The neuropathology, medical management and dental implications of autism

Friedlander, Arthur H.; Yagiela, John A.; Paterno, Victoria I; Mahler, Michael E.

doi:10.14219/jada.archive.2006.0086

Cited by 94 publications

(131 citation statements)

References 88 publications

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“…Furthermore, they may even feel it is an aggressive intrusion and thus look for all possible mechanisms to protect this area. The probability of disruptive behavior is high, complicating, impairing or even preventing the dental intervention (Bäckman and Pilebro 1999a;Dávila and Jensen 1988;Friedlander et al 2006;Green and Flanagan 2008;Klein and Nowak 1998;Luscre and Center 1996;Namal et al 2007;Pilebro and Bäckman 2005;Shapira et al 1989). Thus, the use of habitual dentistry material and techniques becomes extremely difficult and complex due to the existence of communication deficits, sensory modulation alterations and the attachment to invariable environments.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, the use of habitual dentistry material and techniques becomes extremely difficult and complex due to the existence of communication deficits, sensory modulation alterations and the attachment to invariable environments. This situation worsens if other comorbid conditions are present (ADHD, epilepsy or intellectual disability) (Friedlander et al 2006;Green and Flanagan 2008;Loo et al 2008). For all these reasons, these patients are submitted to general anesthesia or unnecessary high dose sedation, which may lead to different side effects such as nausea, vomits and obstruction of the superior respiratory conducts and other common anesthesia-associated risks (Boynes et al 2010;Lalwani et al 2007;Limeres-Posse et al 2003;Mochizuki et al 2007;Messieha 2009;Wang et al 2012).…”

Section: Introductionmentioning

confidence: 99%

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Training Adults and Children with an Autism Spectrum Disorder to be Compliant with a Clinical Dental Assessment Using a TEACCH-Based Approach

Orellana

Martı́nez-Sanchis

Silvestre

2013

J Autism Dev Disord

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The specific neuropsychological and sensory profile found in persons with autism spectrum disorders complicate dental procedures and as a result of this, most are treated under general anesthesia or unnecessary sedation. The main goal of the present study was to evaluate the effectiveness of a short treatment and education of autistic and related communication-handicapped children-based intervention program (five sessions) to facilitate a 10-component oral assessment in children (n = 38, aged 4-9 years) and adults (n = 34, aged 19-41) with autism spectrum disorder (with or without associated intellectual disability). The assessment ranges from entering into the examination room to the evaluation of the dental occlusion. There were statistically significant differences in the number of components reached and in compliance before and after the training program.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Training Adults and Children with an Autism Spectrum Disorder to be Compliant with a Clinical Dental Assessment Using a TEACCH-Based Approach

Orellana

Martı́nez-Sanchis

Silvestre

2013

J Autism Dev Disord

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“…Nevertheless, there are some features, such as bruxism, anterior open bite, a high-arched palate and gingivitis, that are more prevalent in RS. Although bruxism is the oral habit most frequently associated with RS (9,(11)(12)(13)(14)(15)(16), its treatment remains the subject of controversy. Some authors contraindicate the use of splints in RS due to the important mental retardation of the affected patients, their deficient oral motor control and excessive oral-digital habits (9).…”

Section: Discussionmentioning

confidence: 99%

“…Among the RS studies published to date, we identified 5 articles involving a single clinical case (9-15), two articles respectively reporting samples of 17 (13) and 13 patients (15), and another article on the orofacial effects and possible interactions of the drugs used to treat the disease (16). The mean age of the patients described in the reviewed clinical cases and series (9-15) was almost 7 years (specifically 6.8 years), with a range of 2.7-21 years.…”

Section: Reviewmentioning

confidence: 99%

Oral findings in Rett syndrome: A systematic review of the dental literature

Fuertes-González¹,

Silvestre²,

Almerich‐Silla³

2011

Med Oral

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Rett syndrome (RS) is a chromosome X-linked genetic neurological disorder characterized by developmental regression, particularly in relation to expressive language and use of the hands, together with profound mental retardation, that almost exclusively affects females. The present review describes the 35 cases of RS Publisher in the indexed literature (Medline) -the first corresponding to 1985 and the last to the year 2007. Certain oral manifestations of the disease are derived from the drug treatment prescribed to control the disease, while others are common to other clinical conditions characterized by convulsion activity, difficulties for correct oral hygiene, walking problems and/or an excess of oral / digital-manual habits. In any case, bruxism is the oral habit most frequently associated with RS -the treatment of which remains the subject of controversy.

