Comorbidities in Children with Autism Spectrum Disorder Undergoing Oral Rehabilitation Under General Anesthesia.

IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-05-15

Nathan Blair, Jennifer Feingold, Fang Qian, Karin Weber-Gasparoni

{"title":"Comorbidities in Children with Autism Spectrum Disorder Undergoing Oral Rehabilitation Under General Anesthesia.","authors":"Nathan Blair, Jennifer Feingold, Fang Qian, Karin Weber-Gasparoni","doi":"","DOIUrl":null,"url":null,"abstract":"Purpose:To investigate the oral health needs and comorbidities among patients with autism spectrum disorder (ASD) undergoing oral rehabilitation under general anesthesia (GA) at a university hospital. Methods: Records of patients with ASD who underwent oral rehabilitation under GA between January 2016 and May 2019 were reviewed to identify comorbid conditions and oral health needs. Statistical analysis consisted of descriptive and bivariate analyses (alpha = 0.05). Results:A total of 160 patients from three to 18 years of age fulfilled the inclusion criteria. Seventy-eight percent were male and 69 percent had public insurance. Be- havioral issues, such as anxiety, aggression and nonverbal status, were observed more frequently than reported in the ASD literature. Dental caries, poor oral hygiene and gingivitis were the most common dental conditions observed. Radiographs, sealants, stainless steel crowns and extractions were the most common treatments rendered. Bivariate analysis revealed that subjects who had eight to 15 comorbidities were likely to be older. Conclusions: Patients with ASD have many dental needs and may have comorbid medical conditions that directly affect the safe delivery of GA and dental treatments. As patients with ASD age, the number of comorbidities increases.","PeriodicalId":51605,"journal":{"name":"JOURNAL OF DENTISTRY FOR CHILDREN","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JOURNAL OF DENTISTRY FOR CHILDREN","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose:To investigate the oral health needs and comorbidities among patients with autism spectrum disorder (ASD) undergoing oral rehabilitation under general anesthesia (GA) at a university hospital.
Methods: Records of patients with ASD who underwent oral rehabilitation under GA between January 2016 and May 2019 were reviewed to identify comorbid conditions and oral health needs. Statistical analysis consisted of descriptive and bivariate analyses (alpha = 0.05).
Results:A total of 160 patients from three to 18 years of age fulfilled the inclusion criteria. Seventy-eight percent were male and 69 percent had public insurance. Be- havioral issues, such as anxiety, aggression and nonverbal status, were observed more frequently than reported in the ASD literature. Dental caries, poor oral hygiene and gingivitis were the most common dental conditions observed. Radiographs, sealants, stainless steel crowns and extractions were the most common treatments rendered. Bivariate analysis revealed that subjects who had eight to 15 comorbidities were likely to be older.
Conclusions: Patients with ASD have many dental needs and may have comorbid medical conditions that directly affect the safe delivery of GA and dental treatments. As patients with ASD age, the number of comorbidities increases.

本刊更多论文

全麻下接受口腔康复治疗的自闭症谱系障碍儿童的合并症

目的:了解某大学附属医院全麻口腔康复患者的口腔健康需求及合并症。方法:回顾2016年1月至2019年5月期间接受GA口腔康复治疗的ASD患者的记录，以确定合并症和口腔健康需求。统计分析包括描述性分析和双变量分析(α = 0.05)。结果:共有160例3 ~ 18岁的患者符合纳入标准。其中78%是男性，69%有公共保险。自闭症患者的行为问题，如焦虑、攻击性和非语言状态，比ASD文献中报道的更为频繁。龋齿、口腔卫生不良和牙龈炎是最常见的牙齿疾病。x光片、密封剂、不锈钢冠和拔牙是最常见的治疗方法。双变量分析显示，有8 - 15种合并症的受试者可能年龄较大。结论:ASD患者有许多牙科需求，可能有合并症，直接影响GA的安全交付和牙科治疗。随着ASD患者年龄的增长，合并症的数量也在增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

JOURNAL OF DENTISTRY FOR CHILDREN DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.