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特殊学校中自闭症谱系障碍儿童的口腔健康评估

Oral Health Assessment of Children with Autism Spectrum Disorder in Special Schools.

作者信息

Santosh Anitha, Kakade Adesh, Mali Sayali, Takate Vilas, Deshmukh Bhagyashree, Juneja Akanksha

机构信息

University of Texas Health Science Center at San Antonio Dental School, Texas, USA.

Department of Pediatric Dentistry, Nair Hospital Dental College, Mumbai, Maharashtra, India.

出版信息

Int J Clin Pediatr Dent. 2021 Jul-Aug;14(4):548-553. doi: 10.5005/jp-journals-10005-1972.

Abstract

BACKGROUND

Sensory over-responsivity is an important factor influencing the ability of children with an autism spectrum disorder to receive proper oral care. Dental care remains the most prevalent, unmet health care need for children with special health care needs.

AIM AND OBJECTIVE

To assess the oral health of children with autism in special schools.

MATERIALS AND METHODS

A cross-sectional study was conducted to record the oral health problems of 142 autistic children attending special schools across the suburbs of Mumbai city in India. Clinical examination was carried out for the presence of dental plaque, gingivitis, caries, restorations, traumatic injuries, and self-injurious habits. The participants were divided into three groups based on their age.

RESULTS

Children with primary and mixed dentition had a higher incidence of dental caries when compared with the permanent dentition group. Good oral hygiene was observed in the study population with a mean OHI-S score of 0.88 ± 0.79. Traumatic dental injuries, bruxism, drooling of saliva from the corner of the mouth, and self-injurious habits were also recorded.

CONCLUSION

Due to the nature of their neurological deficit and difficulty in providing dental treatment, it is recommended that preventive dental care be enforced on these children.

HOW TO CITE THIS ARTICLE

Santosh A, Kakade A, Mali S, Oral Health Assessment of Children with Autism Spectrum Disorder in Special Schools. Int J Clin Pediatr Dent 2021;14(4):548-553.

摘要

背景

感觉过度敏感是影响自闭症谱系障碍儿童接受适当口腔护理能力的一个重要因素。牙科护理仍然是有特殊医疗需求儿童中最普遍且未得到满足的医疗保健需求。

目的

评估特殊学校中自闭症儿童的口腔健康状况。

材料与方法

开展了一项横断面研究,记录印度孟买市郊区特殊学校中142名自闭症儿童的口腔健康问题。对牙菌斑、牙龈炎、龋齿、修复体、创伤性损伤和自我伤害习惯的存在情况进行临床检查。参与者根据年龄分为三组。

结果

与恒牙列组相比,乳牙列和混合牙列的儿童龋齿发病率更高。研究人群的口腔卫生状况良好,平均OHI-S评分为0.88±0.79。还记录到了创伤性牙损伤、磨牙症、口角流涎和自我伤害习惯。

结论

由于其神经功能缺陷的性质以及提供牙科治疗的困难,建议对这些儿童加强预防性牙科护理。

如何引用本文

Santosh A, Kakade A, Mali S, 特殊学校中自闭症谱系障碍儿童的口腔健康评估。《国际临床儿科牙科杂志》2021年;14(4):548 - 553。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9871/8585892/5f80135c94af/ijcpd-14-548-g001.jpg

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