切换至 "中华医学电子期刊资源库"

中华口腔医学研究杂志(电子版) ›› 2021, Vol. 15 ›› Issue (06) : 382 -385. doi: 10.3877/cma.j.issn.1674-1366.2021.06.009

综述

自闭症儿童的口腔疾病特征及治疗进展
方怡冰1, 严青2, 秦文3,()   
  1. 1. 军事口腔医学国家重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学基础医学院,西安 710032
    2. 军事口腔医学国家重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔医学重点实验室,空军军医大学第三附属医院口腔修复科,西安 710032
    3. 军事口腔医学国家重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学第三附属医院口腔正畸科,西安 710032
  • 收稿日期:2021-05-18 出版日期:2021-12-01
  • 通信作者: 秦文

Characteristics and treatment progress of oral diseases in autistic children

Yibing Fang1, Qing Yan2, Wen Qin3,()   

  1. 1. State Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, The Third Brigade of the College of Basic Medicine of the Air Force Military Medical University, Xi′an 710032, China
    2. State Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Department of Prosthodontics of the Third Affiliated Hospital of Air Force Military Medical University, Xi′an 710032, China
    3. State Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, Department of Orthodontics of the Third Affiliated Hospital of Air Force Military Medical University, Xi′an 710032, China
  • Received:2021-05-18 Published:2021-12-01
  • Corresponding author: Wen Qin
  • Supported by:
    National Natural Science Foundation of China(82001079)
引用本文:

方怡冰, 严青, 秦文. 自闭症儿童的口腔疾病特征及治疗进展[J]. 中华口腔医学研究杂志(电子版), 2021, 15(06): 382-385.

Yibing Fang, Qing Yan, Wen Qin. Characteristics and treatment progress of oral diseases in autistic children[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2021, 15(06): 382-385.

自闭症,又称孤独症,是广泛性发育障碍中最常见、最具有代表性的疾病。其主要症状为社会交往障碍、语言交流障碍、兴趣狭窄和行为刻板重复。与正常儿童的口腔问题相比,自闭症儿童的口腔问题更为复杂,两者的发病情况具有很大差异。除此之外,由于一些社会因素及自身疾病特征,自闭症儿童的口腔治疗对于口腔医生来说具有极大的挑战性。在这种情况下,根据自闭症人群口腔疾病的患病特点去研究更加可行有效治疗策略就显得尤为重要。于是,许多新方法应运而生,如多媒体介导的视觉治疗法等。本文将通过综述,介绍自闭症儿童的口腔疾病特征及治疗进展。

Autism, also known as autistic disorder, is the most common and representative disease in the pervasive developmental disorder. It is characterized by impaired social interaction and communication as well as repetitive patterns of behavior and limited interests. Children with autism exhibited more complicated oral diseases and higher prevalence compared to healthy children. In addition, the oral treatment for individuals with autism is extremely challenging for dentists, due to some social factors and the characteristics of the disease. In this situation, it is particularly important to study more feasible and effective treatment strategies according to the characteristics of oral diseases in autistic population. As a result, many new treatment methods, e.g., visual therapy mediated via multimedia, have emerged. This article will review the characteristics and treatment progress of oral diseases in children with autism.

