A systematic review of population-based gingival health studies among children and adolescents with autism spectrum disorder

Alotaibi, Ahmed K.; Shaber, Saad Ben; AlBatli, Abdulaziz; Alghamdi, Talal; Murshid, Ebtissam Z.

doi:10.1016/j.sdentj.2021.02.006

Cited by 6 publications

(7 citation statements)

References 17 publications

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“…Among them, 89 reports were deemed off-topic for this evaluation, and 98 papers failed to address the PECO framework. Finally, six articles [ 14 , 15 , 16 , 17 , 18 , 19 ] were chosen for the study evaluation that comprised both a qualitative and quantitative synthesis. These studies supplied data that were pertinent and appropriate for the synthesis and met all of the requirements.…”

Section: Resultsmentioning

confidence: 99%

“…The assessed variables under the selected papers provided a comprehensive assessment of oral health, including hygiene, dental caries, periodontal disease, malocclusion, oral habits, dental trauma, and the necessity of treatment [ 14 , 15 , 16 , 17 , 18 , 19 ]. The gingival and plaque indices were assessed [ 14 ], providing insight into the overall oral hygiene and presence of bacterial biofilms, which can contribute to caries and periodontal disease. Multiple studies evaluated the prevalence of dental caries [ 15 , 16 , 17 , 19 ], which is a common oral health issue, in children and individuals with ASD.…”

Section: Resultsmentioning

confidence: 99%

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Oral Health Statuses of Children and Young Adults with Autism Spectrum Disorder: An Umbrella Review

Sami,

Ahmad,

Shaik

et al. 2023

JCM

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This study aimed to comprehensively evaluate the oral health statuses of children and adults within the autism spectrum disorder (ASD) population through an umbrella review approach. The prevalence of dental caries, periodontal disease, and associated variables were investigated across selected studies. A systematic search was conducted across databases including PubMed, Scopus, EMBASE, Science Citation Index, Science Direct, Web of Science, MEDLINE, and Wiley Online Library to identify relevant studies. The assessed variables included dental caries prevalence, periodontal disease prevalence, oral hygiene indicators, and the necessity of dental treatment. The pooled prevalence rates, odds ratios, and standardized mean differences were calculated where applicable. The pooled prevalence of dental caries among ASD individuals ranged from 60.6% to 67.3%, while the periodontal disease prevalence ranged from 59.8% to 69.4%. High rates of dental treatment under general anesthesia were reported. Heterogeneous dental caries and periodontal disease prevalence rates were identified, highlighting the need for collaboration and preventive care. Several studies also reported higher prevalence rates of dental trauma and self-inflicted oral injuries among individuals with ASD. However, the review also identified significant methodological limitations in the included studies, including inconsistency in oral health assessment methods and potential bias. The necessity for targeted policies due to high prevalence rates and the requirement for integrated care systems in high DMFT regions were also observed. The umbrella review synthesized diverse findings, revealing variations in dental caries and periodontal disease prevalence among ASD individuals. This review underscores the need for tailored interventions and policies to address oral health disparities. It highlights the necessity of integrated care systems, methodological improvements, and longitudinal studies to comprehensively address the multifaceted oral health challenges within the ASD population.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Oral Health Statuses of Children and Young Adults with Autism Spectrum Disorder: An Umbrella Review

Sami,

Ahmad,

Shaik

et al. 2023

JCM

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“…As previously mentioned, ASD is a developmental disability that challenges its clinical care and management in the dental setting. This developmental impairment is often followed by inadequate oral hygiene habits as a result of the difficulties encountered by trainers and parents and, as a consequence, increases the risk for periodontal disease and dental caries [ 37 , 38 ]. Along with these conditions, malocclusion traits are very common conditions found in the general population, and the same is no exception in ASD; however, due to the difficulties already discussed, preventive screening is often hard to achieve.…”

