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Effect of deep pressure inpatients with wisdom tooth surgery

Background/purpose: Deep pressure input is used to normalize physiological arousal due to stress. Wisdom tooth surgery is an invasive dental procedure with high stress levels, and an alleviation strategy is rarely applied during ext

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Effect of deep pressure input on parasympathetic system in patients with wisdom tooth surgery

Background/purpose: Deep pressure input is used to normalize physiological arousal due to stress. Wisdom tooth surgery is an invasive dental procedure with high stress levels, and an alleviation strategy is rarely applied during extraction. In this study, we investigated the effects of deep pressure input on autonomic responses to wisdom tooth extraction in healthy adults.

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Physiological Effects of Deep Touch Pressure on Anxiety Alleviation: The Weighted Blanket Approach

Abstract: The application of deep touch pressure (DTP) has been suggested to provide positive effects on anxiety modulation. However, empirical and theoretical evidence linked to the clinical effects of DTP are relatively rare. This study conducts a quantitative analysis of behavioral assessments and performs physiological measurements, including those of electrodermal activity and heart rate variability, to understand the modulation of the autonomic nervous system (ANS), and the orchestration of sympathetic (SNS) and parasympathetic nervous systems (PsNS). The results suggest that the activation of PsNS plays a critical role in ANS modulation. This study provides physiological evidence to support the positive clinical effects of DTP for reducing anxiety in dental environments.

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A Case Report on Dental Management of a Toddler with Autism

Abstract: Children with special health care needs receive less oral care than the normal population, inspite of the high level of dental diseases among them. They are at an increased risk for oral diseases throughout their lifetime. This paper reports a case of a toddler with congenital unusual thick convolutions of the cortex resulting in a condition called pachygyria. Intra oral examination showed multiple abscesses with poor oral hygiene. As the patient was lacking cooperative ability, treatment of full mouth rehabilitation as needed. The parents were advised for regular dental check-ups and informed about maintenance of good oral hygiene. This case report demonstrates the importance of oral hygiene maintenance of special children and also about their short and long term dental treatment protocol for maintaining good oral health.

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Prevalence of Self Injuries and Dental Trauma in a Sample of Autistic Patients in Caracas – Venezuela

Abstract: The object of this research was to establish the prevalence of self-injuries and dental trauma in a group of autistic patients. An observational cross-sectional study was made with 94 pediatric patients diagnosed with autism of ages ranging between 4 and 14 years. The patients were evaluated and the presence of self-injuries was established; the legal guardians were also asked if the children showed any self-injurious behavior. It was determined that 20.2% (19 patients) showed self-injuries and, while 13.8% of the children evaluated had a history of trauma, the remaining 82.3% did not show any previous history of trauma. No significant statistical difference was observed between their diet and the presence of self-injurious behaviors.

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Education and dentistry: advanced synergy in the dental treatment of children with autism; a pilot clinical trial

Background. From the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), autism is considered a pervasive developmental disorder. It manifests as a behavioral syndrome characterised by impairment in social interaction and communication, restricted interests and activities, as well as repetitive and stereotyped patterns. Such profile renders prevention measures and dental care seriously compromised so that usually autistic children are treated and cared following general anesthesia.

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Research Article: Rodger et al 2016 Autism Research

Development of the Anxiety Scale for Children with Autism Spectrum Disorder (ASC-ASD) Jacqui Rodgers, Sarah Wigham, Helen McConachie, Mark Freeston, Emma Honey, and Jeremy R. Parr

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Research article: International Journal of Oral and Craniofacial Science

Abstract Aim: The aim of the study was to evaluate and compare the effect of conventional glass ionomer cement and Nano-glass ionomer using atraumatic restorative technique (ART) in a group of Egyptian autistic children.

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PICA Disorder with Autism: Intervention In Dental Settings

Background: This review provides information on the dental intervention of pica disorder in autistic people. Before stepping on to the intervention part, it throws light on the meaning, sign and symptoms, etiology of the disorder etc. Pica is an eating disorder typically defined as the persistent eating or mouthing of non-nutritive substances. A dental complication depends on the duration and the type of material eaten leading to abrasion, erosion, staining of teeth, periodontal problems, poor hygiene and halitosis. Generally it has been found in several studies that pica is developed in autistic people with a rapid speed. 30% of children with autism have moderate to severe pica. For an effective dental intervention a dentist must know how to deal pica in a person with autism. Diagnostic criteria and important guidelines for the treatment should be followed by the care giver and dentists

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Case report

Abstract: An orthodontic case report is presented. The patient was a 12 year old autistic male with class II, augmented overjet, vertical growth and anterior open bite. He also exhibited tongue-thrust habit. A surgical treatment was ideal for this case but because of his neurologicalproblem, it was decided to use an alternative orthodontic treatment.

