Approaches to dental management of children with Autism Spectrum Disorder (ASD)
DOI:
https://doi.org/10.5335/rfo.v30i1.17226Palavras-chave:
Transtorno do Espectro Autista, Saúde Bucal, Tecnologias Assistivas, ComportamentalResumo
This literature review aimed to explore and synthesize evidence regarding effective behavioral, sensory, and technological interventions in the dental care of children with Autism Spectrum Disorder (ASD). A scoping review was conducted according to the PRISMA protocol. The search was performed in the PubMed, Scopus, and Web of Science databases. Studies evaluating behavioral strategies, sensory adaptations, and assistive technologies in dental settings for children with ASD were included. The selected articles were analyzed thematically, focusing on clinical outcomes and practical feasibility. Out of 74 articles initially identified, 15 met the inclusion criteria. Behavioral interventions such as video modeling and social stories proved effective in reducing anxiety and enhancing patient cooperation. Sensory-adapted environments helped lower physiological and behavioral stress levels. Assistive technologies, including mobile applications, facilitated patient interaction and adherence to treatment. Structured protocols that combined caregiver training with visual pedagogy significantly improved cooperation during dental procedures. The analyzed interventions demonstrate the potential of personalized strategies to meet the specific needs of children with ASD, fostering inclusive and humanized oral healthcare. However, limitations such as small sample sizes and the absence of longitudinal studies highlight the need for future research to refine and validate these approaches across diverse clinical contexts.
Downloads
Referências
Baumer, N., & Spence, S. J. (2018). Evaluation and Management of the Child With Autism Spectrum Disorder. Continuum (Minneapolis, Minn.), 24(1, Child Neurology), 248–275. https://doi.org/10.1212/CON.0000000000000578
Happé, F., & Frith, U. (2020). Annual Research Review: Looking back to look forward - changes in the concept of autism and implications for future research. Journal of child psychology and psychiatry, and allied disciplines, 61(3), 218–232. https://doi.org/10.1111/jcpp.13176
Lord, C., Elsabbagh, M., Baird, G., & Veenstra-Vanderweele, J. (2018). Autism spectrum disorder. Lancet (London, England), 392(10146), 508–520. https://doi.org/10.1016/S0140-6736(18)31129-2
Boterberg, S., Charman, T., Marschik, P. B., Bölte, S., & Roeyers, H. (2019). Regression in autism spectrum disorder: A critical overview of retrospective findings and recommendations for future research. Neuroscience and biobehavioral reviews, 102, 24–55. https://doi.org/10.1016/j.neubiorev.2019.03.013
American Psychiatric Association. 2013. Diagnostic and statistical manual of mental disorders, (DSM-V). 5th ed. Washington, DC: A. P. Association.
Khachadourian, V., Mahjani, B., Sandin, S., Kolevzon, A., Buxbaum, J. D., Reichenberg, A., & Janecka, M. (2023). Comorbidities in autism spectrum disorder and their etiologies. Translational psychiatry, 13(1), 71. https://doi.org/10.1038/s41398-023-02374-w
Inui, T., Kumagaya, S., & Myowa-Yamakoshi, M. (2017). Neurodevelopmental Hypothesis about the Etiology of Autism Spectrum Disorders. Frontiers in human neuroscience, 11, 354. https://doi.org/10.3389/fnhum.2017.00354
Salari, N., Rasoulpoor, S., Rasoulpoor, S., Shohaimi, S., Jafarpour, S., Abdoli, N., Khaledi-Paveh, B., & Mohammadi, M. (2022). The global prevalence of autism spectrum disorder: a comprehensive systematic review and meta-analysis. Italian journal of pediatrics, 48(1), 112. https://doi.org/10.1186/s13052-022-01310-w
Parry, J. A., Newton, T., Linehan, C., & Ryan, C. (2021). Dental Visits for Autistic Children: A Qualitative Focus Group Study of Parental Perceptions. JDR clinical and translational research, 8(1), 23800844211049404. Advance online publication. https://doi.org/10.1177/23800844211049404
Zerman, N., Zotti, F., Chirumbolo, S., Zangani, A., Mauro, G., & Zoccante, L. (2022). Insights on dental care management and prevention in children with autism spectrum disorder (ASD). What is new?. Frontiers in oral health, 3, 998831. https://doi.org/10.3389/froh.2022.998831
Gallo, C., Scarpis, A., & Mucignat-Caretta, C. (2023). Oral health status and management of autistic patients in the dental setting. European journal of paediatric dentistry, 24(2), 145–150. https://doi.org/10.23804/ejpd.2023.1656
Arberas C, Ruggieri V. Autismo. Aspectos genéticos y biológicos [Autism. Genetic and biological aspects]. Medicina (B Aires). 2019;79(Suppl 1):16-21. Spanish. PMID: 30776274.
OLIVEIRA, F.; MOREIRA, G. Strategies for managing oral health in children with autism. Pediatric Dentistry, v. 44, n. 3, p. 235-242, 2022.
BROWN, R. et al. Dental care for individuals with autism: a review of the literature. Journal of Dental Research, v. 97, n. 7, p. 747-755, 2018.
GATES, M.; HONG, S. Sensory sensitivities in autism spectrum disorder: a review. Journal of Clinical Psychology, v. 72, n. 4, p. 371-381, 2016.
Pimentel Júnior, N. S., de Barros, S. G., de Jesus Filho, E., Vianna, M. I. P., Santos, C. M. L., & Cangussu, M. C. T. (2024). Oral health-care practices and dental assistance management strategies for people with autism spectrum disorder: An integrative literature review. Autism, 28(3), 529-539.
