Dr. Blair is a clinical assistant professor, Division of Pediatric Anesthesia, Department of Anesthesiology, University of Iowa Hospitals and Clinics, University of Iowa, Iowa City, Iowa, USA;, Email:
Dr. Feingold is an adjunct faculty, Department of Pediatric Dentistry, University of Iowa, Iowa City, Iowa, USA.
J Dent Child (Chic). 2022 May 15;89(2):88-94.
To investigate the oral health needs and comorbidities among patients with autism spectrum disorder (ASD) undergoing oral rehabilitation under general anesthesia (GA) at a university hospital.
Records of patients with ASD who underwent oral rehabilitation under GA between January 2016 and May 2019 were reviewed to identify comorbid conditions and oral health needs. Statistical analysis consisted of descriptive and bivariate analyses (alpha = 0.05).
A total of 160 patients from three to 18 years of age fulfilled the inclusion criteria. Seventy-eight percent were male and 69 percent had public insurance. Be- havioral issues, such as anxiety, aggression and nonverbal status, were observed more frequently than reported in the ASD literature. Dental caries, poor oral hygiene and gingivitis were the most common dental conditions observed. Radiographs, sealants, stainless steel crowns and extractions were the most common treatments rendered. Bivariate analysis revealed that subjects who had eight to 15 comorbidities were likely to be older.
Patients with ASD have many dental needs and may have comorbid medical conditions that directly affect the safe delivery of GA and dental treatments. As patients with ASD age, the number of comorbidities increases.
调查在大学医院全麻（GA）下接受口腔康复的自闭症谱系障碍（ASD）患者的口腔健康需求和共病情况。
回顾了 2016 年 1 月至 2019 年 5 月期间在 GA 下接受口腔康复的 ASD 患者的记录，以确定共病情况和口腔健康需求。统计分析包括描述性和双变量分析（alpha = 0.05）。
共有 160 名年龄在 3 至 18 岁之间的患者符合纳入标准。78%为男性，69%有公共保险。与 ASD 文献中报道的相比，观察到更多的行为问题，如焦虑、攻击和非言语状态。最常见的牙齿状况是龋齿、口腔卫生不良和牙龈炎。最常见的治疗方法是拍摄 X 光片、使用封闭剂、不锈钢牙冠和拔牙。双变量分析显示，有 8 至 15 种共病的患者年龄可能较大。
ASD 患者有许多口腔健康需求，并且可能患有共病的医疗状况，这直接影响 GA 和口腔治疗的安全实施。随着 ASD 患者年龄的增长，共病数量增加。
