Research summaries for autism therapy: dentist

definition of dentist: Health care specialist trained in taking care of the mouth and the teeth.
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The Caries Experience and Behavior of Dental Patients with Autism Spectrum Disorder, Summarized Dec 26, 2008

Children with autism may have fewer teeth problems than other children.

This study was designed to see if the dental health of children with autism differed from the dental health of other children. The authors searched through the dental records of the Franciscan Hospital for Children in Boston. The records had four times as many boys with autism as girls with autism. Children with autism received care at the hospital up until the age of 21. Children with autism had fewer cavities and less severe cavities than children who did not have autism. Read more...

Parental Attitudes Regarding Behavior Guidance of Dental Patients with Autism, Summarized Dec 16, 2008

Trips to the dentist may be made much easier for children with autism if dental staff use positive verbal reinforcement and talk to the child about what will be done before it is done.

The dentist office is often not a good fit for a child with autism. This article looked at parent views on behavior guidance techniques for children with autism who receive dental care. The study found that parents are often able to predict how their children will behave with the dentist. Parents of children with autism often prefer when the dentist: 1) tells the child when he is good, 2) approaches the child with tell-show-do, 3) distracts the child, 4) uses rewards, and 5) allows the parent to hold the child's hand. Most parents do not like staff restraint. Read more...

Office Based Dental Rehabilitation in Children with Special Healthcare Needs Using a Pediatric Sedation Service Model, Summarized Apr 16, 2007

Office-based sedation seems safe for children with autism who need dental work.

The pediatric sedation service model allows children to be sedated for dental surgery and dental work wherever dentists practice. The authors of this study looked at the best way to sedate children with special needs who needed dental surgery; 38% of the children in their study had autism. They found that the pediatric sedation service model was as safe as general anesthesia in an operating room. They found that one of the best ways to make sure that children are safe is to be sure that children are screened for sleep apnea syndrome (poor breathing while asleep). They also note that sedation is safest when done with a doctor present.
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The Neuropathology, Medical Management, and Dental Implications of Autism, Summarized Nov 23, 2006

Parents should communicate to dentists any drugs that have been prescribed to the child as the drugs may have orofacial side effects and/or may interact with any drugs prescribed by the dentist.

For example, risperidone and olanzapine may cause problems with speech, swallowing, and the use of retainers. Fluoxetine and sertraline may cause diarrhea, nausea, and possibly changes in the speed at which blood clots. In addition, fluoxetine and sertraline may interact with other drugs prescribed by the dentist including codeine, erythromycin, and clarithromycin. Carbamazepine and valproate may also have a negative effect on the ability of blood to clot. Clonidine may magnify the effects of any pain killers used during a dental procedure or in recovery from a procedure.
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Synonyms for dentist include: dental, dental care, dental specialist
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