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Updated: Sep 21, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Are adults with autism receiving regular preventive dental services?
Robin McNeil1, Kimberly Krust Bray2, Tanya Villalpando Mitchell1
1The University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa, USA.
Purpose/Aim:
To investigate the frequency of preventive dental care among adults with autism and explore factors associated with receiving regular preventive care.
Materials And Methods:
De-identified data was collected from electronic health records of 18-year-old or older patients with autism that had at least one preventive dental procedure recorded. The data was then analyzed to describe the frequency of preventive dental procedures provided for this population and investigate what variables are associated with regular care.
Results:
Sample size was 119, 67% were males, average age was 30.8 years, and 58% had Medicaid. Average BMI was 42.8, the prevalence of diabetes and heart disease were 16% and 34%, respectively, and 86% reported mental health problems. Recreational drug use was 6.8%, alcohol use was 19%, and tobacco use 16%. Xerostomia was reported by 32%, and the average number of medications was 7.2 ± 5.5. The average number of preventive dental visits was 7.9 ± 10.6, and 35% of the patients had at least one preventive dental visit per year. Only number of medications had a statistically significant association with number of preventive dental visits.
Conclusions:
Only one in every three adults with autism had at least one preventive dental visit per year.
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