Cirio Silvia, Salerno Claudia, Mbanefo Stefania, Oberti Luca, Paniura Lujbicca, Campus Guglielmo, Cagetti Maria Grazia
Department of Biomedical, Surgical and Dental Science, University of Milan, Via Beldiletto 1, 20142 Milan, Italy.
Department of Medicine, Surgery and Experimental Sciences, School of Dentistry, University of Sassari, Viale San Pietro, 07100 Sassari, Italy.
Children (Basel). 2022 May 16;9(5):729. doi: 10.3390/children9050729.
Autism Spectrum Disorders (ASDs) are neurodevelopmental disorders that don't have a direct effect on oral health, but severe difficulties in oral hygiene and dental procedures expose people with ASDs to an increased risk of oral diseases. This RCT aimed to evaluate which pedagogical tool was the best to prepare children with ASDs for their first dental examination, either video or photo aids. Two different criteria were used to evaluate their efficacy: the achieved steps into which the procedure was divided ( = 8), and the level of cooperation according to the Frankl Behavioral Scale. One hundred-thirteen subjects were randomly assigned to the two groups and 84 subjects completed the trial (Video group = 41; Photo group = 43). A predictive model for the achievement of the Preliminary (1-4) or Dental (4-8) steps was performed using a multivariate logistic regression procedure. Children in the Video group achieved more steps, but the comparison between groups was statistically significant only for the Preliminary steps ( = 0.04). The percentage of subjects judged as cooperating was similar in the two groups. The results of this study underline that behavioural intervention should be used as an effective strategy to prepare subjects with ASDs for a dental examination.
自闭症谱系障碍（ASD）是神经发育障碍，对口腔健康没有直接影响，但口腔卫生和牙科治疗方面的严重困难使患有ASD的人患口腔疾病的风险增加。这项随机对照试验旨在评估哪种教学工具最适合帮助患有ASD的儿童为首次牙科检查做好准备，是视频辅助工具还是照片辅助工具。使用两个不同的标准来评估它们的效果：将治疗过程划分成的已完成步骤（=8），以及根据弗兰克尔行为量表得出的合作水平。113名受试者被随机分配到两组，84名受试者完成了试验（视频组=41；照片组=43）。使用多变量逻辑回归程序建立了一个关于完成初步（1-4）或牙科（4-8）步骤的预测模型。视频组的儿童完成了更多步骤，但两组之间的比较仅在初步步骤上具有统计学意义（=0.04）。两组中被判定为合作的受试者百分比相似。这项研究的结果强调，行为干预应作为帮助患有ASD的受试者为牙科检查做好准备的有效策略。
