Oral health challenges facing Dubai children with Autism Spectrum Disorder at home and in accessing oral health care

Oral health challenges facing Dubai children with Autism Spectrum Disorder at home and in accessing oral health care
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DOI:
10.23804/ejpd.2018.19.02.06
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发表时间:
2018-01-01
影响因子:
3.6
通讯作者:
Kowash, M.
Kowash, M.
中科院分区:
医学3区
文献类型:
--
作者:
Mansoor, D.;Al Halabi, M.;Kowash, M.

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目的 从三个不同的牙科护理角度(家庭口腔护理、牙医口腔护理和获得口腔护理)调查杜海自闭症谱系障碍 (ASD) 儿童及其家人面临的挑战,并将结果与​​正常发育的同龄人进行比较。 方法 对迪拜特殊需要中心和学校的 84 名自闭症谱系障碍儿童和 53 名健康儿童(包括自闭症儿童的兄弟姐妹)进行病例对照比较研究。数据收集是通过父母或监护人填写的调查问卷进行的。结果与健康儿童的父母相比,更多自闭症谱系障碍儿童的父母报告了几乎所有探索的口腔护理变量的困难。大多数 ASD 儿童的父母 (83.3%) 表示,他们的孩子在刷牙时需要帮助,而健康对照组的这一比例为 15.4%(p 值 < 0.001)。 ASD 儿童在看牙医期间的不合作行为有所增加,并且显着更多的家长(37 度)将孩子的经历评为负面,而对照组儿童的家长中这一比例为 9.5%(p 值 = 0.006)。自闭症儿童去看牙医主要是为了拔牙。 结论 这项研究表明,都海的自闭症儿童比正常发育的健康同龄人在口腔护理方面遇到更多的挑战和障碍。
Aims To investigate the challenges laced by Autism Spectrum Disorder (ASD) children and their families in Duhai from three different perspectives of dental care: oral care at home, oral care at the dentist and access to oral care, and to compare the results to their normally developing peers.Methods A case-control comparative study of 84 ASD and 53 healthy children attending special needs centres and schools in Dubai including siblings of the autistic children. Data collection was by a survey questionnaire completed by parents or guardians.Results More parents of ASD children compared to parents of healthy children reported difficulties across almost all oral care variables explored. The majority of ASD children's parents (83.3%) reported that their children need assistance in brushing their teeth compared with 15.4% of the healthy controls (p-value < 0.001). The ASD children's uncooperative behaviour increased during dental visits and significantly more parents (37 degrees) rated their child's experience as negative compared with 9.5% among the parents of control children (p-value=0.006). The autistic children had visited a dentist mostly for extractions.Conclusion This study indicates that autistic children in Duhai experience more challenges and harriers to oral care than their typically developing healthy peers.