ICT to Support Dental Care of Children with Autism: An Exploratory Study

  • Mariasole Bondioli
  • Maria Claudia Buzzi
  • Marina Buzzi
  • Susanna Pelagatti
  • Caterina SenetteEmail author
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 10907)


The dental health of children with autism presents many challenges, since they usually perceive sensory experiences differently and have problems accepting unknown social contexts. In a dental care setting, there are many strong sound-visual stimulations that are not experienced in any other setting. This usually upsets a patient with autism, often forcing dentists to administer chemical sedation in order to carry out dental work. Recently, many technology-enhanced systems and apps have been proposed to help people with autism adapt and cope with distressing situations. However, few studies have attempted to exploit ICT to simplify dental care in people with autism. This study explores the potential of personalized digital tools to help children with autism become familiar with dental care procedures and environments and to learn how to perform proper oral hygiene at home. To this aim, we carried out a 3-month exploratory study involving a multidisciplinary team of researchers, developers, dentists, psychologist, parents and ten children with autism observed under natural conditions during their first dental care cycle. The results appear to confirm the potential of technology for reducing anxiety in professional settings, increasing children’s wellbeing and safety. The main contribution of this paper is the detailed account of this exploratory study and the discussion of the results obtained. Moreover, we outline the user requirements of an accessible and customizable multimodal platform to help dentists and families facilitate ADS children’s dental care according to the methodology described here.


Autism Dental care ICT tools 



We thank Prof. Maria Rita Giuca and Dr. Francesca Pardossi for their scientific contribution to the project. We also thank all the children with autism and their caregivers who took part of this study.


