Dental injuries in autistic patients
Department of Pediatric Dentistry, Center of Dental Sciences, Gulhane Medical Academy, Ankara, Turkey. Pediatric dentistry
(Impact Factor: 0.56).
The purpose of this study was to assess the incidence of traumatic dental injury among Turkish children and young adults with autism and compare this to the general population of Turkish children and young adults without autism.
This study was comprised of 186 children and young adults (138 males and 48 females), 93 with autism (autistic group, or AG) and 93 without autism (control group, or CG). Dental injuries were classified according to drawings and texts based on the WHO classification system, as modified by Andreasen and Andreasen.
The rate of injury was higher among the AG (23%) than the CG (15%). The difference between the 2 groups, however, was not statistically significant (P<.19). The most common type of dental injury was enamel fracture. The rate of enamel fracture was higher in the CG (59%) than in the AG (33%), and the distribution of types of traumatic injury differed significantly between the AG and CG (P>.01).
There were no significant differences in the rates of traumatic dental injuries among children and young adults with and without autistic disorder. The most frequently injured teeth were the permanent maxillary central incisors, and the frequency of injury to these teeth differed significantly (P>.01) between AG (56%) and CG (91%). The most common type of dental injury, enamel fracture, was more common in CG (59%) than AG (33%). The distribution of types of traumatic dental injuries differed significantly between the 2 groups (P>.01).
Available from: Michele B Diniz
- "These results showed no statistically significant difference (P = 0.769), indicating that episodes of TDI occurred most often in the pre-adolescent period for both groups, similar to results reported by Zengin et al. 2015 and Ritwik et al. 2015. Permanent maxillary central incisors were the teeth most involved in TDI in both groups, as in previous studies of individuals with special needs (dos Santos and Souza 2009; Altun et al. 2010; Bhat et al. 2011) and for those without disability (Hasan et al. 2010; Livny et al. 2010; Navabazam and Farahani 2010; Faus-Damiá et al. 2011; Taiwo and Jalo 2011; Ankola et al. 2013; Damé-Teixeira et al. 2013; Murthy et al. 2014). Fractures involving only enamel were the most frequent type of TDI observed in both groups, follow by enamel with dentine fractures without pulp exposure, corroborating the findings of previous studies on individuals without disability (Choi et al. 2010; Hasan et al. 2010; Livny et al. 2010; Faus-Damiá et al. 2011; Taiwo and Jalo 2011; Ankola et al. 2013; Damé-Teixeira et al. 2013). "
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This was to assess and compare risk factors for traumatic dental injury (TDI) among children/adolescents with and without autism spectrum disorders (ASD).
The study consisted of 122 children and adolescents (98 males, 24 females), 61 with ASD (study group) and 61 without ASD (control group, CG). Dental injuries were determined according to Andreasen´ss classification. The cause, location and type of activity at the time of trauma were recorded from patient/carer recollection.
Subjects with ASD presented higher percentages of TDI in routine activities (P = 0.003), falling while walking and episodes of self-harm (P = 0.007) in the individual's own residence (P = 0.036). TDI prevalence in the ASD group was higher (39.3 %) than in the CG (26.2 %) though not significant, (P = 0.123). Girls with ASD presented a significantly higher TDI percentage (50.0 %) compared with girls from the CG (8.3 %) (P = 0.024). Enamel fracture was the most frequent type of TDI for both groups (P = 0.292). The teeth most commonly affected were #11 and #21 for both groups.
Children and adolescents with ASD exhibit different risk factors for TDI compared with those without ASD, and girls with ASD are more prone than boys.
European Archives of Paediatric Dentistry. Official Journal of the European Academy of Paediatric Dentistry 10/2015; DOI:10.1007/s40368-015-0207-7
Available from: Virginia Wong
- "r children with ASD , as their manage - ment in the dental setting is somewhat more complex than that of a normal child . No significant differences in terms of the prevalence of tooth wear , dental injuries , malocclusion and oral mucosa lesions were observed between the two groups . This is similar to findings of other several clinical studies ( Altun et al . , 2010b ; Fahlvik - Planefeldt and Herrstrom , 2001 ; Luppanapornlarp et al . , 2010 ; Orellana et al . , 2012 ) . Hence , the null hypothesis that there is no significant dif - ference in the dental caries experience , gingival health and prevalence of tooth wear , prevalence of dental trauma , prevalence of malocclusion and prevalence of oral"
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ABSTRACT: To assess and compare the oral health status of preschool children with and without autism spectrum disorders.
A random sample of 347 preschool children with autism spectrum disorder was recruited from 19 Special Child Care Centres in Hong Kong. An age- and gender-matched sample was recruited from mainstream preschools as the control group. Dental caries status, gingival health status, tooth wear, malocclusion, dental trauma and oral mucosal health were assessed and compared between the two groups.
It was feasible to conduct a comprehensive oral health screening among 74.1% (257) of the children with autism spectrum disorder. The mean age was 59 ± 10 months (range from 32 to 77 months), of whom 84.4% were males. Children with autism spectrum disorder had better gingival health than children without autism spectrum disorder (mean plaque score and gingival score p < 0.001). Children with autism spectrum disorder had less caries experiences than children without autism spectrum disorder (mean decayed, missing and filled surfaces and decayed surfaces, p < 0.05). Children with and without autism spectrum disorder had similar prevalence of tooth wear, malocclusion, dental trauma experience and oral mucosal lesions (p > 0.05).
Differences in oral health status exist among preschool children with and without autism spectrum disorder. Preschool children with autism spectrum disorder exhibited lower caries experiences and better gingival health than children without autism spectrum disorder.
© The Author(s) 2014.
Autism 11/2014; 19(6). DOI:10.1177/1362361314553439 · 3.50 Impact Factor
Available from: Tomonori Hoshino
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ABSTRACT: A newly designed removable appliance with a shape-memory wire was used for the orthodontic treatment of the anterior teeth in an 11-year-old child who had autism and intellectual disability. The device was designed to reduce the lateral incisor crossbite and the central incisors’ labial rotation. The child was treated for 1 year with this removable appliance. Tooth movement was analyzed using cephalograms and surface data were derived from study models.
This device proved to be very durable. The lateral incisor crossbite was corrected, and the inclination of the upper central incisors and the interincisal angle were improved. This appliance exerts light and continuous orthodontic force, without requiring any adjustments of the spring wire. The appliance also facilitated orthodontic treatment in a child with intellectual disability in whom treatment with a standard orthodontic device would be unsuitable.
Special Care in Dentistry 01/2013; 33(1):35-9. DOI:10.1111/j.1754-4505.2012.00291.x
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