Jones Jayne, Roberts Elysa, Cockrell Deborah, Higgins Denise, Sharma Dileep
Discipline of Oral Health, Oral Health School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Ourimbah, NSW 2258, Australia.
Discipline of Occupational Therapy, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia.
Healthcare (Basel). 2024 Jan 2;12(1):103. doi: 10.3390/healthcare12010103.
Challenges in providing adequate dental care for individuals with Autism Spectrum Disorder (ASD) are recognised by parents, caregivers, and dental practitioners, leading to a higher prevalence of unaddressed dental needs. This scoping review aims to explore existing research on the obstacles to oral health care as perceived by individuals with ASD, as reported by their parents, caregivers, and dental professionals.
Systematic searches were conducted in DOSS, Medline, and PubMed databases using relevant keywords to identify relevant studies. Barriers identified within these studies were then categorised based on themes identified.
The initial search yielded a total of 254 studies. Following the removal of duplicates and screening of titles and abstracts, 47 studies were further assessed against predetermined criteria, ultimately resulting in the inclusion of 16 articles in this scoping review. The identified barriers were grouped into five overarching themes: challenges in accessing appropriate care (n = 8), negative past experiences (n = 5), parental perceptions of the impact of ASD (n = 8), clinician bias (n = 2), and clinician education (n = 7).
The findings of this review highlight the obstacles faced by individuals with ASD in obtaining routine oral health care. These results underscore the imperative for the development, testing, and implementation of tailored interventions focused on autism, as well as their integration into educational curricula for dental practitioners at various educational levels. This approach aims to enhance the delivery of equitable oral health care to individuals with ASD, starting from undergraduate through to postgraduate dental education.
家长、护理人员和牙科从业者都认识到为自闭症谱系障碍（ASD）患者提供充分牙科护理所面临的挑战，这导致未得到满足的牙科需求患病率更高。本范围综述旨在探讨自闭症谱系障碍患者、其家长、护理人员和牙科专业人员所认为的口腔保健障碍的现有研究。
在DOSS、Medline和PubMed数据库中使用相关关键词进行系统检索，以识别相关研究。然后根据所确定的主题对这些研究中确定的障碍进行分类。
初步检索共获得254项研究。在去除重复项并筛选标题和摘要后，根据预定标准对47项研究进行了进一步评估，最终在本范围综述中纳入了16篇文章。所确定的障碍分为五个总体主题：获得适当护理方面的挑战（n = 8）、过去的负面经历（n = 5）、家长对自闭症谱系障碍影响的看法（n = 8）、临床医生偏见（n = 2）和临床医生教育（n = 7）。
本综述的结果突出了自闭症谱系障碍患者在获得常规口腔保健方面面临的障碍。这些结果强调了开发、测试和实施针对自闭症的量身定制干预措施的必要性，以及将这些措施纳入各级牙科从业者教育课程的必要性。这种方法旨在从本科到研究生牙科教育，加强为自闭症谱系障碍患者提供公平的口腔保健服务。
