Kuter B, Uzel I
Department of Paediatric Dentistry, Faculty of Dentistry, Izmir Democracy University, Izmir, Turkey.
Department of Paediatric Dentistry, Faculty of Dentistry, Izmir Democracy University, Izmir, Turkey.
Arch Pediatr. 2021 Jan;28(1):33-38. doi: 10.1016/j.arcped.2020.10.009. Epub 2020 Nov 27.
The aim of this study was to evaluate whether there is a relationship between gender and oral health status of children with autism spectrum disorders (CASD).
MATERIAL-METHODS: The study was carried out with 348 children. The children were separated into two groups to evaluate the prevalence of caries and to assess oral disorders in terms of gender. The following factors were evaluated: mean dmft (decayed missed filled permanent tooth in primary dentition), mean DMFT (decayed missed filled permanent tooth in permanent dentition), plaque index, caries prevalence scores, dental crowding, open bite, deep palate, drooling of saliva, tongue thrusting habit, bruxism, dental and soft tissue trauma, tooth wear, delayed eruption, and hypodontia.
The results showed that the mean dmft in boys with CASD (BCASD) was lower than the mean dmft in healthy boys. The mean dmft of the girls with CASD (GCASD) was also lower than that of the healthy girls. The prevalence of dental caries and mean DMFT in GCASD were higher than those of BCASD in permanent dentition. While the plaque index value of BCASD was higher than that of healthy boys, the plaque index value of GCASD was lower than that of healthy girls. The plaque index value of BCASD was higher than that of GCASD. GCASD were reported to have significantly more bruxism than their healthy counterparts. However, no statistically significant difference was found between BCASD and healthy boys regarding bruxism. Moreover, there was no significant difference between BCASD and GCASD in terms of bruxism. Drooling of saliva in BCASD was less than GCASD.
There were significant gender differences between CASD and healthy children in terms of dental caries and oral disorders in this study. There were also significant differences regarding dental caries and oral disorders between GCASD and BCASD.
本研究旨在评估自闭症谱系障碍(CASD)儿童的性别与口腔健康状况之间是否存在关联。
该研究对348名儿童进行。将这些儿童分为两组,以评估龋齿患病率并按性别评估口腔疾病。评估了以下因素:乳牙列中龋失补牙面均数(dmft)、恒牙列中龋失补牙面均数(DMFT)、菌斑指数、龋齿患病率得分、牙列拥挤、开颌、腭穹窿深、流涎、吐舌习惯、磨牙症、牙齿及软组织创伤、牙齿磨损、萌出延迟和缺牙。
结果显示,患有CASD的男孩(BCASD)的平均dmft低于健康男孩的平均dmft。患有CASD的女孩(GCASD)的平均dmft也低于健康女孩的平均dmft。在恒牙列中,GCASD的龋齿患病率和平均DMFT高于BCASD。虽然BCASD的菌斑指数值高于健康男孩,但GCASD的菌斑指数值低于健康女孩。BCASD的菌斑指数值高于GCASD。据报道,GCASD的磨牙症明显多于其健康同龄人。然而,在磨牙症方面,BCASD与健康男孩之间未发现统计学上的显著差异。此外,BCASD和GCASD在磨牙症方面也没有显著差异。BCASD的流涎少于GCASD。
在本研究中,CASD儿童与健康儿童在龋齿和口腔疾病方面存在显著的性别差异。GCASD和BCASD在龋齿和口腔疾病方面也存在显著差异。