Dental care for children with autism spectrum disorder

Amrita Widyagarini, Margaretha Suharsini

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Background: Providing dental treatment for children with autism spectrum disorder (ASD) represents a challenge for dentists. In the dental care of such children, the treatment plans implemented are usually determined by several factors, including: the type of autism spectrum disorder, the degree of patient cooperation, dentist/patient communication, the required treatment, self-care skills and parental/dentist support. Purpose: The purpose of this case report was to report the dental care delivered in the cases of two pediatric patients with ASD. Case 1: A 10.7 year-old boy with a nonverbal form of ASD who was experiencing recurrent pain in his lower left posterior tooth and also presented a blackened tooth. Case 2: A 9.6 year-old boy with a nonverbal form of ASD suffering from numerous painful cavities. Case management 1: On the day of the first visit, the boy was the subject of several behavioral observations. During the day of the second visit, he underwent a brief intraoral examination at a dental unit in order to arrive at a temporary diagnosis before appropriate was decided upon treatment in consultation with his parents. The implemented treatment plans comprised dental extraction and preventive restoration under general anesthesia. Case management 2: On the first visit, the boy underwent behavioral observations followed by early intraoral examination involving physical restraint approach. During the second visit, several treatment plans such as: general anesthesia, tooth extraction, restoration, and pulp-capping treatment were formulated. Conclusion: It can be concluded that general anesthesia was considered an appropriate dental treatment plan since the two patients in question were extremely co-operative during the necessary procedures. In other words, pediatric dental care treatment plans in cases of ASD should be determined by clearly-defined criteria, specifically the benefits and risks of the treatment plans for the safety of both patient and dental care team.


autism spectrum disorder, dental care, children

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Delli K, Reichart PA, Bornstein MM, Livas C. Management of children with autism spectrum disorder in the dental setting: concerns, behavioural approaches and recommendations. Med Oral Patol Oral Cir Bucal. 2013; 18(6): e862–8.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013. p. 5-25.

Raposa KA, Perlman SP. Treating the dental patient with a developmental disorder. 1st ed. Iowa: Wiley-Blackwell; 2012. p. 1–31, 155–67, 195–206.

Nagendra J, Jayachandra S. Autism spectrum disorders: dental treatment considerations. J Int Dent Med Res. 2012; 5(2): 118–21.

Gabriele S, Sacco R, Persico AM. Blood serotonin levels in autism spectrum disorder: a systematic review and meta-analysis. Eur Neuropsychopharmacol. 2014; 24(6): 919–29.

Hernandez P, Ikkanda Z. Applied behavior analysis: behavior management of children with autism spectrum disorders in dental environments. JADA. 2011; 142(3): 281–7.

Limeres-Posse J, Castaño-Novoa P, Abeleira-Pazos M, RamosBarbosa I. Behavioural aspects of patients with autism spectrum disorders (ASD) that affect their dental management. Med Oral Patol Oral Cir Bucal. 2014; 19(5): e467–72.

Spence SJ, Sharifi P, Wiznitzer M. Autism spectrum disorder: screening, diagnosis, and medical evaluation. Semin Pediatr Neurology. 2004; 11(3): 186–95.

DeMattei R, Cuvo A, Maurizio S. Oral assessment of children with an autism spectrum disorder. J Dent Hyg. 2007; 81(3): 1-11.

Bartolomé-Villar B, Mourelle-Martínez MR, Diéguez-Pérez M, de Nova-García M. Incidence of oral health in paediatric patients with disabilities: sensory disorders and autism spectrum disorder. systematic review II. J Clin Exp Dent. 2016; 8(3): e344–51.

El Khatib AA, El Tekeya MM, El Tantawi MA, Omar T. Oral health status and behaviours of children with autism spectrum disorder: a case-control study. Int J Paediatr Dent. 2014; 24(4): 314–23.

Marshall J, Sheller B, Mancl L. Caries-risk assessment and caries status of children with autism. Pediatr Dent. 2010; 32(1): 69–75.

Murshid EZ. Oral health status, dental needs, habits and behavioral attitude towards dental treatment of a group of autistic children in Riyadh, Saudi Arabia. Saudi Dent J. 2005; 17: 132–9.

Wright GZ, Kupietzky A. Behavior management in dentistry for children. 2nd ed. Oxford: - Wiley Blackwell; 2014. p. 93–105.

Tate AR, Ng MW, Needleman HL, Acs G. Failure rates of restorative procedures following dental rehabilitation under general anesthesia. Pediatr Dent. 2002; 24(1): 69–71.


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