Section: Discussionmentioning

confidence: 99%

Autism Spectrum Disorders and Malocclusions: Systematic Review and Meta-Analyses

Barros

Mascarenhas

Botelho

et al. 2022

JCM

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Studies heretofore have shown inconsistent results on the link of ASD to malocclusion. Herein, we aimed to compare the prevalence of malocclusion among children and adolescents with ASD compared with non-ASD healthy counterparts through a systematic review. The electronic search focused on five databases, PubMed, Web of Science, EMBASE, LILACS, and OpenGrey until January 2022, and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (PROSPERO No. CRD42022298023). Observational and intervention studies that compared occlusion characteristics of ASD individuals under 18 years old with healthy controls were included. Pairwise random effects meta-analyses of odds ratio (OR) were performed. Methodological quality was assessed by using the Joanna Briggs Institute Critical Appraisal Checklist for cross-sectional studies. A total of thirteen studies were included for qualitative analysis, and seven for quantitative analysis. The results presented a great heterogeneity and moderate risk of bias; thus, it was not possible to state that there is a risk of malocclusion in individuals with ASD. Future studies should be carried out with strict criteria in the choice of samples, control group, and diagnosis of malocclusion in order to meet the necessary requirements for greater methodological quality.

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“…In addition, good parental supervision for brushing is an extremely important factor in children with ASD who have less caries while poor oral hygiene and periodontal problems may be related to improper brushing habits as a result of the difficulties faced by trainers and parents when brushing their teeth. While the study of Vajawat and Deepika (2012), suggests that patients with autism have a higher rate of periodontal disease and lower caries compared to controls, another study found that gingival health in children with ASD was good (AlOtaibi et al , 2021).…”

Section: Discussionmentioning

confidence: 99%

Health status of people with autism spectrum disorder

Koceski

Trajkovski²

2021

AIA

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Purpose The aim of this study is to determine what changes occur in the health status of people with autism spectrum disorder (ASD) compared to neurotypical controls. Design/methodology/approach The authors performed a comparative analysis of data collected from 72 subjects with ASD and 75 neurotypical controls aged 3–24 years using the Rochester Health Status Survey IV (RHSS-IV). A structured individual interview was conducted to compare the health status of subjects in Macedonia. Findings A majority of people with ASD take vitamins, supplements and use recommended drug therapies compared to the neurotypical population and experience a larger number of side effects (p = 0.000). Compared to people with neurotypical development, children with ASD have a higher prevalence of oral ulcers (31.9% vs 17.3%; p = 0.039), changes in neurological health status – epilepsy (19.4% vs 2.7%; p = 0.001) and ADD/ADHD (only persons with ASD-19.4%; p = 0.000); respiratory diseases – angina (30.5% vs 8%; p = 0.000), rhinitis and/or sinusitis (40.3% vs 17.3%; p = 0.02); changes in the gastrointestinal system – constipation (31.9% vs 10.6%; p = 0.02), intestinal inflammation (19.4% vs 8%; p = 0.043), permeable intestines (only persons with ASD – 13.9%; p = 0.000) and the presence of the fungus Candida albicans (19.4% vs 4%; p = 0.043); psychiatric disorders – sleep problems (only in people with ASD – 18%; p = 0.000) and tics (6.9% vs 2.6%; p = 0.25) and skin diseases – eczema/allergic skin rash (36.1% vs 18.7%; p = 0.02). Originality/value Many children with ASD have health problems. These findings support and complement the professional literature on their mutual causality.

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A systematic review of population-based gingival health studies among children and adolescents with autism spectrum disorder

Cited by 6 publications

References 17 publications

Oral Health Statuses of Children and Young Adults with Autism Spectrum Disorder: An Umbrella Review

Oral Health Statuses of Children and Young Adults with Autism Spectrum Disorder: An Umbrella Review

Autism Spectrum Disorders and Malocclusions: Systematic Review and Meta-Analyses

Health status of people with autism spectrum disorder

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