Evidence map›Paper›PMID 34081310›Full record

ArticleEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2021

Toothbrushing in children with autism spectrum disorders: qualitative analysis of parental difficulties and solutions in France.

M Teste, A Broutin, M Marty, M C Valéra, F Soares Cunha, E Noirrit-Esclassan

Abstract read
PubMed Publisher
In one paragraph

Article in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Factors influencing oral health behaviours, access and delivery of dental care for autistic children and adolescents: A mixed-methods systematic review.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
  2. Clinical effectiveness of picture exchange communication system (PECS) on 5- to 7-year-old children's oral health.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Trial
  3. Navigating toothbrushing challenges for caregivers of children with autism spectrum disorder: a qualitative study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
  4. Article
  5. Article
  6. Oral Health Barriers for African American Caregivers of Autistic Children.International journal of environmental research and public health · 2022
    Article
  7. Dental Care Access Among Children and Adolescents With Autism Spectrum Disorder: A Cross Sectional Survey in Juiz de Fora, Brazil.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 3 countries.

M TestePediatric Dentistry Department, Dental University, Université de Toulouse III, Toulouse, France.
A BroutinPediatric Dentistry Department, Dental University, Université de Toulouse III, Toulouse, France.
M MartyPediatric Dentistry Department, Dental University, Université de Toulouse III, Toulouse, France.
M C ValéraChildren's Hospital Toulouse, Dental University, Université de Toulouse III, I2MC, Inserm U1048, CHU de Toulouse, Toulouse, France.
F Soares CunhaSchool of Physical Education, The Lifestyles and Health Research Group (GPES), University of Pernambuco, Recife, PE, Brazil.
E Noirrit-EsclassanChildren's Hospital Toulouse, Dental University, Université de Toulouse III, I2MC, Inserm U1048, CHU de Toulouse, Toulouse, France. emmanuelle.esclassan@univ-tlse3.fr.ORCID https://orcid.org/0000-0002-7039-6405
Université Toulouse III - Paul Sabatier · FRUniversidade Federal de Pernambuco · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe oral care of a child with autism spectrum disorders (ASD) is a challenge, not only for dentists, but also for parents. The objective of this study was to evaluate the difficulties encountered by parents in maintaining oral hygiene in autistic children and the solutions they found to facilitate this daily act.

methodsA questionnaire with closed and open questions about characteristics of the child and oral health at home, conducted via Google Form, was sent to French families through 301 associations of parents with autistic children. For the quantitative analysis, logistic regression was used. The open answers were analysed by theme.

resultsThis study included 756 offspring aged 14.4 (± 8.1) years. Girls were 1.7 (95% CI: 1.1-2.8) times more likely to have toothbrushing difficulty than boys. Nonverbal patients (OR:3.2; 95% CI: 2.2-4.9), autistic patients (OR:2.8; 95% CI: 1.4-5.2), patients using pictograms (OR:1.6; 95% CI: 1.1-2.4), and younger children (OR:0.9; 95% CI: 0.9-0.9) were significantly more likely to encounter difficulties in tolerating toothbrushing. The qualitative analysis showed that parents used three main ways to facilitate toothbrushing: planning, modelling and making it enjoyable. Seventy-nine percent of parents did not feel sufficiently informed about the different oral hygiene prevention tools and techniques for their ASD children and would like to be educated in the daily management of oral hygiene.

conclusionThe role of parents remains essential and professionals should work in collaboration with them.

Indexed as

Autism Spectrum DisorderToothbrushingFemaleHumansMaleOral HealthOral HygieneParentsAutism spectrum disordersParental perceptionQualitative analysisToothbrushing

Identifiers

PMID34081310
OpenAlexW3165716925

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.