References

Kanner L. Autistic disturbances of affective contact. Nervous Child. 1943; 2:217-250
Brugha T, McManus S, Meltzer H Autism Spectrum Disorders in adults living in households throughout England. Report from the Adult Psychiatric Morbidity Survey. 2007; 1-71
Ventola P, Kleinman J, Pandey J Differentiating between autism spectrum disorders and other developmental disabilities in children who failed a screening instrument for ASD. J Autism Develop Disords. 2007; 3:425-436
Stein LI, Polido JC, Najera SOZ Oral care experiences and challenges in children with autism spectrum disorders. Paed Dent. 2012; 34:(5)387-391
: ©The National Autistic Society; 2013
Lowe O, Lindermann R. Assessment of the autistic patient's dental needs and ability to undergo dental examination. ASDC J Dent Children. 1985; 52:29-35
Luppanapornlap S, Pattarawadee L, Putongkam P Periodontal status and orthodontic treatment need of autistic children. Wld J Orthod. 2010; 11:256-261
Planefeldt F, Herrstrom P. Dental care of autistic children within the non-specialised public dental service. Swed Dent J. 2001; 25:113-118
Van Norman G.New York: Cambridge University Press; 2011
London: The Stationery Office;
London: The Stationery Office; 1969
Nelson D, Skinner D, Guarda S. Obtaining consent from both parents for paediatric research: what does “reasonably available” mean?. Paediatrics. 2013; 131:(1)e223-229
London: Stationery Office;
Becker A, Shapira J, Chaushu S. Orthodontic treatment for disabled children – a survey of patient and appliance management. J Orthod. 2001; 28:39-44
Richmond S, Roberts CT, Andrews M. Use of the index of orthodontic treatment need (IOTN) in assessing the need for orthodontic treatment pre-post-appliance therapy. Br J Orthod. 1994; 21:175-184
Hunt O, Hepper P, Johnston C The aesthetic component of the Index of Orthodontic Treatment Need validated against lay opinion. Eur J Orthod. 2002; 44:53-59
Becker A, Shapira J, Chaushu S. Orthodontic treatment for disabled children: motivation, expectation and satisfaction. Eur J Orthod. 2000; 22:151-158
Roberts–Harry D, Sandy J. Orthodontics. Part 1: Who needs orthodontics?. Br Dent J. 2003; 195:433-437
Todd J, Dood T.London: Office of Population Census and Surveys; 1985
Shaw WC, Meek SC, Jones DS. Nicknames, teasing harassment and the salience of dental features among school children. Br J Orthod. 1980; 7:75-80
Wong FS, Fearne JM, Brook AH. Planning future general anaesthetic services in paediatric dentistry on the basis of evidence: an analysis of children treated in the Day Stay Centre at the Royal Hospitals NHS Trust, London, between 1985–1995. Int Dent J. 1997; 47:285-292
Dominick KC, Davis NO, Lainhart J Atypical behaviours in children with autism and children with a history of language impairment. Res Develop Disabil. 2007; 28:145-162
Charlop M. The effects of echolalia on acquisition and generalisation of receptive labelling in autistic children. J Appl Behav Anal. 1983; 16:(1)111-126
Morisaki I, Ochiai T, Akiyami S Behaviour guidance in dentistry for patients with autistic spectrum disorder using a structured visual guide. J Disabil Oral Hlth. 2008; 3:136-140
Byler JK. The Makaton Vocabulary: an analysis based on recent research. Br J Spec Educ. 1985; 12:(3)109-116
Makaton symbols and signs used with permission from the Makaton Charity 2013. http://www.makaton.org
Gross–Isseroff R, Hermesh R, Weizman A. Obsessive compulsive behaviour in autism – towards an autistic obsessive compulsive syndrome. Wld J Biol Psych. 2001; 4:193-197
Mazurek M, Wenstrup C. Television, video game and social media use among children with ASD and typically developing siblings. J Aut Develop Disord. 2012;
Florella M, Sarale C, Ram R. Audiovisual iatrosedation with video eyeglasses distraction method in paediatric dentistry: case history. J Int Dent Med Res. 2010; 3:133-136
Prabhakar AR, Marwah N, Raju OS. A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients. J Ind Soc Paedodont Prevent Dent. 2007; 25:177-182
El Sharkawi HF, El Housseiny AA, Aly AM. Effectiveness of new distraction technique on pain associated with injection of local anaesthesia for children. Paed Dent. 2012; 34:(2)35-38
Head Mounted Display (HMD) Market Global Forecast & Analysis (2012–2017) By Products (Helmet Mounted Display, Head Mounted Display/Computing), Components (Microdisplay, Tracker, Computing, Battery, Accessories), Applications (Military, Consumer and Non-Consumer) & Geography. 2012. http://www.marketsandmarkets.com/Market-Reports/head-mounted-display-hmd-market-729.html
London: The Stationery Office; 1974

The relevance of autism in orthodontic management

From Volume 7, Issue 2, April 2014 | Pages 48-53

Authors

Abdullah Casaus

Academic Clinical Fellow in Paediatric Dentistry, Department of Paediatric Dentistry, King's College Hospital (a.casaus@nhs.net)

Articles by Abdullah Casaus

Jaspal Panesar

MSc(UCL), BDS(L'Pool), FDS RCS(Eng), MOrth RCS(Eng), FDS(Orth) RCS(Eng)

Consultant Orthodontist, Good Hope Hospital, Heart of England Foundation Trust, Rectory Road, Sutton Coldfield, West Midlands, B75 7RR, UK

Articles by Jaspal Panesar

Abstract

Autism is a developmental disorder that can prove to be a barrier in providing orthodontic care due to a difficulty in developing language and communication. The purpose of legislation imposed in regards to mental capacity is to ensure that an individual has the right to autonomy. However, we must carefully balance an autistic patient and guardian's wishes with indications for orthodontic treatment. This article recognizes the difficulties in managing autistic patients and discusses methods to facilitate effective management.

Clinical Relevance: Autistic patients may find difficulty in accessing orthodontic care owing to their inability to socialize and communicate. This article offers novel behaviour management techniques that may aid in tackling this barrier.

Article

Autism is a common developmental disorder that can prove to be a barrier to dental treatment due to challenging behaviour management. Autism originates from the Greek word ‘autos’ meaning self and was first described in 1943 by Dr Leo Kanner. He studied children that appeared to have an inborn developmental disorder that affected emotional and social understanding.1

In 2009, the National Centre for Social Research estimated that 1 in 100 children suffer from some form of autism under the umbrella term of Autism Spectrum Disorder (ASD). In 2001, there were over 13 million children; we can therefore estimate that there are approximately 133,500 children affected by ASD in England.2

Clinically, the presentation can vary dramatically from child to child. Currently, ASD includes Asperger's syndrome, pervasive developmental disorders not otherwise specified and classic autism. The differentiating features are displayed in Figure 1.3

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