Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA.
Children's Hospital Los Angeles and Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA.
Int J Environ Res Public Health. 2020 Dec 27;18(1):135. doi: 10.3390/ijerph18010135.
Children with autism spectrum disorders (ASD) are at risk for oral health disparities. With the dramatic rise in ASD prevalence to 1 in 54 children, it is likely that an increasing number of dental practitioners will encounter or be asked to treat children with ASD. This paper reviews explanations related to the increasing prevalence of ASD, provides reasons why children with ASD are at increased risk for poor oral health, and discusses unique interprofessional collaborations between dental practitioners and occupational therapists. Occupational therapists and dentists can work together to plan modifications to the dental environment or adapt dental protocols to reduce some of the barriers encountered by those with ASD, provide desensitization strategies before the clinic visit, or help a child with emotional regulation during clinical treatments.
自闭症谱系障碍(ASD)儿童存在口腔健康差异的风险。随着 ASD 患病率的急剧上升至每 54 名儿童中就有 1 名,越来越多的牙科医生可能会遇到或被要求治疗 ASD 儿童。本文综述了与 ASD 患病率上升相关的解释,阐述了 ASD 儿童口腔健康状况较差的原因,并讨论了牙科医生和职业治疗师之间独特的跨专业合作。职业治疗师和牙医可以共同合作,修改牙科环境或调整牙科方案,以减少 ASD 患者所面临的一些障碍,在就诊前提供脱敏策略,或在临床治疗期间帮助孩子进行情绪调节。