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一名患有自闭症谱系障碍青少年上前牙修复——病例报告

Restoration of an Upper Anterior Tooth in an Adolescent with Autism Spectrum Disorder-A Student Case Report.

作者信息

Diekamp Max, Jenter Leonie, Schulte Andreas G, Fricke Oliver, Schmidt Peter

机构信息

Integrated Clinical Course, Dental School, Witten/Herdecke University, 58455 Witten, Germany.

Department of Special Care Dentistry, Dental School, Witten/Herdecke University, 58455 Witten, Germany.

出版信息

Children (Basel). 2020 Nov 19;7(11):237. doi: 10.3390/children7110237.

Abstract

BACKGROUND

Patients with autism spectrum disorder (ASD) or other mental or physical limitations experience an imbalance in the frequency of dental treatment as compared with the general patient population, in part, due to inadequate pre-graduate training of future dentists.

CASE PRESENTATION

This case report describes a successful anterior tooth restoration, in awake state, in a 15-year-old boy with early childhood autism. The procedure was carried out independently by students of dentistry within the scope of their integrated clinical training semesters. Desensitization sessions were used as a preparatory measure and elements of behavioral facilitation (tell-show-feel-feel-do) were applied during the treatment.

CONCLUSIONS

To avoid discrimination of this group of patients in the provision and quality of dental care, a structured approach to the transfer of theoretical and practical knowledge in the field of special care dentistry is indispensable. To this end, treatment strategies for special care patients should be taught to pre-graduate dental students as a fundamental part of their university curriculum.

摘要

背景

与普通患者群体相比,自闭症谱系障碍(ASD)或其他精神或身体有局限的患者在接受牙科治疗的频率上存在不平衡,部分原因是未来牙医在研究生前培训不足。

病例报告

本病例报告描述了一名患有儿童早期自闭症的15岁男孩在清醒状态下成功进行的前牙修复。该手术由牙科专业学生在其综合临床培训学期范围内独立完成。脱敏治疗被用作一种预备措施,并且在治疗过程中应用了行为促进要素(告知-展示-感受-感受-操作)。

结论

为避免在牙科护理的提供和质量方面对这类患者的歧视,在特殊护理牙科领域采用结构化的理论和实践知识传授方法是必不可少的。为此,应将特殊护理患者的治疗策略作为大学课程的基本组成部分教授给牙科专业研究生前学生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8960/7699251/a8928b2aca95/children-07-00237-g001.jpg

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