Alexander J, Siluvai S, George AM, K P I, Lazar VR, Kshetrimayum N. Navigating Barriers to Oral Health Challenges Faced by Children With Autism Spectrum Disorder: A Scoping Review. Cureus. 2024;16(8):e66493. Published 2024 Aug 9. doi:10.7759/cureus.66493
Uchôa, S. A. C. L., Corrêa, S. C. L., Corrêa, D. L., & Corrêa, V. C. (2024). The management of patients with autism in pediatric dental clinics: A review of the literature. Seven Editora.
Tricco AC, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467–473. doi:10.7326/M18-0850.
Gandhi R, Jackson J, Puranik CP. A comparative evaluation of video modeling and social stories for improving oral hygiene in children with autism spectrum disorder: A pilot study. Spec Care Dentist. 2024 May-Jun;44(3):797-803. doi: 10.1111/scd.12916. Epub 2023 Aug 30. PMID: 37646912.
Cermak, S. A., Stein Duker, L. I., Williams, M. E., Dawson, M. E., Lane, C. J., & Polido, J. C. (2015). Sensory Adapted Dental Environments to Enhance Oral Care for Children with Autism Spectrum Disorders: A Randomized Controlled Pilot Study. Journal of autism and developmental disorders, 45(9), 2876–2888. https://doi.org/10.1007/s10803-015-2450-5
Cagetti, M. G., Mastroberardino, S., Campus, G., Olivari, B., Faggioli, R., Lenti, C., & Strohmenger, L. (2015). Dental care protocol based on visual supports for children with autism spectrum disorders. Medicina oral, patologia oral y cirugia bucal, 20(5), e598
Marion, I. W., Nelson, T. M., Sheller, B., McKinney, C. M., & Scott, J. M. (2016). Dental stories for children with autism. Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 36(4), 181–186. https://doi.org/10.1111/scd.12167
Murshid E. Z. (2017). Effectiveness of a preparatory aid in facilitating oral assessment in a group of Saudi children with autism spectrum disorders in Central Saudi Arabia. Saudi medical journal, 38(5), 533–540. https://doi.org/10.15537/smj.2017.5.17398
Tounsi A. (2017). Children With Autism Spectrum Disorders can be Successfully Examined Using Dental Desensitization. The journal of evidence-based dental practice, 17(4), 414–415. https://doi.org/10.1016/j.jebdp.2017.10.007
Nilchian, F., Shakibaei, F. & Jarah, Z.T. Evaluation of Visual Pedagogy in Dental Check-ups and Preventive Practices Among 6–12-Year-Old Children with Autism. J Autism Dev Disord 47, 858–864 (2017). https://doi.org/10.1007/s10803-016-2998-8
Hidayatullah, T., Agustiani, H., & Setiawan, A. S. (2018). Behavior management-based applied behaviour analysis within dental examination of children with autism spectrum disorder. Dent J (Majalah Kedokteran Gigi), 51(2), 71-5.
Zink, A. G., Molina, E. C., Diniz, M. B., Santos, M. T. B. R., & Guaré, R. O. (2018). Communication Application for Use During the First Dental Visit for Children and Adolescents with Autism Spectrum Disorders. Pediatric dentistry, 40(1), 18–22.
Lefer, G., Rouches, A., Bourdon, P., & Lopez Cazaux, S. (2019). Training children with autism spectrum disorder to undergo oral assessment using a digital iPad® application. European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 20(2), 113–121. https://doi.org/10.1007/s40368-018-0398-9
Pastore, I., Bedin, E., Marzari, G., Bassi, F., Gallo, C., & Mucignat-Caretta, C. (2023). Behavioral guidance for improving dental care in autistic spectrum disorders. Frontiers in psychiatry, 14, 1272638. https://doi.org/10.3389/fpsyt.2023.
Pai Khot, A. J., Choudhury, A. R., Ankola, A. V., Sankeshwari, R. M., Hampiholi, V., Hebbal, M., Jalihal, S., Kumar, R. S., Kabra, L., & Kotha, S. L. (2023). Evaluation of a "Picture Assisted Illustration Reinforcement" (PAIR) System for Oral Hygiene in Children with Autism: A Double-Blind Randomized Controlled Trial. Children (Basel, Switzerland), 10(2), 369. https://doi.org/10.3390/children10020369
Stein Duker, L. I., Como, D. H., Jolette, C., Vigen, C., Gong, C. L., Williams, M. E., Polido, J. C., Floríndez-Cox, L. I., & Cermak, S. A. (2023). Sensory Adaptations to Improve Physiological and Behavioral Distress During Dental Visits in Autistic Children: A Randomized Crossover Trial. JAMA network open, 6(6), e2316346. https://doi.org/10.1001/jamanetworkopen.2023.16346
Kumari, S., Aijazuddin, A., Patil, A. N., Diwanji, A., Eeraveni, R., Makwani, D., & Ojha, A. (2024). Audio–Visual Modeling and its Effect on Behavior of Pediatric Patient: An Observational Study. Journal of Pharmacy and Bioallied Sciences, 10-4103.
Kaintura, A., Ramar, K., & Sankar, U. G. (2024). Sympathetic Response of Children With Autism Spectrum Disorder During Dental Treatment Performed in a Sensory-Adapted Dental Environment. Cureus, 16(8), e66685. https://doi.org/10.7759/cureus.66685
Downloads
Publicado
Edição
Seção
Licença
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Este periódico bem como seus artigos estão licenciados com a licença Creative Commons Atribuição-NãoComercial-SemDerivações 4.0 Internacional.
