Barbosa Mainara Alves, Lotito Michelle Coelho Ferreira, Masterson Daniele, Pastura Giuseppe, de Souza Ivete Pomarico, Tavares-Silva Claudia Maria, Castro Gloria Fernanda Barbosa de Araújo
Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal Do Rio De Janeiro, Rio De Janeiro, RJ, Brazil.
Central Library of the Health Science Center, Universidade Federal Do Rio De Janeiro, Rio De Janeiro, RJ, Brazil.
Int J Dev Disabil. 2022 Jul 5;70(3):329-342. doi: 10.1080/20473869.2022.2092936. eCollection 2024.
This study aimed to conduct a scoping review to know children and adolescents' main oral health concerns with Autism Spectrum Disorder (ASD) and thus identify any oral characteristic that stands out, aiming at preventive and interceptive clinical conduct. A search was performed in the three electronic databases and the gray literature; in September 2021. A total of 562 studies were identified, and after applying the eligibility criteria, 73 articles were included in the synthesis of this scoping review. The mean decayed, lost, and restored teeth index (DMFT/dfmt) ranged from 0 to 12.37; the mean DMFT index (permanent dentition) from 0.06 to 6.2; and the average dmft index (deciduous dentition) ranged from 0.29 to 9.91. The mean simplified oral hygiene index (OHIS) ranged from 0 to 3.4; gingival index (GI) from 0.29 to 2; and plaque index (PI) from 0.005 to 3.15. Plaque prevalence was 25.9% to 90%; dental calculus from 4.7% to 59.41%; gingivitis from 36.7% to 100%. Bruxism was 10.3% to 73%, and dental trauma was 4.7% to 100%. This disparity in the results shows the heterogeneity of this population, with different degrees of socio-behavioral impairment, which can directly influence oral hygiene and the consequent accumulation of biofilm.
本研究旨在进行一项范围综述,以了解患有自闭症谱系障碍(ASD)的儿童和青少年主要的口腔健康问题,从而识别出任何突出的口腔特征,以指导预防和干预性临床行为。2021年9月,在三个电子数据库和灰色文献中进行了检索。共识别出562项研究,在应用纳入标准后,73篇文章被纳入本范围综述的综合分析。龋失补牙指数(DMFT/dfmt)平均值在0至12.37之间;恒牙列的DMFT指数平均值在0.06至6.2之间;乳牙列的dmft指数平均值在0.29至9.91之间。简化口腔卫生指数(OHIS)平均值在0至3.4之间;牙龈指数(GI)在0.29至2之间;菌斑指数(PI)在0.005至3.15之间。菌斑患病率为25.9%至90%;牙结石患病率为4.7%至59.41%;牙龈炎患病率为36.7%至100%。磨牙症患病率为10.3%至73%,牙外伤患病率为4.7%至100%。结果的这种差异表明了该人群的异质性,其社会行为障碍程度不同,这可能直接影响口腔卫生以及生物膜的后续积聚。