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Published on: December 7, 2018
CChildren diagnosed with "ASD" are first of all … children
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Autism spectrum disorder (ASD) affects 1 in 160 children globally, increasing the risk of poor oral health. Paediatric dentists must collaborate with families, focusing on behavioral approaches for better dental care outcomes.
Area of Science:
- Pediatric Dentistry
- Autism Spectrum Disorder (ASD)
- Neurodiversity
Background:
- Autism Spectrum Disorder (ASD) affects approximately 1 in 160 children worldwide, with increasing global prevalence.
- ASD is characterized by a spectrum of symptoms and varying behavioral traits, making a uniform clinical definition complex.
- While dental treatment needs are similar, ASD patients face higher risks of poor oral health due to behavioral challenges.
Purpose of the Study:
- To highlight the unique oral health challenges faced by children with ASD.
- To emphasize the critical role of paediatric dentists in adopting behavioral approaches for ASD patients.
- To underscore the importance of family-centered care and home dental hygiene education for children with ASD.
Main Methods:
- Review of epidemiological studies on ASD prevalence.
- Analysis of behavioral characteristics of ASD patients relevant to dental care.
- Discussion of the collaborative role between paediatric dentists, families, and caregivers.
Main Results:
- Children with ASD exhibit behaviors (e.g., communication limitations, sensory sensitivities, feeding issues) that increase their risk of adverse oral health outcomes.
- Effective dental care for ASD patients necessitates a primary focus on behavioral strategies tailored to the child's needs.
- Paediatric dentists serve as key resources for families, guiding them in providing optimal home dental care.
Conclusions:
- Good oral health is integral to the overall well-being of children with ASD.
- Acceptance and respect for neurodiversity, as defined by experts like Simon Baron-Cohen, are crucial in healthcare settings.
- A collaborative, behaviorally focused approach by paediatric dentists is essential for improving oral health in children with ASD.
Abstract:
It is estimated that worldwide one in 160 children is affected with autism spectrum disorder (ASD), according to the World Health Organization (WHO). Based on aepidemiological studies conducted over the past 50 years, the prevalence of ASD appears to be increasing globally. We talk about "spectrum" due to the variety of symptoms and the complexity in providing a coherent and uniform clinical definition; autistic disorders include a whole series of conditions and syndromes with behavioural characteristics as a common denominator, although at varying degrees or levels of intensity [Pearson et al., 2018; Ferrazzano et al., 2019]. Patients diagnosed with ASD do not differ from other patients as far as their dental treatments or oral health issues are concerned. However, due to some of their characteristic behaviours or disorders, such as limitation in communication, self-injurious behaviour, eating habits (uncontrolled and restrictive feeding), opposition to dental care, hyposensitivity to dental pain and hypersensitivity to external stimuli, they are at a greater risk of having worse oral health conditions than the general population [Jaber, 2011]. The paediatric dentist should mainly focus on the behavioural approach, working in collaboration with the patient's family in order to recognise the desires, abilities and limits of the child. We have to become the reference for families and caregivers, instructing them on how to provide optimal home dental care. On this subject, Simon Baron-Cohen, director of the Autism Research Center at the University of Cambridge, defined autism as "an example of neurodiversity", stating that "differently wired brains lead to different profiles of strengths and challenges, and should not be judged as better or worse. They're just different. People with autism are asking for acceptance and respect". It should be noted that children, including those diagnosed with ADS, are not healthy without good oral health.
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