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Case report

Crown-root Fracture Restoration on a Patient with Autism Spectrum Disorder

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Journal of Medical and Biological Engineering, 33(5): 463-470

Physiological Effects of Deep Touch Pressure on Anxiety Alleviation: The Weighted Blanket Approach

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Een publicatie: Patil A, Tamgond S, Sandhyarani B, Shigli A, Patil S, et al. (2016) An Update on Dental Outlook for Autism. Autism Open Access 6:176.

Abstract: Autism or autistic disorder is lifetime neurodevelopment disorder described as major impairment in mutual social interactions, communication ability, and repetitive patterns of interests or behaviors. Since, globally large number of children affected by this devastating disorder, dental professionals should provide oral health care with family-centered approach comprising thorough understanding of parental concern, exceptional medical conditions, and vivid behaviours of each personality patient to improve the treatment planning. This article analyses oral health status, dental needs, complications and treatment of autistic children

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Listening to Parents: A Qualitative Look at the Dental and Oral Care Experiences of Children with Autism Spectrum Disorder

Children with autism spectrum disorder (ASD) experience various barriers to optimal dental and oral care. The purpose of this study was to conduct focus groups of parents of children with autism spectrum disorder and subsequent qualitative analysis of the interviews in order to better understand problems in dental and oral care encountered by children with ASD. 

Charlotte Lewis, MD, MPH1 • Lynn Vigo, MSW2 • Louise Novak, MPH3 • Eileen J. Klein, MD, MPH4
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Predictors of Unmet Dental Need in Children With Autism Spectrum Disorder: Results From a National Sample

Objective: Unmet dental need in children with autism spectrum disorder (ASD) is common. We tested hypotheses that lacking a medical home or having characteristics of more severe ASD is positively associated with having unmet dental need among children with ASD.

Christy M. McKinney, PhD, MPH; Travis Nelson, DDS, MSD, MPH; JoAnna M. Scott, PhD; Lisa J. Heaton, PhD; Matthew G. Vaughn, BA; Charlotte W. Lewis, MD, MPH

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Reducing Specific Phobia/Fear in Young People with Autism Spectrum Disorders (ASDs) through a Virtual Reality Environment

Anxiety is common in children with autism spectrum disorders (ASD), with specific fears and phobias one of the most frequent subtypes. Specific fears and phobias can have a serious impact on young people with ASD and their families. In this study we developed and evaluated a unique treatment combining cognitive behaviour therapy (CBT) with graduated exposure in a virtual reality environment (VRE). Nine verbally fluent boys with an ASD diagnosis and no reported learning disability, aged 7 to 13 years old, were recruited. Each had anxiety around a specific situation (e.g. crowded buses) or stimulus (e.g. pigeons). An individualised scene was recreated in our ‘wrap-around’ VRE. In the VRE participants were coached by a psychologist in cognitive and behavioural techniques (e.g. relaxation and breathing exercises) while the exposure to the phobia/fear stimulus was gradually increased as the child felt ready. Each child received four 20–30 minute sessions. After participating in the study, eight of the nine children were able to tackle their phobia situation. Four of the participants completely overcame their phobia. Treatment effects were maintained at 12 months. These results provide evidence that CBT with VRE can be a highly effective treatment for specific phobia/fear for some young people with ASD.

Morag Maskey1*, Jessica Lowry2, Jacqui Rodgers1, Helen McConachie2, Jeremy R. Parr1*

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A cross-sectional study on oral health and dental care in intellectually able adults with autism spectrum disorder

Background: Autism spectrum disorder (ASD) is characterized by impairments in social interaction and communication, restricted patterns of behaviour, and unusual sensory sensitivities. The hypotheses to be tested were that adult patients with ASD have a higher caries prevalence, have more risk factors for caries development, and utilize dental health care to a lesser extent than people recruited from the normal population.

Cermak SA, Stein Duker LI, Williams ME, Lane CJ, Dawson ME, Borreson AE, Polido JC.

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Dental care protocol based on visual supports for children with autism spectrum disorders

Background: Subjects with Autism Spectrum Disorders (ASDs) have often difficulties to accept dental treatments. The aim of this study is to propose a dental care protocol based on visual supports to facilitate children with ASDs to undergo to oral examination and treatments.

Agetti MG, Mastroberardino S, Campus G, Olivari B, Faggioli R, Lenti C, Strohmenger L.

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Feasibility of a Sensory-Adapted Dental Environment for Children With Autism

Objective: To provide an example of an occupational therapy feasibility study and evaluate the imple- mentation of a randomized controlled pilot and feasibility trial examining the impact of a sensory-adapted dental environment (SADE) to enhance oral care for children with autism spectrum disorder (ASD).

Sharon A. Cermak, Leah I. Stein Duker, Marian E. Williams, Christianne Joy Lane, Michael E. Dawson, Ann E. Borreson, Jose ́ C. Polido

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