Lefer G, Rouches A, Bourdon P, Lopez Cazaux S
Centre de Recherche en Education de Nantes, EA2661, Chemin de la Censive du Tertre, BP 81227, 44312, Nantes Cedex 3, France.
Faculté de Chirurgie Dentaire, 1 Place Alexis Ricordeau, BP, 44042, Nantes Cedex 1, France.
Eur Arch Paediatr Dent. 2019 Apr;20(2):113-121. doi: 10.1007/s40368-018-0398-9. Epub 2018 Dec 12.
To present a training programme for teaching children and adolescents with autism spectrum disorder (ASD), to be compliant with a dental examination.
Fifty-two children and adolescents with ASD (age range 3-19 years) with a parent-signed consent form were enrolled. Dental examinations were performed once a month in education centres by a paediatric dentist using a visual activity schedule on an iPad that was created with a digital application, çATED. Achievement and anxiety were evaluated using scales and grids every 2 months for 8 months.
Showed an improvement in oral assessment; the children became compliant and less anxious. The percentage of individuals who underwent the entire dental exam process increased over time; it was 25% at the beginning of the study and 65.4% after 8 months. Only 7.7% of the sample was not anxious at the beginning, while 59.6% of the sample was not anxious after 8 months. Wilcoxon analysis also showed significant improvement in the studied variables.
Training children and adolescents with ASD to undergo dental examination was efficient. The use of the iPad is attractive and easy for practitioners and people with ASD.
介绍一项针对自闭症谱系障碍(ASD)儿童和青少年进行牙科检查的培训项目。
招募了52名年龄在3至19岁之间、有家长签署同意书的ASD儿童和青少年。由一名儿科牙医每月在教育中心使用iPad上的视觉活动日程表进行一次牙科检查,该日程表是通过一款数字应用程序çATED创建的。在8个月的时间里,每2个月使用量表和网格对完成情况和焦虑程度进行评估。
口腔评估有所改善;儿童变得更加配合且焦虑程度降低。随着时间推移,完成整个牙科检查过程的个体百分比有所增加;研究开始时为25%,8个月后为65.4%。样本中最初只有7.7%的人不焦虑,而8个月后有59.6%的样本不焦虑。威尔科克森分析也显示所研究变量有显著改善。
对患有ASD的儿童和青少年进行牙科检查培训是有效的。iPad的使用对从业者和患有ASD的人来说很有吸引力且操作简便。