在全身麻醉下患有自闭症谱系障碍的儿童的牙损伤模式和牙科治疗特征
Chun-Cheng Lai1,2, Chia-Chan Wu3
1Department of Pediatric Dentistry, Far Eastern Memorial Hospital, Taipei, Taiwan.
Medicine
|March 24, 2025
概括
与健康儿童相比,患有自闭症谱系障碍 (ASD) 的儿童表现出不同的牙损伤模式和治疗需求. 早期诊断和量身定制的方法对于在这个人群中管理牙至关重要.
科学领域:
- 儿科牙科 儿科牙科
- 自闭症谱系障碍 (ASD) 是一种
- 牙科公共卫生 牙科公共卫生
背景情况:
- 患有自闭症谱系障碍 (ASD) 的儿童的合作困难使脏病的诊断和评估复杂化.
- 了解ASD中独特的形模式对于有效的牙科管理至关重要.
- 在患有自闭症儿童的牙科治疗中,通常需要全身麻醉.
研究的目的:
- 调查ASD儿童的形模式和治疗特征.
- 将这些发现与在全身麻醉下治疗的健康儿童的发现进行比较.
- 确定影响ASD儿童下病呈现和治疗的因素.
主要方法:
- 在全身麻醉下接受牙科治疗的ASD儿童 (n=40) 的医疗记录的回顾性分析.
- 数据收集包括人口统计,自闭症严重程度,并发症,牙科病史,病模式以及临床/放射性发现.
- 与健康儿童的对照组进行比较 (n=40),接受全身麻醉治疗.
主要成果:
- 在患有自闭症的儿童中,年龄和自闭症的严重程度与行为和护理方法相关.
- 来自低收入家庭的自闭症儿童和患有并发症的儿童中,裂参与/病理再吸收比较常见.
- 在患有自闭症的儿童中,影响1-2个表面的牙很普遍,往往延伸到肉质 (P < .001).
结论:
- 患有自闭症儿童的牙损伤特征和模式与健康儿童有很大不同.
- 这些差异影响牙科治疗决策,需要专门的护理方法.
- 对ASD儿童的预防策略和定制干预措施的进一步研究是有必要的.
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