Predictors of Unmet Dental Need in Children With Autism Spectrum Disorder: Results From a National Sample

McKinney, Christy M.; Nelson, Travis; Scott, Joanna; Heaton, Lisa J.; Vaughn, Matthew; Lewis, Carol

doi:10.1016/j.acap.2014.06.023

Cited by 56 publications

(53 citation statements)

References 19 publications

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“…National survey data reveal that family-centered and coordinated care through a medical home results in fewer unmet needs, 558 including dental needs. 560 Organizations, such as Family Voices and Family-to-Family Health Information Centers, can provide information and support as well as resources for guiding families in developing care notebooks for their child. Through their ongoing relationship, providers can help children understand their own diagnosis at their developmental level.…”

Section: Medical Homementioning

confidence: 99%

Identification, Evaluation, and Management of Children With Autism Spectrum Disorder

2020

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Autism spectrum disorder (ASD) is a common neurodevelopmental disorder with reported prevalence in the United States of 1 in 59 children (approximately 1.7%). Core deficits are identified in 2 domains: social communication/interaction and restrictive, repetitive patterns of behavior. Children and youth with ASD have service needs in behavioral, educational, health, leisure, family support, and other areas. Standardized screening for ASD at 18 and 24 months of age with ongoing developmental surveillance continues to be recommended in primary care (although it may be performed in other settings), because ASD is common, can be diagnosed as young as 18 months of age, and has evidenced-based interventions that may improve function. More accurate and culturally sensitive screening approaches are needed. Primary care providers should be familiar with the diagnostic criteria for ASD, appropriate etiologic evaluation, and co-occurring medical and behavioral conditions (such as disorders of sleep and feeding, gastrointestinal tract symptoms, obesity, seizures, attention-deficit/hyperactivity disorder, anxiety, and wandering) that affect the child' s function and quality of life. There is an increasing evidence base to support behavioral and other interventions to address specific skills and symptoms. Shared decision making calls for collaboration with families in evaluation and choice of interventions. This single clinical report updates the 2007 American Academy of Pediatrics clinical reports on the evaluation and treatment of ASD in one publication with an online table of contents and section view available through the American Academy of Pediatrics Gateway to help the reader identify topic areas within the report.

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Section: Medical Homementioning

confidence: 99%

Identification, Evaluation, and Management of Children With Autism Spectrum Disorder

2020

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“…However, it is interesting to note that most of the children with ASD in our study had a relatively good oral behavior as most them brushed their teeth as part of their daily routine, used fluoridated toothpaste and had low intake of sugar. This positive result could possibly be because the participants attended the Pediatric Dental Clinic and had better awareness about oral health as reported in other studies [16,17]. In addition, the quantitative part was based on the interview with the parents about their children (parent-proxy measure) and hence the accuracy or truthfulness of the answer was questionable.…”

Section: Discussionmentioning

confidence: 92%

Autism Spectrum Disorder: Patients’ Oral Health Behaviors and Barriers in Oral Care from Parents’ Perspectives

Rohani

Baharozaman

Khalid

et al. 2018

ADUM

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To assess the oral health behaviors of children with Autism Spectrum Disorder (ASD) and explore attitudes and barriers in providing oral care by their parents. A cross-sectional, mixed method study design, which comprised of quantitative and qualitative sections was conducted. The quantitative part assessed the oral health behavior through a parent-proxy report questionnaire whilst the qualitative part assessed parents' overall perspective on maintenance of oral health in children with ASD through an in-depth interview using semi-structured questions. All children below the age of 16 who have been clinically diagnosed with ASD and registered at the Pediatric Dental Clinic were included. The sample consisted of twenty children with ASD. Most of the sample were male and between 5-8 years old. Majority had good oral health behaviors but some exhibited self-injurious behaviors that may affect oral health. Severe characteristics of ASD, co-morbid conditions and incompetent health professionals were reported as barriers in oral care by parents of these children. Despite having good oral health behaviors, several barriers and challenges were expressed by these parents with ASD when providing home oral care or bringing them for dental appointment. Continuous support for parents with ASD child by dental professionals is essential to help overcome the real challenges and barriers in providing oral care among these parents.

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“…DT diff ± SE − 0,2 ± 0,2 0,1 ± 0,5 0,3 ± 0,1 * 1,0 ± 0,3 * * 0,1 ± 0,1 0,9 ± 0,3 * * Aus Gründen der Machbarkeit wurde kein kontrolliertes Studiendesign gewählt und die Mundgesundheit mit regionalen [17] und nationalen [18] Referenzdaten verglichen. Dieser Vergleich ergab in Übereinstimmung mit dem internationalen Schrifttum, dass Schüler mit GB [6,22,23] oder PES [20,[24][25][26][27] stärker von Karies betroffen sind und einen geringeren Sanierungsgrad aufweisen als ihre gesunden Altersgefährten. Die Gründe hierfür resultieren in beiden Gruppen hauptsächlich aus den kognitiv-emotionalen Einschränkungen bzw.…”

Section: Diskussionunclassified

Mundgesundheit von Kindern und Jugendlichen mit geistiger Behinderung und psychoemotionalen Störungen aus Niedersachsen und Thüringen

Schüler

Dziwak

Schmied³

et al. 2017

Gesundheitswesen

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This study aimed to compare the oral health status of 6-16 year old pupils with mental disability (MD) and psycho-emotional disorders (PED) from Lower Saxony (LS) and Thuringia (TH). Oral examination was provided for 571 pupils with MD from TH, 118 students with MD and 80 students with PED from LS. Caries experience, odontogenic infections, fissure sealants and periodontal health were recorded. Data were statistically analysed by linear and binary logistic regression after adjusting for age. Students with PED revealed highest caries prevalence and experience in both dentitions with highest prevalence of odontogenic infections in the primary dentition. In 6-11 year old pupils with MD, there were only minor differences in odontogenic infections between TH and LS. Pupils with PED aged 6-11 years had a more that two-fold higher risk to develop dental caries and odontogenic infections than peers with MD. Care index was higher in pupils with PED compared to those with MD in both dentitions. Pupils with MD from TH were less affected with dental caries and received better care than those from LS. Compared to peers without mental disabilities or disorders, pupils with MD or PED were more affected with dental caries in both dentitions. They revealed a lower care index and less fissure sealants. Pupils with MD or PED reveal unsatisfactory oral health status constituting a group with particular high caries risk, while those with PED are most affected by caries and odontogenic infections. The care index is insufficient especially in pupils with MD compared to those with PED or peers without disabilities and indicates disparity in oral health for this vulnerable group.

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Predictors of Unmet Dental Need in Children With Autism Spectrum Disorder: Results From a National Sample

Cited by 56 publications

References 19 publications

Identification, Evaluation, and Management of Children With Autism Spectrum Disorder

Identification, Evaluation, and Management of Children With Autism Spectrum Disorder

Autism Spectrum Disorder: Patients’ Oral Health Behaviors and Barriers in Oral Care from Parents’ Perspectives

Mundgesundheit von Kindern und Jugendlichen mit geistiger Behinderung und psychoemotionalen Störungen aus Niedersachsen und Thüringen

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