  1. 1.
    Aresti-Bartolome, N., Garcia-Zapirain, B.: Technologies as support tools for persons with autistic spectrum disorder: a systematic review. Int. J. Environ. Res. Public Health 11(8), 7767–7802 (2014)CrossRefGoogle Scholar
  2. 2.
    Artoni, S., Pelagatti, S., Buzzi, M.C., Buzzi, M., Senette, C.: Technology-enhanced discriminative programs for children with autism. In: Proceedings of the 8th International Conference on Pervasive Computing Technologies for Healthcare, pp. 331–334 (2014)Google Scholar
  3. 3.
    Ayres, K.M., Maguire, A., McClimon, D.: Acquisition and generalization of chained tasks taught with computer based video instruction to children with autism. Educ. Train. Dev. Disabil. 44, 493–508 (2009)Google Scholar
  4. 4.
    Barry, S.M.: Improving access and reducing barriers to dental care for children with autism spectrum disorder. University of Leeds (2012)Google Scholar
  5. 5.
    Bertness, J., Holt, K.: Oral Health Services for Children and Adolescents with Special Health Care Needs: A Resource Guide, 2nd edn. National Maternal and Child Oral Health Resource Center, Washington, DC (2011)Google Scholar
  6. 6.
    Cagetti, M.G.: Un progetto di prevenzione e terapia odontoiatrica su pazienti autistici in età evolutiva. Prev. odontostomatologica 1, 5–11 (2008)Google Scholar
  7. 7.
    Casas, X., Herrera, G., Coma, I., Fernández, M.: A Kinect-based augmented reality system for individuals with autism spectrum disorders. In: GRAPP/IVAPP, pp. 440–446 (2012)Google Scholar
  8. 8.
    Charlop, M.H., Milstein, J.P.: Teaching autistic children conversational speech using video modeling. J. Appl. Behav. Anal. 22(3), 275–285 (1989)CrossRefGoogle Scholar
  9. 9.
    Conyers, C., Miltenberger, R.G., Peterson, B., Gubin, A., Jurgens, M., Selders, A., Barenz, R.: An evaluation of in vivo desensitization and video modeling to increase compliance with dental procedures in persons with mental retardation. J. Appl. Behav. Anal. 37(2), 233–238 (2004)CrossRefGoogle Scholar
  10. 10.
    Da Silva, M.L., Gonçalves, D., Guerreiro, T., Silva, H.: A web-based application to address individual interests of children with autism spectrum disorders. Procedia Comput. Sci. 14, 20–27 (2012)CrossRefGoogle Scholar
  11. 11.
    D’Ateno, P., Mangiapanello, K., Taylor, B.A.: Using video modeling to teach complex play sequences to a preschooler with autism. J. Posit. Behav. Interv. 5(1), 5–11 (2003)CrossRefGoogle Scholar
  12. 12.
    Davila, J.M.: Restraint and sedation of the dental patient with developmental disabilities. Spec. Care Dentist. 10(6), 210–212 (1990)CrossRefGoogle Scholar
  13. 13.
    De Leo, G., Leroy, G.: Smartphones to facilitate communication and improve social skills of children with severe autism spectrum disorder: special education teachers as proxies. In: Proceedings of the 7th International Conference on Interaction Design and Children, pp. 45–48). ACM, June 2008Google Scholar
  14. 14.
    Delli, K., Reichart, P.A., Bornstein, M., Livas, C.: Management of children with autism spectrum disorder in the dental setting: concerns, behavioural approaches and recommendations. Med. Oral Patol. Oral Cir. Bucal 18(6), e862–e868 (2013)CrossRefGoogle Scholar
  15. 15.
    Isong, I.A., Rao, S.R., Holifield, C., Iannuzzi, D., Hanson, E., Ware, J., Nelson, L.P.: Addressing dental fear in children with autism spectrum disorders: a randomized controlled pilot study using electronic screen media. Clin. Pediatr. 53(3), 230–237 (2014)CrossRefGoogle Scholar
  16. 16.
    Jaber, M.A.: Dental caries experience, oral health status and treatment needs of dental patients with autism. J. Appl. Oral Sci. 19(3), 212–217 (2011)CrossRefGoogle Scholar
  17. 17.
    Kientz, J.A., Hayes, G.R., Westeyn, T.L., Starner, T., Abowd, G.D.: Pervasive computing and autism: assisting caregivers of children with special needs. IEEE Pervasive Comput. 6(1), 28–35 (2007)CrossRefGoogle Scholar
  18. 18.
    Konstantinidis, E.I., Luneski, A., Frantzidis, C.A., Nikolaidou, M., Hitoglou-Antoniadou, M., Bamidis, P.D.: Information and communication technologies (ICT) for enhanced education of children with autism spectrum disorders. J. Inf. Technol. Healthc. 7(5), 284–292 (2009)Google Scholar
  19. 19.
    Lovaas, O.I.: Behavioral treatment and normal educational and intellectual functioning in young autistic children. J. Consult. Clin. Psychol. 55(1), 3 (1987)CrossRefGoogle Scholar
  20. 20.
    Moore, D., Cheng, Y., McGrath, P., Powell, N.J.: Collaborative virtual environment technology for people with autism. Focus Autism Other Dev. Disabil. 20(4), 231–243 (2005)CrossRefGoogle Scholar
  21. 21.
    Oberman, L.M., Ramachandran, V.S., Pineda, J.A.: Modulation of mu suppression in children with autism spectrum disorders in response to familiar or unfamiliar stimuli: the mirror neuron hypothesis. Neuropsychologia 46(5), 1558–1565 (2008)CrossRefGoogle Scholar
  22. 22.
    Passerino, L.M., Santarosa, L.M.C.: Autism and digital learning environments: processes of interaction and mediation. Comput. Educ. 51(1), 385–402 (2008)CrossRefGoogle Scholar
  23. 23.
    Pilebro, C., Bäckman, B.: Teaching oral hygiene to children with autism. Int. J. Pediatr. Dent. 15(1), 1–9 (2005)CrossRefGoogle Scholar
  24. 24.
    Rao, S.M., Gagie, B.: Learning through seeing and doing: visual supports for children with autism. Teach. Except. Child. 38(6), 26–33 (2006)CrossRefGoogle Scholar
  25. 25.
    Reed, F.D.D., Hyman, S.R., Hirst, J.M.: Applications of technology to teach social skills to children with autism. Res. Autism Spectr. Disord. 5(3), 1003–1010 (2011)CrossRefGoogle Scholar
  26. 26.
    Sanders, E.B.N., Stappers, P.J.: Co-creation and the new landscapes of design. Co-Des. 4(1), 5–18 (2008)Google Scholar
  27. 27.
    Shapira, J., Mann, J., Tamari, I., Mester, R., Knobler, H., Yoeli, Y., Newbrun, E.: Oral health status and dental needs of an autistic population of children and young adults. Spec. Care Dent. 9(2), 38–41 (1989)CrossRefGoogle Scholar
  28. 28.
    Shneiderman, B.: Universal usability. Commun. ACM 43(5), 84–91 (2000). Scholar
  29. 29.
    Stiefel, D.J.: Dental care considerations for disabled adults. Spec. Care Dent. 22(3 Suppl.), 26S (2002). Official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryGoogle Scholar
  30. 30.
    Tereshko, L., MacDonald, R., Ahearn, W.H.: Strategies for teaching children with autism to imitate response chains using video modeling. Res. Autism Spectr. Disord. 4(3), 479–489 (2010)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Mariasole Bondioli
    • 1
  • Maria Claudia Buzzi
    • 2
  • Marina Buzzi
    • 2
  • Susanna Pelagatti
    • 1
  • Caterina Senette
    • 2
    Email author
  1. 1.University of PisaPisaItaly
  2. 2.IIT-CNRPisaItaly

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