien G, Whitehouse AM. A psychiatric study of deviant eating behavior among mentally handicapped adults. Br J Psychiatry 1990;157:281-284.
  7. Klein U, Nowak AJ. Characteristics of patients with autistic disorder presenting for dental treatment: A survey and chart review. Spec Care Dentist 1999;19(5):200-207.
  8. Nizel AE, Papas AS. Dietary counselling for the prevention and control of dental caries. In: Nutrition in clinical dentistry. 3rd ed. Philadelphia: WB Saunders;1989.
  9. Oral Health Surveys-Basic methods. 4th ed. Geneva: World Health Organization; 1997.
  10. Rodrigues CR, Ando T, Guimarães LO. Simplified oral hygiene index for ages 4 to 6 and 7 to 10 (deciduous and mixed dentition). Rev Odontol Univ Sao Paulo 1990;4(1):20-24.
  11. Schreck K, Mulick JA. Parental reports of sleep problems in children with autism. J Autism Dev Disord 2000;30(2):127-135.
  12. gf80.htm+f840; [cited 25/9/10].
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