Shapira J, Mann J, Tamari I, Mester R, Knobler H, Yoeli Y, Newbrun E
Spec Care Dentist. 1989 Mar-Apr;9(2):38-41. doi: 10.1111/j.1754-4505.1989.tb01022.x.
Behavior of patients with autistic syndrome makes delivery of oral hygiene and dental treatment a problem. In this study, the oral health and needs of two groups of patients with autism were evaluated: noninstitutionalized children with a mean age of 11 and institutionalized adults with a mean age of 22. The latter group had severe periodontal problems; almost half required periodontal surgery. Many of the children also needed periodontal treatment. Adults were found to have lower decayed, missing, and filled teeth (DMFT) scores than functionally independent Israeli persons of the same age. This finding was surprising because institutionalized adults are predisposed to development of dental caries; they frequently consume sweets, have poor oral hygiene, and do not use fluoride. Noninstitutionalized children with autism had caries rates that were similar to rates of functionally independent peers.
自闭症综合征患者的行为使得口腔卫生护理和牙科治疗成为一个难题。在本研究中，对两组自闭症患者的口腔健康状况和需求进行了评估：一组是平均年龄为11岁的非机构化儿童，另一组是平均年龄为22岁的机构化成年人。后一组患有严重的牙周问题；几乎一半的人需要进行牙周手术。许多儿童也需要进行牙周治疗。结果发现，与同龄功能独立的以色列人相比，机构化成年人的龋失补牙（DMFT）得分更低。这一发现令人惊讶，因为机构化成年人易患龋齿；他们经常食用甜食，口腔卫生状况差，且不使用氟化物。非机构化自闭症儿童的龋齿发生率与功能独立的同龄人相似。
