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Original Research

Open Access

Oral Health Status of Autistic Children in India

  • Subramaniam P1,*,
  • Gupta M1

1The Oxford Dental College, Hospital and Research Centre

DOI: 10.17796/jcpd.36.1.l6287842uj536x13 Vol.36,Issue 1,January 2012 pp.43-48

Published: 01 January 2012

*Corresponding Author(s): Subramaniam P E-mail: drpriyapedo@yahoo.com

Abstract

Autism is one of the most severe childhood neuropsychiatric disorders. Autistic individuals are characterized by impairment in social interaction with a restricted range of interests and often, stereotyped repetitive behaviors. Studies on oral health conditions in children with autism are sparse. The complicated disability itself makes clinical research difficult. Aim: The need for baseline information regarding the oral health status of children with autism is essential. Method: The present study assessed the oral health status of 106 autistic children aged 4 to 15 years in Bangalore city, India. The dental caries was recorded according to the WHO criteria; oral hygiene was assessed using the Oral Hygiene Index-Simplified (OHI-S) and its modification for deciduous dentition. The behavior of children towards dental treatment was also assessed using the Frankel's behavior rating scale. Data obtained was subjected to statistical analysis. Results showed that caries experience among autistic children was lower; however they were found to have more debris and calculus deposits. Conclusions: Negative behavior towards dental treatment was seen in autistic children.

Keywords

Autism, dental caries, oral hygiene, behavior, India

Cite and Share

Subramaniam P,Gupta M. Oral Health Status of Autistic Children in India. Journal of Clinical Pediatric Dentistry. 2012. 36(1);43-48.

References

1. Crall JJ. Improving oral health for individuals with Special Health Care Needs. Pediatr Dent, 29(2): 98–104, 2007.

2. Karande S. Autism: A review for family physicians. Indian J Med Sci; 60: 205–15, 2006.

3. Danielle Green, Dennis Flanagan. Understanding the autistic dental patient. Gen Dent, 56(2): 167–71, 2008.

4. Kopel HM. The autistic child in dental practice. J Dent Child, 44: 302–309, 1977.

5. Gillberg C, Wing L. Autism: not an extremely rare disorder. Acta Psychiat, 99: 399–406, 1999.

6. Wing L. The definition and prevalence of autism: a review. European Child and Adolescent Psychiatry, 2: 64–69, 1993.

7. Centre for Disease control and Prevention (CDC). Mental health in the United States: Parental report of diagnosed autism in children aged 4- 17 years – United States, 2003-2004, MMWR Morb Mortal Wkly Rep, 55(17): 481–86, 2006.

8. Chairman T. The prevalence of autism spectrum disorder. Recent evidence and future challenges. Eur Child and Adoles Psych, 11: 249–256, 2002.

9. Friedlander AH, Yagiela JA, Paterno VI, Mahler ME. The pathophysiology, medical management and dental implications of autism. J Calif Dent Assoc, 31: 681–2, 2003.

10. Bettelheim B. The Empty Fortress. New York: Macmillan Company, 1968.

11. Pilbero C, Backman B. Teaching oral hygiene to children with autism. Int J Pediatr Dent, 15: 1–9, 2005.

12. Friedlander AH, Yagiela JA, Paterno VI, Mahler ME. The neuropathology, medical management and dental implications of autism. J Am Dent Assoc, 137: 1517–1527, 2006.

13. De Moor R, Martens L. Dental care in autism. Rev Belge Med Dent, 52: 44–55, 1997.

14. 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, 17(3): 132–139, 2005.

15 Loo CY, Graham RM, Hughes CV. The caries experience and behavior of dental patients with autism spectrum disorder. J Am Dent Assoc, 139: 1518–1524, 2008.

16. Frankl SN, Shiere FR, Fozels HR. Should the parent remain with the child in the dental operatory? J Dent Child, 29: 150–163, 1962.

17. N Kumar, C Shekhar, P Kumar, AS Kundu. Kuppuswamy’s Socio-economic status scale—Updating for 2007. Indian J Pediatr, 74(12): 1131–32, 2007.

18. Ellis RG. The classification and treatment of injuries to the teeth of children. 5th edn. Chicago: Year Book Medical Publishers, 1970: 56- 199.

19. WHO: Oral health Survey—Basic methods. Geneva: 4th edition, 1997.

20. Darby ML, Walsh MM. Dental Hygiene Theory and Practice. 1st edn. Philadelphia: WB Saunders, 368, 1995.

21. Miglani DC, Beal JF, PMC Beans, S Awath Behari. The assessment of dental cleanliness status of the primary dentition using a modification of the simplified oral hygiene index. (OHIS - M). J Indian Dent Assoc, 3, 385–388, 1973.

22. Bigeard L. The role of medication and sugars in pediatric dental patients. Dent Clin North Am, 44(3): 443–45, 2000.

23. Liu J, Nyholt DR, Magnussen P, et al. A genome wide screen for autism susceptibility loci. Am J Hum Genet, 69(2): 327–40, 2001.

24. Lotter V. Epidemiology of autistic conditions in young children II Some characteristics of the parents and children. Soc Psychiat, 1: 163–173, 1967.

25. Treffert DA. Epidemiology of infantile autism. Arch Gen Psych, 22: 431–38, 1970.

26. Klein U, Nowak AJ. Autistic disorder: A review for the pediatric dentist. Pediatr Dent, 20: 312–7, 1998.

27. Lowe O, Lindemann R. Assessment of the autistic patient’s dental needs and ability to undergo dental examination. ASDC J Dent Child, 52(1): 29–35, 1985.

28. Howlin P. Behavioral techniques to reduce self-injurious behavior in children with autism. Acta Paedopsychiat, 56: 75–84, 1993.

29. Johnson CD, Matt MK, Dennison D, Brown RS, Koh S. A case report: preventing factitious gingival injury in an autistic patient. J Am Dent Assoc, 127(2): 244–247, 1996.

30. Namal N, Vehit HE, Koksal S. Do autistic children have higher levels of caries? A cross- sectional study in Turkish children. J Indian Soc Pedo Prev Dent, 25(2): 97–102, 2007.

31. Schreck KA, Williams K, Smith AF. A comparison of eating behaviors between children with and without autism. J Autism Dev Disorder, 34(4): 433–8, 2004.

32. Morinushi T, Ueda Y, Tanaka C. Autistic children experience and severity of dental caries between 1980 and 1985 in Kagoshima City, Japan. J Clin Pediatr Dent, 25: 323–8, 2001.

33. Andlaw R. Diet and dental caries—a review. J Human Nutri, 31: 45–52, 1977.

34. Shapira J, Mann J, Tamari I, Mester R, Knobler H, Yoeli Y, et al. Oral health status and dental needs of an autistic population of children and young adults. Spec Care Dentist, 9: 38–41, 1989.

35. Kamen S, Skier J. Dental management of the autistic child. Spec Care Dentist, 5: 20–23, 1985.

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