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自闭症谱系障碍:口腔健康管理的最新进展。

Autism spectrum disorders: an update on oral health management.

作者信息

Gandhi Roopa P, Klein Ulrich

机构信息

Department of Pediatric Dentistry, Children's Hospital Colorado and University of Colorado School of Dental Medicine, Aurora, CO, USA.

Department of Pediatric Dentistry, Children's Hospital Colorado and University of Colorado School of Dental Medicine, Aurora, CO, USA.

出版信息

J Evid Based Dent Pract. 2014 Jun;14 Suppl:115-26. doi: 10.1016/j.jebdp.2014.03.002. Epub 2014 Mar 27.

DOI:10.1016/j.jebdp.2014.03.002
PMID:24929596
Abstract

UNLABELLED

Dental professionals caring for patients with a diagnosis of autism spectrum disorder (ASD) will need to provide oral health care based on a family-centered approach that involves a comprehensive understanding of parental concerns and preferences, as well as the unique medical management, behaviors, and needs of the individual patient.

BACKGROUND

With the rising prevalence of autism spectrum disorders (ASD), oral health providers will find themselves increasingly likely to care for these patients in their daily practice. The purpose of this article is to provide a comprehensive update on the medical and oral health management of patients with autism spectrum disorders.

METHODS

The authors conducted a literature review by searching for relevant articles written in English in the PubMed database pertaining to the medical and oral health management of autism, including caries status, preventive, behavioral, trauma, and restorative considerations.

CONCLUSIONS

A detailed family centered approach based on parental preferences and concerns, the patient's challenging behaviors, and related comorbidities can serve to improve the treatment planning and oral health management of dental patients with ASD.

摘要

未标注

照顾被诊断为自闭症谱系障碍(ASD)患者的牙科专业人员需要基于以家庭为中心的方法提供口腔保健,这涉及全面了解父母的担忧和偏好,以及个体患者独特的医疗管理、行为和需求。

背景

随着自闭症谱系障碍(ASD)患病率的上升,口腔健康提供者在日常实践中会越来越多地遇到这些患者。本文旨在全面更新自闭症谱系障碍患者的医疗和口腔健康管理。

方法

作者通过在PubMed数据库中搜索用英文撰写的有关自闭症医疗和口腔健康管理的相关文章进行文献综述,包括龋齿状况、预防、行为、创伤和修复方面的考虑因素。

结论

基于父母的偏好和担忧、患者的挑战性行为以及相关合并症的详细的以家庭为中心的方法有助于改善患有ASD的牙科患者的治疗计划和口腔健康管理。

相似文献

1
Autism spectrum disorders: an update on oral health management.自闭症谱系障碍:口腔健康管理的最新进展。
J Evid Based Dent Pract. 2014 Jun;14 Suppl:115-26. doi: 10.1016/j.jebdp.2014.03.002. Epub 2014 Mar 27.
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Improving dental visits for individuals with autism spectrum disorders through an understanding of sensory processing.通过了解感觉统合来改善自闭症谱系障碍患者的看牙体验。
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Preferences of parents of children with autism spectrum disorders concerning oral health and dental treatment.自闭症谱系障碍儿童家长对口腔健康和牙科治疗的偏好
Pediatr Dent. 2012 Nov-Dec;34(7):480-4.
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Three- to 21-year-old patients with autism spectrum disorders: parents' perceptions of severity of symptoms, oral health, and oral health-related behavior.3至21岁的自闭症谱系障碍患者:父母对症状严重程度、口腔健康及口腔健康相关行为的认知。
Pediatr Dent. 2012 Nov-Dec;34(7):473-9.
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Behaviour guidance in dental treatment of patients with autism spectrum disorder.自闭症谱系障碍患者牙科治疗中的行为引导
Int J Paediatr Dent. 2009 Nov;19(6):390-8. doi: 10.1111/j.1365-263X.2009.01011.x. Epub 2009 Jul 9.
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Understanding the autistic dental patient.了解自闭症牙科患者。
Gen Dent. 2008 Mar-Apr;56(2):167-71.
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Addressing dental fear in children with autism spectrum disorders: a randomized controlled pilot study using electronic screen media.解决自闭症谱系障碍儿童的牙科恐惧:一项使用电子屏幕媒体的随机对照试验性研究
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Med Oral Patol Oral Cir Bucal. 2013 Nov 1;18(6):e862-8. doi: 10.4317/medoral.19084.
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Applied behavior analysis: behavior management of children with autism spectrum disorders in dental environments.应用行为分析:牙科环境中自闭症谱系障碍儿童的行为管理。
J Am Dent Assoc. 2011 Mar;142(3):281-7. doi: 10.14219/jada.archive.2011.0167.

引用本文的文献

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Autism spectrum disorders and childhood caries: a comprehensive Mendelian randomization study.自闭症谱系障碍与儿童龋齿:一项全面的孟德尔随机化研究。
BMC Pediatr. 2025 Jul 2;25(1):484. doi: 10.1186/s12887-025-05839-7.
2
Oral Hygiene Status in Children on the Autism Spectrum Disorder.自闭症谱系障碍儿童的口腔卫生状况
J Clin Med. 2025 Mar 10;14(6):1868. doi: 10.3390/jcm14061868.
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Effects of Covid-19 pandemic on nutritional habits, lifestyle changes and dental trauma frequency of children with autism: a cross-sectional study.
新冠疫情对自闭症儿童营养习惯、生活方式改变及牙外伤发生率的影响:一项横断面研究
BMC Oral Health. 2025 Mar 4;25(1):331. doi: 10.1186/s12903-025-05697-w.
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Bibliometric analysis of trends in dental management of the children with Autism Spectrum Disorder (ASD).自闭症谱系障碍(ASD)儿童牙科管理趋势的文献计量分析。
Discov Ment Health. 2025 Jan 17;5(1):2. doi: 10.1007/s44192-024-00126-w.
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Level of support/commitment and behavior during mealtime and dental care negatively impact the dental caries prevalence in autistic individuals: cross-sectional study.在用餐和口腔护理期间的支持/承诺水平和行为会对自闭症个体的龋齿患病率产生负面影响:横断面研究。
Clin Oral Investig. 2024 Oct 14;28(11):597. doi: 10.1007/s00784-024-05981-z.
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Public Dental Service Access Policies for People with Autism Spectrum Disorder (ASD) in Salvador, Bahia, Brazil: A Pre-Evaluation Study.巴西萨尔瓦多市自闭症谱系障碍(ASD)患者公共牙科服务准入政策:一项预评估研究。
Int J Environ Res Public Health. 2024 Apr 27;21(5):555. doi: 10.3390/ijerph21050555.
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Autistic spectrum disorder children and adolescents' oral health characteristics - scoping review.自闭症谱系障碍儿童和青少年的口腔健康特征——范围综述
Int J Dev Disabil. 2022 Jul 5;70(3):329-342. doi: 10.1080/20473869.2022.2092936. eCollection 2024.
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J Clin Med. 2023 Dec 22;13(1):59. doi: 10.3390/jcm13010059.
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