Preventive Dental Sciences Department, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Department of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
ScientificWorldJournal. 2020 Oct 6;2020:8329426. doi: 10.1155/2020/8329426. eCollection 2020.
Parents play a crucial role in health-related practices of children with autism spectrum disorder (ASD). This study assessed the association between oral health status and oral health practices of children with ASD in relation to their parental attitudes and comfort in providing oral care.
This cross-sectional study included 75 children with ASD attending the special needs schools in Eastern Saudi Arabia from 2015-2018. Parents responded to a self-administered questionnaire assessing their attitudes toward oral health and comfort in providing oral care for children. The clinical examination assessed dental caries (decayed, extracted, and filled: (DMF and def)), gingival disease, and plaque accumulation. The Pearson correlation coefficient was used to assess the relationship between the study variables, while ANOVA followed by post hoc was used to assess the differences.
Prevalence of dental caries in primary teeth was 76% and 68% in the permanent dentition with a mean of 0.85 ± 1.9 and 1.03 ± 2.9, respectively. Thirty-one participants had gingival problems, mean gingival index was 1.03 ± 0.88, and mean plaque index was 0.95 ± 0.43. Half of the parents supervised their children's brushing, which was significantly associated with plaque accumulation ( = 0.004), gingival disease ( < 0.0001), and def ( = 0.02). Parental attitudes and comfort in providing oral health care were not associated with oral health status of ASD children; however, positive parental attitudes were associated with lower sugar consumption ( = 0.043). An inverse correlation was observed between comfort in providing oral health care with gingival and plaque scores = -0.18 and -0.23, respectively.
The data are indicative of poor oral health practices and status among ASD children. Parents' oral health care practices seem to be reactive rather than proactive. Positive parental attitudes were associated with lower sugar consumption. Greater comfort in providing care was negatively correlated with plaque accumulation and gingival problems.
父母在自闭症谱系障碍（ASD）儿童的健康相关行为中起着至关重要的作用。本研究评估了 ASD 儿童的口腔健康状况和口腔保健实践与其父母的口腔健康态度和为儿童提供口腔保健的舒适度之间的关系。
本横断面研究纳入了 2015 年至 2018 年期间在沙特阿拉伯东部特殊需求学校就读的 75 名 ASD 儿童。父母回答了一份自我管理的问卷，评估他们对口腔健康的态度以及为孩子提供口腔保健的舒适度。临床检查评估了龋齿（龋齿、拔牙和填充：DMF 和 def）、牙龈疾病和牙菌斑积累。使用 Pearson 相关系数评估研究变量之间的关系，使用 ANOVA 随后进行事后检验评估差异。
乳牙龋齿患病率为 76%，恒牙为 68%，平均分别为 0.85±1.9 和 1.03±2.9。31 名参与者有牙龈问题，平均牙龈指数为 1.03±0.88，平均菌斑指数为 0.95±0.43。一半的父母监督孩子刷牙，这与牙菌斑积累（ = 0.004）、牙龈疾病（ < 0.0001）和 def（ = 0.02）显著相关。父母的口腔保健态度和舒适度与 ASD 儿童的口腔健康状况无关；然而，积极的父母态度与较低的糖摄入量相关（ = 0.043）。提供口腔保健舒适度与牙龈和菌斑评分之间存在负相关，相关系数分别为-0.18 和-0.23。
数据表明 ASD 儿童的口腔保健实践和状况较差。父母的口腔保健实践似乎是被动的而不是主动的。积极的父母态度与较低的糖摄入量相关。提供护理的舒适度越高，与牙菌斑积累和牙龈问题呈负相关。
Zotero 插件