ArticleChildren (Basel, Switzerland)2024
Oral Hygiene in Children with Autism: Teaching Self-Toothbrushing via Behavioural Intervention Including Parents.
Article in Children (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Oral health and quality of life in preschool children with autism: evidence from Kosovo.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Article
- Challenges and solutions in managing dental problems in children with autism.World journal of clinical pediatrics · 2025Article
- Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesChildren on the autism spectrum experience more oral hygiene issues than peers, and tooth-brushing behavior seems particularly challenging for them since it includes diverse skills and collaboration. In this study, the efficacy is explored of a behavioral intervention mediated by staff and parents in teaching self-brushing teeth in eight autistic children. First, we wanted to examine whether the intervention improved self-brushing teeth skills in a short-term period. Second, we evaluated the long-term outcomes of the intervention. Finally, we analyzed the individual differences which might predict better outcomes.
methodsThe training started during an ABA summer school with a supervised behavioral staff and lasted for eight sessions. The training package included several behavioral procedures such as prompting, fading, task analysis, chaining, differential reinforcement, direct instructions, visual aids, pictograms, and video modeling. According to a pre-and post-test design, we measured the frequency of independent self-brushing behaviors and interviewed the parents about the hygiene routines.
resultsThe results indicate a significant improvement in children's self-brushing teeth behavior and maintenance, where 33.7% of the steps were achieved by children at baseline and 77.5% at post-training, and with four children, 100%. The parent questionnaires reported significant improvement in autonomy of self-brushing and times a day dedicated to oral hygiene. The severity of symptoms, sensory hypersensitivity, and lower IQ levels of the children negatively correlated with the outcome.
conclusionsThese results point to relevant practical suggestions for families and clinical staff to address oral hygiene in the autism population.
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