Evidence map›Paper›PMID 39809652›Full record

ArticleInternational dental journal2025

Structured-Visual Model for Dental Examination in Autism Spectrum Disorder Children: Cooperation and Compliance.

Alfini Octavia, Thanya Sitthisettapong, Matana Kettaratad-Pruksapong, Iwan Dewanto

Abstract read
In one paragraph

Article in International dental journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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

3 citing papers in PubMed.

  1. An interdisciplinary clinical framework for managing children with autism spectrum disorder in paediatric dentistry.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
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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

4 authors.

Alfini OctaviaGraduate program, Faculty of Dentistry, Thammasat University, Pathumtani, Thailand; Faculty of Dentistry, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia.
Thanya SitthisettapongPediatric Dentistry Department, Faculty of Dentistry Thammasat University, Pathumtani, Thailand. Electronic address: thanya.563@gmail.com.
Matana Kettaratad-PruksapongGerodontology Department, Faculty of Dentistry, Thammasat University, Pathumtani, Thailand.
Iwan DewantoFaculty of Dentistry, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChildren diagnosed with autism spectrum disorder (ASD) may experience challenges in social interaction, communication, and sensory processing, which might influence their cooperative behavior during dental visits. To address this issue, visual pedagogy is commonly employed as a behavioral technique to facilitate successful dental examinations and treatments.

objectivesThe objective of this study was to evaluate the efficacy of a structured-visual behavioral approach in promoting compliance and cooperation during dental examinations in children with ASD in the Yogyakarta Special Region Province, Indonesia.

methodsA structured visual study was performed at the Muhammadiyah University Dental Hospital during the 2021-2022 period. The study included 5 intervention visits at 1-week intervals and consisted of the Success Approach, Tell-Show-Feel-Do, Visual Pedagogy, Audiovisual Modeling, In vivo Modelling, Behavioral Trial, and Auto modeling. A total of 37 ASD children who met the inclusion criteria were included in the study. The study employed a quasi-experimental design comprising 1 pre-test and 3 post-tests. The efficacy assessment encompassed 2 key dimensions: firstly, the ability to comply with the stages of the dental examination, and secondly, the degree of cooperation was evaluated using the Frankl Behavior Scale (FBS).

resultsThe findings showed that 64% of the cohort could achieve the highest score in achieving the highest score stage of dental examination in post-test 1. As for cooperation, 75% achieved a score of 4 (FBS) in post-test 1. Changes in the achievement of examination steps and cooperativeness after completing the intervention showed statistically significant changes with the Wilcoxon test (P < .01).

conclusionThe structured-visual behavioral model approach was found to be effective in improving compliance and cooperation during dental examination in children with ASD in Yogyakarta Special Region Province, Indonesia. CLINICAL RELEVANCE: These findings highlight the important point that the use of a structured-visual model in daily practice can be beneficial for children with ASD.

Indexed as

Autism Spectrum DisorderDental Care for ChildrenPatient ComplianceChildChild, PreschoolCooperative BehaviorFemaleHumansIndonesiaMaleAutism spectrum disorderComplianceCooperative behaviorPediatric dentistryStructured-visual model

Identifiers

PMID39809652
PMCPMC12142754

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LicenceCC BY-NC-ND
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Registered trials

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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.