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Dental Trauma in Children with Autistic Disorder: A Retrospective Study

BACKGROUND: The oral health care of autistic children is elaborated; they often fail to define dental problems, and a family-centered approach can be useful to improve and intercept these disorders. AIM: To assess the oral status of autistic children, comparing it with no autistic patients. MATERIAL...

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Autores principales: Marra, Paola Martina, Parascandolo, Stefano, Fiorillo, Luca, Cicciù, Marco, Cervino, Gabriele, D'Amico, Cesare, De Stefano, Rosa, Salerno, Paola, Esposito, Umberto, Itro, Annalisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8445712/
https://www.ncbi.nlm.nih.gov/pubmed/34540992
http://dx.doi.org/10.1155/2021/3125251
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author Marra, Paola Martina
Parascandolo, Stefano
Fiorillo, Luca
Cicciù, Marco
Cervino, Gabriele
D'Amico, Cesare
De Stefano, Rosa
Salerno, Paola
Esposito, Umberto
Itro, Annalisa
author_facet Marra, Paola Martina
Parascandolo, Stefano
Fiorillo, Luca
Cicciù, Marco
Cervino, Gabriele
D'Amico, Cesare
De Stefano, Rosa
Salerno, Paola
Esposito, Umberto
Itro, Annalisa
author_sort Marra, Paola Martina
collection PubMed
description BACKGROUND: The oral health care of autistic children is elaborated; they often fail to define dental problems, and a family-centered approach can be useful to improve and intercept these disorders. AIM: To assess the oral status of autistic children, comparing it with no autistic patients. MATERIALS AND METHODS: A retrospective study analyzed the oral health status of 70 children, 35 with autism and 35 without the disorder. Conditions assessed were dental trauma type, periodontal tissue injuries, soft tissue lip injuries, different treatments carried out, associated soft tissue findings and disorders, and the long-term management. All patients (≤15 years of age) were chosen consecutively. RESULTS: Females (57%) suffered more traumatic injuries than males (43%) in the autistic group, whereas males affected by dental trauma (54%) are predominant in the control group. The enamel fracture was the main finding among the dental trauma types in both groups followed by enamel/dentin/pulp fracture (31%), root fracture (11%), and avulsions (3%) in the autistic group and by avulsions (20%), root fracture (11%), and enamel/dentin/pulp fracture (6%) in the control group. The comparison of all variables of the two groups showed a statistically significant difference (P < 0.012). The lower lip was statistically more injured than the upper lip (P < 0.005). CONCLUSIONS: The composite restorative technique was the most common approach carried out; the long-term evaluation, when possible, was predominantly managed through root canal therapy in the control group (81%), and root canal therapy (50%) and tooth extraction (50%) in the sample group.
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spelling pubmed-84457122021-09-17 Dental Trauma in Children with Autistic Disorder: A Retrospective Study Marra, Paola Martina Parascandolo, Stefano Fiorillo, Luca Cicciù, Marco Cervino, Gabriele D'Amico, Cesare De Stefano, Rosa Salerno, Paola Esposito, Umberto Itro, Annalisa Biomed Res Int Research Article BACKGROUND: The oral health care of autistic children is elaborated; they often fail to define dental problems, and a family-centered approach can be useful to improve and intercept these disorders. AIM: To assess the oral status of autistic children, comparing it with no autistic patients. MATERIALS AND METHODS: A retrospective study analyzed the oral health status of 70 children, 35 with autism and 35 without the disorder. Conditions assessed were dental trauma type, periodontal tissue injuries, soft tissue lip injuries, different treatments carried out, associated soft tissue findings and disorders, and the long-term management. All patients (≤15 years of age) were chosen consecutively. RESULTS: Females (57%) suffered more traumatic injuries than males (43%) in the autistic group, whereas males affected by dental trauma (54%) are predominant in the control group. The enamel fracture was the main finding among the dental trauma types in both groups followed by enamel/dentin/pulp fracture (31%), root fracture (11%), and avulsions (3%) in the autistic group and by avulsions (20%), root fracture (11%), and enamel/dentin/pulp fracture (6%) in the control group. The comparison of all variables of the two groups showed a statistically significant difference (P < 0.012). The lower lip was statistically more injured than the upper lip (P < 0.005). CONCLUSIONS: The composite restorative technique was the most common approach carried out; the long-term evaluation, when possible, was predominantly managed through root canal therapy in the control group (81%), and root canal therapy (50%) and tooth extraction (50%) in the sample group. Hindawi 2021-09-08 /pmc/articles/PMC8445712/ /pubmed/34540992 http://dx.doi.org/10.1155/2021/3125251 Text en Copyright © 2021 Paola Martina Marra et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Marra, Paola Martina
Parascandolo, Stefano
Fiorillo, Luca
Cicciù, Marco
Cervino, Gabriele
D'Amico, Cesare
De Stefano, Rosa
Salerno, Paola
Esposito, Umberto
Itro, Annalisa
Dental Trauma in Children with Autistic Disorder: A Retrospective Study
title Dental Trauma in Children with Autistic Disorder: A Retrospective Study
title_full Dental Trauma in Children with Autistic Disorder: A Retrospective Study
title_fullStr Dental Trauma in Children with Autistic Disorder: A Retrospective Study
title_full_unstemmed Dental Trauma in Children with Autistic Disorder: A Retrospective Study
title_short Dental Trauma in Children with Autistic Disorder: A Retrospective Study
title_sort dental trauma in children with autistic disorder: a retrospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8445712/
https://www.ncbi.nlm.nih.gov/pubmed/34540992
http://dx.doi.org/10.1155/2021/3125251
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