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Journal of Autism and Developmental Disorders

, Volume 49, Issue 2, pp 453–459 | Cite as

Oral Health Behaviours of Preschool Children with Autism Spectrum Disorders and Their Barriers to Dental Care

  • Rennan Yanlin DuEmail author
  • Cynthia K. Y. Yiu
  • Nigel M. King
Original Paper

Abstract

This study compared oral health behaviours and barriers to dental care among preschool children with and without ASD, and evaluated dental knowledge and attitudes of their parents. 257 preschoolers with ASD and an age- and gender-matched control sample were recruited. Children with ASD had less frequently performed tooth-brushing and used toothpaste, but more often required parental assistance in tooth-brushing (p < .05). Barriers to dental care were more frequently reported among children with ASD (p < .001). Parents of children with ASD had higher scores in dental knowledge and attitudes than those without ASD. Differences in oral health behaviours and barriers to dental care existed between preschool children with and without ASD. Parents of children with ASD had better dental knowledge and attitudes.

Keywords

Autism spectrum disorders Preschool children Oral health behaviours Oral health knowledge Oral health attitudes Barriers to dental care 

Notes

Acknowledgments

I would like to express my gratitude to Ms Cindy Yeung who organized the entire survey, Ms Samantha Li who provided abundant support in data analysis, all the parents and children who participated in this study and all the teachers, assistants who provided their and effort.

Author Contributions

RYD principal and investigator of this research project, manuscript writting and editting. CKYY participated in the research project supervision, manuscript editting. NMK contributed to research project supervision.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This study was approved by the Institutional Review Board of the University of Hong Kong/Hospital Authority Hong Kong West Cluster (HKU/HA HKW IRB) [IRB Reference Number: UW 11-184].

Informed Consent

Informed consent was obtained from all the individual participants (parents of children with and without ASD) included in the study.

