Directions in Understanding Autistic Child in Dentistry Practice - Abstract
Compared to neurotypical children, children with autism are more vulnerable to a variety of dental diseases, especially caries, because of challenges with personal independence, sensory integration or self-aggressive actions that frequently result in oral cavity traumas. This study seeks to provide an overview of the primary oral diseases that pediatric autistic patients encounter, along with the difficulties that dental services have when diagnosing and treating these kids. 30 children aged between 3 and 16 years, with different degrees of autism spectrum disorders were included in the study; 60% (18) of patients had dental cavities because of inadequate oral hygiene and minimal dental visits, while only 26,6% (8) possessed abilities that made it easier for them to keep up a good dental routine. 70% (21) of patients was having an uncooperative behavior and psychomotor
agitation, while only 30% (9) are able to complete dental treatments without the need for anesthesia or sedation; 2 teenagers with severe forms of autism suffer oral and dental trauma as a result of self-aggression.
The best methods for managing behavior were verbal praise, token rewards, and positive reinforcement; visual teaching model for improving oral hygiene was useful. In extreme situations where behavioral methods are ineffective, general anesthesia was required. While there isn’t a single approach that works for all ASD patients, tailoring care to the patient’s needs, cognitive abilities, and degree of expressive and
receptive language development can help improve addressability and meet their dental health needs.