Three- to 21-year-old patients with autism spectrum disorders: parents' perceptions of severity of symptoms, oral health, and oral health-related behavior.

PURPOSE: The purpose was to explore the relationship between the level of functioning (listening/talking/reading/daily self-care/care at home/social skills) of three to 21-year-old patients with autism spectrum disorders (ASDs) and their oral health and oral health-related behavior (brushing, flossing, dental visits). METHODS: Survey data were collected from 85 parents of ASD patients. Patients' level of functioning was determined with a short version of the Survey Interview Form of the Vineland Adaptive Behavior Scales (2nd edition). RESULTS: The patients ranged from very low to high levels of functioning. Oral health correlated with the ability to: listen (r=.53; P<.001); talk (r=.40; P<.001); read (r=.30; P<.01); engage in daily self-care (r=.36; P<.001); engage in care at home (r=.44; P<.001); and demonstrate social skills (r=.36; P<.001). The parents' comfort levels concerning brushing and flossing their children's teeth and taking their children to the dentist varied considerably and correlated with children's level of functioning. Frequency of tooth-brushing correlated with listening skills (r=31; P<.01); the frequency of flossing correlated with the ability to talk (r=.31; P<.01). CONCLUSIONS: Understanding the relationships between level of functioning of children with ASDs and their oral health and oral health-related behavior could increase dentists' ability to provide the best possible care for these patients.

Treating patients with autism spectrum disorder--SCDA members' attitudes and behavior.

The goal of this study was to explore (a) the attitudes and behavior of members of the Special Care Dentistry Association (SCDA) who self-identified as treating patients with Autism Spectrum Disorders (ASD) and (b) the relationship between their professional attitudes and behaviors concerning these patients. Data were collected from 75 SCDA members who responded to an anonymous web-based survey on the SCDA website. The majority of respondents liked to treat children and adults with ASD (57%/56.9%). They treated approximately nine patients with ASD in an average week. The more they liked to treat children with ASD, the more patients with ASD they treated (r = .313; p = .018), and the more accommodations to overcome problems with communication, social interactions and aversion to change they made (r = .404; p < .001). Providers' attitudes concerning patients with ASD were quite positive and correlated with professional behavior concerning these patients. Future research should explore whether improving attitudes towards providing care for special needs patients could increase professional behavior and thus contribute to reducing the access to care problems these patients face.

Dental education and dentists' attitudes and behavior concerning patients with autism.

The number of patients diagnosed with autism spectrum disorders (ASD) in the United States has increased significantly. The objectives of this study were to explore general and pediatric dentists' professional attitudes and behavior towards patients with ASD; these dentists' perceptions of their dental education about these issues; and the relationships among their educational experiences, attitudes, and behaviors concerning patients with ASD. Survey data were collected from 162 general dentists in Michigan and 212 pediatric dentists across the United States. The results showed that 89 percent of pediatric dentists and 32 percent of general dentists treat patients with ASD. The respondents disagreed with statements indicating that their predoctoral dental education had prepared them well to treat patients with ASD. However, the better they felt prepared, the more likely they were to provide care for these patients. The frequency with which pediatric dentists said they use appropriate behavior management strategies when treating patients with ASD correlated with the quality of their educational experiences. In conclusion, given the growing number of patients with ASD, it is important to revisit dental education efforts targeted towards preparing future dental care providers for the treatment of patients with ASD and special needs.