Impact of dental treatment on the oral health-related quality of life of children and adolescents with Autism Spectrum Disorder.

AIM: To evaluate the impact of dental treatment on the oral health-related quality of life (OHRQoL) of children and adolescents with Autism Spectrum Disorder (ASD), through the perception of caregivers. METHODS AND RESULTS: A prospective longitudinal study was conducted on 115 individuals with ASD, 6-14 years of age, recruited from the referral centers for special needs individuals at Teresina, Brazil. A clinical examination was carried out and the OHRQoL was measured using the Brazilian version of the Parental-Caregiver Perceptions Questionnaire (P-CPQ) before and 3 months after dental treatment. Data were analyzed using Kolmogorov-Smirnov, Levene, Mann-Whitney, Kruskall-Wallis, and Wilcoxon tests, and the Poison regression with backward method (P < .05). Treatment needs of children with ASD consisted of dental restorations (81.7%), oral prophylaxis (66.1%), endodontic treatment (10.4%), and tooth extractions (10.4%). The baseline P-CPQ total score varied from 1 to 33 (mean score = 13.2 [±6.4]), and at 3 months after treatment it ranged from 0 to 10 (mean score 3.4 [±2.2] (P < .001). The effect magnitude varied between 0.55 and 0.56. CONCLUSION: According to the perception of the caregivers, dental treatment had a positive impact on the OHRQoL of children and adolescents with ASD.

Retrospective study of dental trauma in children with autism spectrum disorders: a paired study.

The objective was to evaluate the history of traumatic dental injury (TDI) among children with and without autism spectrum disorders (ASD) at the Centro Integrado de Educação Especial (CIES), in Teresina, Brazil. The dental records of 228 children, 114 with ASD (SG = study group) and 114 without ASD (CG = control group), paired by age, gender and socioeconomic characteristics between January 2007 and September 2014 were reviewed. Data were analyzed using chi-square test and multivariate logistic regression (alpha = 5.0%). Dental trauma in SG was lower than in the CG (24.6% and 41.2%, respectively, p = 0.007). The risk of trauma was lower among males in SG (OR: 0.35; 95%CI: 0.18 to 0.67). The likelihood of TDI in SG was 3.17 higher in females than that of males (p = 0.040). The prevalence of TDI was lower in ASD individuals compared to controls. Dental trauma was higher among ASD girls than ASD boys.

Comportamento alimentar de crianças e adolescentes autistas atendidas em um centro integrado de educação especial / Eating behavior of autistic children and teens answered in a special education center integrated

Objetivo: relatar a experiência vivenciada diante da observação do comportamento alimentar do autista em um Centro Integrado de Educação Especial da cidade de Teresina, Piauí. O Transtorno de Espectro Autista é uma disfunção caracterizada por falhas no desenvolvimento social e intelectual, afetando o comportamento e repercutindo no convívio social e linguagem. Metodologia: trata-se de um relato de experiência vivenciada por profissionais de saúde diante da observação de tal comportamento durante o lanche no período de janeiro a outubro de 2014. Resultados: no cotidiano de trabalho, na hora do lanche, observam-se as mais variadas reações como recusa ou preferência por certa cor, cheiro, consistência e textura. Resistência a sentar à mesa para comer com outras pessoas, entrar no refeitório e aceitar preparações novas. Conclusão: o Autismo é uma síndrome que compromete todo o desenvolvimento da criança e adolescente, e por esse motivo necessita de uma atenção especial do poder público, profissionais da saúde, familiares e demais pessoas envolvidas.

Objective: report on the lived experience of observing the feeding behavior of autistic in an Integrated Centre for Special Education of the city of Teresina, Piauí. Autistic Spectrum Disorder is a disorder characterized by failures in the social and intellectual development, affecting the behavior and impacting the social interaction and language. Methodology: this is a report of an experience lived by health professionals on the observation of such behavior during the lunch period from January to October 2014. Results: in daily work, at lunchtime, we observe the most varied reactions as denial or preference for a certain color, smell, consistency and texture. Resistance to sit at the table to eat with other people, enter the cafeteria and accept new preparations. Conclusion: autism is a syndrome that affects the whole development of the child and adolescent, and therefore needs special attention from the government, health professionals, relatives and other people involved.

Promoção de saúde bucal e extensão universitária: novas perspectivas para pacientes com necessidades especiais / Oral Health Promotion and Extension Project: new perspectives for patients with Special Needs

Este relato de experiência faz uma reflexão acerca da importância da extensão universitária para consolidação das mudanças nos conceitos de atenção à saúde dos pacientes com necessidades especiais. O projeto de extensão "Promoção de Saúde Bucal para Pacientes Especiais- PROSBE" ocorre no Centro Integrado de Educação Especial (CIES ­ Teresina/Piauí), promovendo capacitação para professores e responsáveis sobre a importância da promoção de saúde bucal, através de práticas de uma equipe multidisciplinar. Ações educativas podem desenvolver competência e estímulo aos responsáveis pelos pacientes e propiciar aos estudantes segurança e familiaridade no atendimento aos pacientes especiais. O PROSBE favorece o convívio entre os profissionais e o binômio aluno/professor universitário, propiciando pesquisas e uma relação social de impacto entre a Universidade e a sociedade. Além disso, este trabalho enaltece a indissociabilidade ensinopesquisa-extensão que reafirma a extensão como processo acadêmico de formação e de geração de conhecimentos (AU).

This experience report is on the undergraduate extension projects and their importance for the consolidation of the concept changes in oral health care of patients with special needs. The extension project PROSBE (Project of Oral Health Promotion for Special Needs Patients) takes place at the Integrated Center for Special Education (CIES) and educates caregivers on the importance of the oral health promotion, through the practice of a multidisciplinary team. Educational actions can develop competences and stimulate those responsible for the patients and undergraduate students to create confidence and familiarity in the treatment of special needs patients. Projects of this nature favor the work between professionals and the double student/professor, propitiating researches and a social relationship of impact between the University and society. Furthermore, this study emphasizes the importance of the triad teaching-research-extension, based on which the Brazilian university system is currently working. University extension is an academic process of professional formation and generation of knowledge (AU).