Skip to main content

Advertisement

Log in

Barriers to dental care for children with autism spectrum disorder

  • Original Scientific Article
  • Published:
European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Aims

This study examined the problems encountered by children with autism spectrum disorder (ASD), when accessing dental care.

Study design

This was a cross-sectional, case-control questionnaire study.

Methods

A piloted questionnaire was developed to identify the main barriers to dental care experienced by patients with ASD in Hull and East Riding. The study group was comprised of parents/carers of children with ASD, and the control group was comprised of parents/carers of age matched healthy, neurotypical children.

Statistics

Results were analysed using Chi-square and Fisher’s exact tests where appropriate. Significance was deemed at p < 0.05. Ordinal data was presented using medians and 25th and 75th centiles and compared using Mann–Whitney U test.

Methods

A piloted questionnaire was developed to identify the main barriers to dental care experienced by patients with ASD in Hull and East Riding. The study group was comprised of parents/carers of children with ASD, and the control group was comprised of parents/carers of age matched healthy, neurotypical children.

Results

112 subjects completed the questionnaire. There was no significant difference in accessing dental care between study and control groups (p = 0.051), although access was perceived as more difficult in the ASD group (p < 0.001). There was a significantly greater perceived difficulty in travelling to the dental surgery in the ASD group. Predicted negative behaviours were more frequent in the ASD group. All suggested interventions were predicted to be helpful in a significantly greater proportion of the ASD group.

Conclusion

Difficulties exist for children with ASD in accessing dental care in the Hull and East Riding area.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Al Agili DE, Roseman J, Pass MA, Thornton JB, Chavers LS. Access to dental care in Alabama for children with special needs: parents’ perspectives. JADA. 2004;135(4):490–5.

    PubMed  Google Scholar 

  • American Academy of Paediatric Dentistry Council on Clinical Affairs. Guideline on management of dental patients with a special health care needs. Pediatr Dent. 2012;30(Suppl 7):107–11.

    Google Scholar 

  • Brickhouse TH, Farrington FH, Best AM, Ellsworth CW. Barriers to dental care for children in Virginia with autism spectrum disorders. ASDC J Dent Child. 2009;76(3):188–93.

    Google Scholar 

  • Casamassimo PS, Seale NS, Ruehs K. General dentists’ perceptions of educational and treatment issues affecting access to care for children with special health care needs. J Dent Educ. 2004;68(1):23–8.

    PubMed  Google Scholar 

  • Chiri G, Warfield ME. Unmet needs and problems accessing core health care services for children with autism spectrum disorder. Matern Child Health J. 2012;16(5):1081–91.

    Article  PubMed  Google Scholar 

  • Grandin T. Calming effects of deep pressure in patients with autistic disorder, college students, and animals. J Child Adolesc Psychopharmacol. 1992;2:63072.

    Article  Google Scholar 

  • Grove N, Walker M. The Makaton vocabulary: using manual signs and graphic symbols to develop interpersonal communication. Augment Altern Comm. 1990;6:15–28.

    Article  Google Scholar 

  • Klin A. Autism and Asperger syndrome: a review. Rev Bras Biol. 2006;28(1):3–11.

    Google Scholar 

  • Lai B, Milano M, Roberts MW, Hooper SR. Unmet dental needs and barriers to dental care among children with autism spectrum disorders. J Autism Dev Disord. 2012;42(7):1294–303.

    Article  PubMed  Google Scholar 

  • Lecavalier L. Behavioral and emotional problems in young people with pervasive developmental disorders: relative prevalence, effects of subject characteristics, and empirical classification. J Autism Dev Disord. 2006;36(8):1101–14.

    Article  PubMed  Google Scholar 

  • Leekam SR, Nieto C, Libby SJ, Wing L, Gould J. Describing the sensory abnormalities of children and adults with autism. J Autism Dev Disord. 2007;37(5):894–910.

    Article  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  • McIver FT. Access to care: a clinical perspective. In: Mouradian W, editor. Proceedings: promoting oral health of children with neuro-developmental disabilities and other special health care needs: a meeting to develop training and research Agendas, Centre on Human Development and Disability. University of Washington, Seattle, Washington 2001; May 4–5, p. 167–171. Available at http://www.healthychild.ucla.edu/nohpc/National%20Oral%20Health%20Policy%20Center/Publications/Promoting%20Oral%20Health.pdf. Accessed 21 August 2011.

  • Nader R, Oberlander TF, Chambers CT, Craig KD. Expression of pain in children with autism. Clin J Pain. 2004;20(2):88–97.

    Article  PubMed  Google Scholar 

  • Nelson LP, Getzin A, Graham D, et al. Unmet dental needs and barriers to care for children with significant special health care needs. Pediatr Dent. 2011;33(1):29–36.

    PubMed  Google Scholar 

  • Rapin I. Autistic children: diagnosis and clinical features. Pediatrics. 1991;87:751–61.

    PubMed  Google Scholar 

  • Rogers SJ, Hepburn S, Wehner E. Parent reports of sensory symptoms in toddlers with autism and those with other developmental disorders. J Autism Dev Disord. 2003;3(6):631–42.

    Article  Google Scholar 

  • Siegal MD. Dentists’ willingness to treat disabled patients. Spec Care Dentist. 1985;5:102–8.

    Article  PubMed  Google Scholar 

  • Stein LI, Polido JC, Cermak SA. Oral care and sensory over-responsivity in children with autism spectrum disorders. Pediatr Dent. 2013;35(3):230–5.

    PubMed  Google Scholar 

  • Tomchek SD, Dunn W. Sensory processing in children with and without autism: a comparative study using the short sensory profile. AJOT. 2007;61(2):190–200.

    PubMed  Google Scholar 

  • Weil TN, Inglehart MR. Three- to 21-year-old patients with autism spectrum disorders: parents’ perceptions of severity of symptoms, oral health, and oral health-related behaviour. Pediatr Dent. 2012;34(7):473–9.

    PubMed  Google Scholar 

  • Zissermann L. The effects of deep pressure on self-stimulating behaviours in a child with autism and other disabilities. AJOT. 1992;46:547–51.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Barry.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Barry, S., O’Sullivan, E.A. & Toumba, K.J. Barriers to dental care for children with autism spectrum disorder. Eur Arch Paediatr Dent 15, 127–134 (2014). https://doi.org/10.1007/s40368-013-0075-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40368-013-0075-y

Keywords

Navigation