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Original Research

Open Access

Dental problems in children with autism: a 5-year study

  • Paola Martina Marra1,*,
  • Luca Fiorillo2,3,4,5,*,
  • Gabriele Cervino2
  • Cesare D’Amico2
  • Salvatore Crimi6
  • Aida Meto5
  • Giuseppe Minervini7,8,*,
  • Marco Cicciù6

1Complex Operative Unit of Stomatological surgery in Developmental age, University of Campania Luigi Vanvitelli, 80138 Naples, Italy

2Department of Biomedical and Dental Sciences and Morphofunctional Imaging, School of Dentistry, Messina University, 98100 Messina, Italy

3Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania “Luigi Vanvitelli”, 80121 Naples, Italy

4Department of Prosthodontics, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, 411018 Pune, India

5Department of Dentistry, University of Aldent, 1000 Tirana, Albania

6Department of Biomedical and Surgical and Biomedical Sciences, Catania University, 95123 Catania, Italy

7Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, 600077 Chennai, India

8Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80121 Naples, Italy

DOI: 10.22514/jocpd.2024.004 Vol.48,Issue 1,January 2024 pp.26-31

Submitted: 19 January 2023 Accepted: 06 May 2023

Published: 03 January 2024

*Corresponding Author(s): Paola Martina Marra E-mail:
*Corresponding Author(s): Luca Fiorillo E-mail:
*Corresponding Author(s): Giuseppe Minervini E-mail:


Caries experience of children and complex clinical circumstances are an actual challenge for any healthcare professional. To investigate the early childhood caries (ECC) in autistic and non autistic children (≤4 years of age) evaluating the amount of dental damage and the treatments carried out in both groups. Data regarding the oral health status of 40 patients (≤4 years of age) were assembled. The sample group was constituted of 20 autistic children (12 males with a mean age of 2.5 years and 8 females with a mean age of 3.2 years) whereas 20 patients without the autistic spectrum represented the control group (11 males with a mean age of 3 and 9 females with a mean age of 3.3 years). There were no significant differences between the two groups as regards both the extent of dental damage and the treatments carried out. About the frequency, in the autistic group, the most frequent caries were the white spots and enamel proximal lesions (2.2%), followed by only white spots (1.2%) and brown-black cavities and root stumps (0.6%). In the control group, the brown-black cavities and root stumps represented the most frequent findings (2.2%), followed by white spots and enamel proximal lesions (1.4%) and white spots (0.4%). Regarding the treatments, the most repeated management of dental damage among autistic patients was composite restorations (2.2%) while in nonautistic patients were tooth extractions (2%).


Autistim spectrum disorder; Dental care; Pediatric dentistry; Early childhood caries

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Paola Martina Marra,Luca Fiorillo,Gabriele Cervino,Cesare D’Amico,Salvatore Crimi,Aida Meto,Giuseppe Minervini,Marco Cicciù. Dental problems in children with autism: a 5-year study. Journal of Clinical Pediatric Dentistry. 2024. 48(1);26-31.


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