AlHumaid Jehan, Tesini David, Finkelman Matthew, Loo Cheen Y
Department of Preventive Dental Sciences, College of Dentistry, University of Dammam, Dammam, Saudi Arabia.
Department of Pediatric Dentistry, Tufts University School of Dental Medicine, Boston, Mass., USA.
J Dent Child (Chic). 2016;83(1):16-21.
The purpose of this study was to compare the effectiveness of the D-TERMINED Program with standard behavior guidance techniques (SBGTs) used for children with autism spectrum disorder (ASD) in a private dental setting.
A retrospective data analysis was performed from records of children with ASD who received treatment using either the D-TERMINED program or SBGTs at two private dental practices. Data were analyzed using chi-square, Fisher's exact, Wilcoxon Signed Rank, and Mann-Whitney U tests and logistic regression.
Forty-four charts (22 in each group) were selected from office visits between 1999 and 2012. Children in the D-TERMINED group were significantly younger (P=0.01). There were no significant differences between groups regarding gender and dental care characteristics. Patients treated with the D-TERMINED program showed a significantly greater improvement in behavioral scores compared to the control group (P=0.03). Additionally, children treated with the D-TERMINED program had significantly lower referrals for dental treatment under general anesthesia (P=0.04).
The D-TERMINED program may help children with ASD learn the cooperation skills necessary to receive treatment in a dental practice, which might impact health care cost effectiveness.
本研究旨在比较在私立牙科诊所中，D-TERMINED项目与用于自闭症谱系障碍（ASD）儿童的标准行为指导技术（SBGTs）的有效性。
对在两家私立牙科诊所接受D-TERMINED项目或SBGTs治疗的ASD儿童记录进行回顾性数据分析。使用卡方检验、费舍尔精确检验、威尔科克森符号秩检验、曼-惠特尼U检验和逻辑回归分析数据。
从1999年至2012年的门诊记录中选取了44份病历（每组22份）。D-TERMINED组的儿童明显更年幼（P = 0.01）。两组在性别和牙科护理特征方面无显著差异。与对照组相比，接受D-TERMINED项目治疗的患者行为评分有显著改善（P = 0.03）。此外，接受D-TERMINED项目治疗的儿童在全身麻醉下进行牙科治疗的转诊率显著更低（P = 0.04）。
D-TERMINED项目可能有助于ASD儿童学习在牙科诊所接受治疗所需的合作技能，这可能会影响医疗保健成本效益。