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“…Literatürde, metilfenidatın yan etkilerinden biri olarak kserostomi belirtilmiştir (28). Bazı araştırıcılar metilfenidatın subjektif olarak ağız kuruluğuna neden olduğunu belirtirken (29,30), bazıları tükürük akış hızı üzerinde herhangi bir etkisini saptamamıştır (31). İngiltere'de 2011 yılında yapılan bir çalışmada ise metilfenidat tedavisi gören çocukların ebeveynleri, ilacın yan etkisi olarak en sık (%34,3) iştah azalmasından şikayet etmişlerdir (32).…”

Section: Dikkat Eksikliği Ve Hiperaktivite Bozukluğu Tedavisinde Kullunclassified

Oral and Dental Health Problems of Children with Attention Deficit/Hyperactivity Disorders, and Solution Proposals

Yetiş¹,

Kırzıoğlu²

2017

jpr

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GirişDikkat eksikliği ve hiperaktivite bozukluğu (DEHB), Amerikan Psikiyatri Derneği tarafından; çocukluk çağında, yaşa uygun olmayan seviyede dikkatsizlik, hiperaktivitedürtüsellik veya bunların kombinasyonu şeklinde kendini gösteren psikiyatrik bir bozukluk olarak tanımlanmaktadır (1).Çocuk ve ergenlerin yaklaşık %5-10'unu etkileyen, en yaygın görülen çocukluk çağı-başlangıçlı davranış bozukluğu (2) olan DEHB'nin, ülkemizde ve dünyada çocuk ve ergen psikiyatrisi polikliniklerine başvuran hastalarda en sık konulan tanılar arasında yer aldığı bildirilmektedir (3-5). Erkeklerde kızlara göre 8 kat daha fazla görülmekte olup (6), erkeklerde 6-9 yaş aralığında, kızlarda ise ergenlik döneminde prevalansının en yüksek seviyeye ulaştığı bildirilmiştir (7). ÖzABS TRACT Dikkat eksikliği ve hiperaktivite bozukluğu (DEHB), yaşa uygun olmayan seviyede dikkatsizlik, hiperaktivite-dürtüsellik veya bunların kombinasyonu şeklinde kendini gösteren en yaygın görülen çocukluk çağı-başlangıçlı davranış bozukluğudur. DEHB etiyolojisinde genetik ve çevresel faktörlerin rolü bulunmaktadır. Hastalığın kendisinden kaynaklı davranışsal problemler ve ilaç yan etkileri nedeniyle eklenen sorunlar, DEHB'li çocukların ağız ve diş sağlığı açısından risk grubunda yer almasına ve çocuk diş hekimliğinde özel ilgi gereksinimi olan hasta grubuna dahil olmalarına neden olmaktadır. Tedavisinde kullanılan ilaçların ağız kuruluğuna neden olabildiği belirtilmiştir. DEHB olan çocukların düşük oral hijyen alışkanlıkları ve yüksek diş çürüğü prevalansına sahip oldukları bildirilmiştir. Ayrıca bruksizm gibi parafonksiyonel alışkanlıklar ve dental travmalar da bu çocuklarda daha sık gözlenmektedir. Bu derlemede DEHB görülen çocuklarda ağız diş sağlığı ve davranış yönlendirme sorunlarından bahsedilmekte ve çözüm önerilerinde bulunulmaktadır. Anahtar Kelimeler: Dikkat eksikliği, hiperaktivite, diş sağlığı Attention deficit and hyperactivity disorder (ADHD) is the most common childhood onset behavioral disorder characterized by a developmentally inappropriate attention deficit, hyperactivity-impulsivity or a combination of these. Genetic and environmental factors play a role in the etiology. Because of the behavioral problems sourced from the disease itself and side effects of the drugs used in therapy, children with ADHD take place in the risk group in terms of oral and dental health problems and they are included in the group of patients who need special attention in pediatric dentistry. Drugs used in the treatment are known to cause dry mouth. Children with ADHD have been reported to have low oral hygiene habits and a high prevalence of dental caries. Also, parafunctional habits such as bruxism and dental trauma are observed more frequently in these children. In this review, oral health and behavior management problems in children with ADHD are pointed out, and solutions are suggested.

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The neuropathology, medical management and dental implications of autism

Cited by 94 publications

References 88 publications

Training Adults and Children with an Autism Spectrum Disorder to be Compliant with a Clinical Dental Assessment Using a TEACCH-Based Approach

Training Adults and Children with an Autism Spectrum Disorder to be Compliant with a Clinical Dental Assessment Using a TEACCH-Based Approach

Oral findings in Rett syndrome: A systematic review of the dental literature

Oral and Dental Health Problems of Children with Attention Deficit/Hyperactivity Disorders, and Solution Proposals

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