Department of Dentistry, Federal University of Piauí, Teresina, Piauí, Brazil.
Integrated Center for Special Education, Federal University of Piauí, Teresina, Piauí, Brazil.
Spec Care Dentist. 2021 Nov;41(6):658-669. doi: 10.1111/scd.12618. Epub 2021 May 27.
To evaluate the impact of dental treatment on the oral health-related quality of life (OHRQoL) of children and adolescents with Autism Spectrum Disorder (ASD), through the perception of caregivers.
A prospective longitudinal study was conducted on 115 individuals with ASD, 6-14 years of age, recruited from the referral centers for special needs individuals at Teresina, Brazil. A clinical examination was carried out and the OHRQoL was measured using the Brazilian version of the Parental-Caregiver Perceptions Questionnaire (P-CPQ) before and 3 months after dental treatment. Data were analyzed using Kolmogorov-Smirnov, Levene, Mann-Whitney, Kruskall-Wallis, and Wilcoxon tests, and the Poison regression with backward method (P < .05). Treatment needs of children with ASD consisted of dental restorations (81.7%), oral prophylaxis (66.1%), endodontic treatment (10.4%), and tooth extractions (10.4%). The baseline P-CPQ total score varied from 1 to 33 (mean score = 13.2 [±6.4]), and at 3 months after treatment it ranged from 0 to 10 (mean score 3.4 [±2.2] (P < .001). The effect magnitude varied between 0.55 and 0.56.
According to the perception of the caregivers, dental treatment had a positive impact on the OHRQoL of children and adolescents with ASD.
通过照顾者的感知，评估口腔治疗对自闭症谱系障碍（ASD）儿童和青少年口腔健康相关生活质量（OHRQoL）的影响。
对来自巴西特蕾西纳特殊需求人士转介中心的 115 名 6-14 岁 ASD 患者进行了一项前瞻性纵向研究。在口腔治疗前后使用巴西版父母/照顾者感知问卷（P-CPQ）进行临床检查和 OHRQoL 测量。使用 Kolmogorov-Smirnov、Levene、Mann-Whitney、Kruskal-Wallis 和 Wilcoxon 检验以及向后法的泊松回归（P<.05）分析数据。ASD 儿童的治疗需求包括牙体修复（81.7%）、口腔预防（66.1%）、牙髓治疗（10.4%）和拔牙（10.4%）。基线 P-CPQ 总分范围为 1-33（平均得分 13.2 [±6.4]），治疗 3 个月后范围为 0-10（平均得分 3.4 [±2.2]）（P<.001）。效应大小在 0.55 到 0.56 之间变化。
根据照顾者的感知，口腔治疗对 ASD 儿童和青少年的 OHRQoL 有积极影响。
