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Mulighederne for at gennemföre en odontologisk undersögelse på börn med autismespektrumforstyrrelse kan forbedres ved hjaelp af et odontologisk desensibiliseringsprogram
Engelsk titel: Predicting successful dental examinations for children with autism spectrum disorder in the context of a dental desensitization program Läs online Författare: Nelson, Travis ; Chim, Amelia ; Sheller, Barbara L ; Mckinney, Christy M ; Scott, Joanna M Språk: Dan Antal referenser: 29 Dokumenttyp: Artikel UI-nummer: 18070037

Tidskrift

Tandlaegebladet 2018;122(5)388-96 ISSN 0039-9353 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

BACKGROUND – The authors evaluated the effectiveness of a dental desensitization program for children with autism spectrum disorder (ASD) and determined characteristics associated with a successful dental examination. METHODS – The authors performed a retrospective review of clinical behavioral data and previsit questionnaires for 168 children with ASD who attended a university-based dental desensitization program. Data elements included demographic, treatment, and behavioral characteristics. The primary outcome was receiving a minimal threshold examination (MTE) while seated in a dental chair. RESULTS – An MTE was achieved for 77.4% of all children within 1 to 2 visits and 87.5% in 5 visits or less. Several factors predicted a successful dental examination: ability to be involved in group activities (relative risk [RR], 1.18; P ¼ .02), ability to communicate verbally (RR, 1.17; P < .01), understanding of most language (RR, 1.14;P ¼ .02), moderate versus severe caregiverrated ASD severity (RR, 1.24; P ¼ .04), and ability to dress self (RR,1.27; P ¼ .04). CONCLUSIONS – Desensitization was effective in achieving an MTE for most children. Those with characteristics consistent of a milder presentation of ASD were more likely to be successful.