References

  1. Altun, C., Guven, G., Akgun, O. M., Akkurt, M. D., Basak, F., & Akbulut, E. (2010). Oral health status of disabled individuals attending special schools. European Jouranl of Dentistry, 4, 361–366.Google Scholar
  2. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: American Psyhiatric Association Press.CrossRefGoogle Scholar
  3. Barry, S., O’Sullivan, E. A., & Toumba, K. J. (2014). Barriers to dental care for children with autism spectrum disorder. European Archives of Paediatric Dentistry (Chicago, III.), 15, 127–134.CrossRefGoogle Scholar
  4. Brickhouse, T. H., Farrington, F. H., Best, A. M., & Ellsworth, C. W. (2009). Barriers to dental care for children in Virginia with autism spectrum disorders. Journal of Dentistry for Children, 76, 188–193.PubMedGoogle Scholar
  5. Chhabra, N., & Chhabra, A. (2012). Parental knowledge, attitudes and cultural beliefs regarding oral health and dental care of preschool children in an Indian population: a quantitative study. European Archives of Paediatric Dentistry, 13, 76–82.CrossRefPubMedGoogle Scholar
  6. DeMattei, R., Cuvo, A., & Maurizio, S. (2007). Oral assessment of children with an autism spectrum disorder. Journal of Dental Hygiene, 81, 65.PubMedGoogle Scholar
  7. Du, R. Y., McGrath, C. P., Yiu, C. K., & King, N. M. (2014). Oral health behaviors of preschool children with cerebral palsy: a case-control community-based study. Special Care in Dentistry, 34, 298–302.CrossRefPubMedGoogle Scholar
  8. Du, R. Y., Yiu, C. K., King, N. M., Wong, V. C., & McGrath, C. P. (2015). Oral health among preschool children with autism spectrum disorders: A case-control study. Autism, 19, 746–751.CrossRefPubMedGoogle Scholar
  9. El Khatib, A. A., El Tekeya, M. M., El Tantawi, M. A., & Omar, T. (2014). Oral health status and behaviours of children with Autism Spectrum Disorder: a case-control study. International Journal of Paediatric Dentistry, 24, 314–323.CrossRefPubMedGoogle Scholar
  10. Fahlvik-Planefeldt, C., & Herrstrom, P. (2001). Dental care of autistic children within the non-specialized Public Dental Service. Swedish Dental Journal, 25, 113–118.PubMedGoogle Scholar
  11. Fakroon, S., Arheiam, A., & Omar, S. (2015). Dental caries experience and periodontal treatment needs of children with autistic spectrum disorder. European Archives of Paediatric Dentistry, 16, 205–209.CrossRefPubMedGoogle Scholar
  12. Glaser-Ammann, P., Lussi, A., Burgin, W., & Leisebach, T. (2014). Dental knowledge and attitude toward school dental-health programs among parents of kindergarten children in Winterthur. Swiss Dental Journal, 124, 770–783.PubMedGoogle Scholar
  13. Jaber, M. A. (2011). Dental caries experience, oral health status and treatment needs of dental patients with autism. Journal of Applied Oral Science, 19, 212–217.CrossRefPubMedPubMedCentralGoogle Scholar
  14. Klein, U., & Nowak, A. J. (1999). Characteristics of patients with autistic disorder (AD) presenting for dental treatment: a survey and chart review. Special Care in Dentistry, 19, 200–207.CrossRefPubMedGoogle Scholar
  15. Kopel, H. M. (1977). The autistic child in dental practice. ASDC Journal of Dentistry for Children, 44, 302–309.PubMedGoogle Scholar
  16. Lai, B., Milano, M., Roberts, M. W., & Hooper, S. R. (2012). Unmet dental needs and barriers to dental care among children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42, 1294–1303.CrossRefPubMedGoogle Scholar
  17. Lin, H. C., Wong, M. C., Wang, Z. J., & Lo, E. C. (2001). Oral health knowledge, attitudes, and practices of Chinese adults. Journal of Dental Research, 80, 1466–1470.CrossRefPubMedGoogle Scholar
  18. Loo, C. Y., Graham, R. M., & Hughes, C. V. (2008). The caries experience and behavior of dental patients with autism spectrum disorder. Journal of American Dental Association, 139, 1518–1524.CrossRefGoogle Scholar
  19. Lowe, O., & Lindemann, R. (1985). Assessment of the autistic patient’s dental needs and ability to undergo dental examination. ASDC Dentistry for Children, 52, 29–35.Google Scholar
  20. Luppanapornlarp, S., Leelataweewud, P., Putongkam, P., & Ketanont, S. (2010). Periodontal status and orthodontic treatment need of autistic children. World Journal of Orthodontics, 11, 256–261.PubMedGoogle Scholar
  21. Marshall, J., Sheller, B., & Mancl, L. (2010). Caries-risk assessment and caries status of children with autism. Pediatric Dentistry, 32, 69–75.PubMedGoogle Scholar
  22. Mohinderpal Chadha, G., Kakodkar, P., Chaugule, V., & Nimbalkar, V. (2012). Dental survey of institutionalized children with autistic disorder. International Journal of Clinical Pediatric Dentistry, 5, 29–32.CrossRefPubMedPubMedCentralGoogle Scholar
  23. Namal, N., Vehit, H. E., & Koksal, S. (2007). Do autistic children have higher levels of caries? A cross-sectional study in Turkish children. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 25, 97–102.CrossRefPubMedGoogle Scholar
  24. Nelson, L. P., Getzin, A., Graham, D., Zhou, J., Wagle, E. M., McQuiston, J., et al. (2011). Unmet dental needs and barriers to care for children with significant special health care needs. Pediatric Dentistry, 33, 29–36.PubMedGoogle Scholar
  25. Orellana, L. M., Silvestre, F. J., Martinez-Sanchis, S., Martinez-Mihi, V., & Bautista, D. (2012). Oral manifestations in a group of adults with autism spectrum disorder. Medicina Oral, Patologia Oral y Cirugia Bucal, 17, e415–e419.CrossRefPubMedGoogle Scholar
  26. Pilebro, C., & Backman, B. (2005). Teaching oral hygiene to children with autism. International Journal of Paediatric Dentistry, 15, 1–9.CrossRefPubMedGoogle Scholar
  27. Yashoda, R., & Puranik, M. P. (2014). Oral health status and parental perception of child oral health related quality-of-life of children with autism in Bangalore, India. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 32, 135–139.CrossRefPubMedGoogle Scholar
  28. Schwarz, E., & Lo, E. C. (1994). Dental health knowledge and attitudes among the middle-aged and the elderly in Hong Kong. Community Dentistry and Oral Epidemiology, 22, 358–363.CrossRefPubMedGoogle Scholar
  29. Shapira, J., Mann, J., Tamari, I., Mester, R., Knobler, H., Yoeli, Y., & Newbrun, E. (1989). Oral health status and dental needs of an autistic population of children and young adults. Speial Care in Dentistry, 9, 38–41.CrossRefGoogle Scholar
  30. Slayton, R. L. (2010). Autism spectrum disorder (ASD) may lead to lower prevalence and severity of dental caries than in children without ASD. The Journal of Evidence-Based Dental Practice, 10, 105–106.CrossRefPubMedGoogle Scholar
  31. Staberg, M., Noren, J. G., Johnson, M., Kopp, S., & Robertson, A. (2014). Parental attitudes and experiences of dental care in children and adolescents with ADHD—A questionnaire study. Swedish Dental Journal, 38, 93–100.PubMedGoogle Scholar
  32. Subramaniam, P., & Gupta, M. (2011). Oral health status of autistic children in India. Journal of Clinical Pediatric Dentistry, 36, 43–47.CrossRefPubMedGoogle Scholar
  33. Swallow, J. N. (1969). The dental management of autistic children. British Dental Journal, 126, 128–131.PubMedGoogle Scholar
  34. Vajawat, M., & Deepika, P. C. (2012). Comparative evaluation of oral hygiene practices and oral health status in autistic and normal individuals. Journal of International Society of Preventive and Community Dentistry, 2, 58–63.CrossRefPubMedGoogle Scholar
  35. van Steensel, F. J., Bögels, S. M., & Perrin, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis. Clinical Child and Family Psychology Review, 14, 302–317.CrossRefPubMedPubMedCentralGoogle Scholar
  36. Vellappally, S., Gardens, S. J., Al Kheraif, A. A., Krishna, M., Babu, S., Hashem, M., et al. (2014). The prevalence of malocclusion and its association with dental caries among 12-18-year-old disabled adolescents. BMC Oral Health, 14, 123.CrossRefPubMedPubMedCentralGoogle Scholar
  37. Wong, V. C., & Hui, S. L. (2008). Epidemiological study of autism spectrum disorder in China. Journal of Child Neurology, 23, 67–72.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Paediatric Dentistry and Orthodontics, Faculty of DentistryThe University of Hong KongHong KongChina
  2. 2.School of Dentistry, Faculty of Medicine, Dentistry and Health SciencesUniversity of Western AustraliaPerthAustralia

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