[1]
邹卓,刘芸,黄浩宇,等.儿童孤独症谱系障碍流行现状和家庭干预的研究及策略[J].中国全科医学202023(8):900-907. DOI:10.12114/j.issn.1007-9572.2019.00.717.
[2]
Suhaib F, Saeed A, Gul H,et al. Oral assessment of children with autism spectrum disorder in Rawalpindi,Pakistan[J]. Autism201923(1):81-86. DOI:10.1177/1362361317730299.
[3]
Jaber MA. Dental caries experience,oral health status and treatment needs of dental patients with autism[J]. J Appl Oral Sci201119(3):212-217. DOI:10.1590/s1678-77572011000300006.
[4]
Morales-Chávez MC, Villarroel-Dorrego M, Salas V. Salivary factors related to caries in children with autism[J]. J Clin Pediatr Dent201943(1):22-26. DOI:10.17796/1053-4625-43.1.5.
[5]
Corridore D, Zumbo G, Corvino I,et al. Prevalence of oral disease and treatment types proposed to children affected by autistic spectrum disorder in pediatric dentistry:A systematic review[J]. Clin Ter2020171(3):e275-e282. DOI:10.7417/CT.2020.2226.
[6]
Zhang Y, Lin L, Liu J,et al. Dental caries status in autistic children:A meta-analysis[J]. J Autism Dev Disord202050(4):1249-1257. DOI:10.1007/s10803-019-04256-x.
[7]
Bartoloméa-Villar B, Mourelle-Martínez MR, Diéguez-Pérez ,et al. Incidence of oral health in paediatric patients with disabilities:Sensory disorders and autism spectrum disorder. Systematic review Ⅱ[J]. J Clin Exp Dent20168(3):e344-e351. DOI:10.4317/jced.52923.
[8]
da Silva SN, Gimenez T, Souza RC,et al. Oral health status of children and young adults with autism spectrum disorders:Systematic review and meta-analysis[J]. Int J Paediatr Dent201727(5):388-398. DOI:10.1111/ipd.12274.
[9]
李进红,钟伟英,张帅,等.自闭症儿童口腔健康状况调查[J].浙江预防医学201628(4):424-426. DOI:10.19485/j.cnki.issn1007-0931.2016.04.030
[10]
Ferrazzano GF, Salerno C, Bravaccio C,et al. Autism spectrum disorders and oral health status:Review of the literature[J]. Eur J Paediatr Dent202021(1):9-12. DOI:10.23804/ejpd.2020.21.01.02.
[11]
Herrera-Moncada M, Campos-Lara P, Hernández-Cabanillas JC,et al. Autism and paediatric dentistry:A scoping review[J]. Oral Health Prev Dent201917(3):203-210. DOI:10.3290/j.ohpd.a42665.
[12]
Rada R, Bakhsh HH, Evans C. Orthodontic care for the behavior-challenged special needs patient[J]. Spec Care Dentist201535(3):138-142. DOI:10.1111/scd.12082.
[13]
AlHumaid J, Gaffar B, AlYousef Y,et al. Oral health of children with autism:The influence of parental attitudes and willingness in providing care[J]. Scientific World Journal20202020:8329426. DOI:10.1155/2020/8329426.
[14]
谷海晶,刘丽敏,凌均棨. Tell-Show-Do技术对儿童口腔治疗首次就诊合作程度的影响[J/OL].中华口腔医学研究杂志(电子版)20137(4):312-314. DOI:10.3877/cma.j.issn.1674-1366.2013.04.010.
[15]
Balian A, Cirio S, Salerno C,et al. Is Visual pedagogy effective in improving cooperation towards oral hygiene and dental care in children with autism spectrum disorder?A systematic review and meta-analysis[J]. Int J Environ Res Public Health202118(2):789. DOI:10.3390/ijerph18020789.
[16]
Du RY, Lam PPY, Yiu CKY,et al. Evaluation of visual pedagogy in improving plaque control and gingival inflammation among preschool children with autism spectrum disorder:An interventional study[J]. Int J Paediatr Dent202131(1):89-105. DOI:10.1111/ipd.12688.
[17]
Tounsi A. Children with autism spectrum disorders can be successfully examined using dental desensitization[J]. J Evid Based Dent Pract201717(4):414-415. DOI:10.1016/j.jebdp.2017.10.007.
[18]
Nelson T, Chim A, Sheller BL,et al. Predicting successful dental examinations for children with autism spectrum disorder in the context of a dental desensitization program[J]. J Am Dent Assoc2017148(7):485-492. DOI:10.1016/j.adaj.2017.03.015.
[19]
Popple B, Wall C, Flink L,et al. Brief Report:Remotely delivered video modeling for improving oral hygiene in children with ASD:A pilot study[J]. J Autism Dev Disord201646(8):2791-2796. DOI:10.1007/s10803-016-2795-4.
[20]
Zink AG, Molina EC, Diniz MB,et al. Communication application for use during the first dental visit for children and adolescents with autism spectrum disorders[J]. Pediatr Dent201840(1):18-22.
[21]
Becker A, Shapira J, Chaushu S. Orthodontic treatment for the special needs child[J]. Prog Orthod200910(1):34-47.
[22]
Kim IH, Kuk TS, Park SY,et al. Prognosis following dental implant treatment under general anesthesia in patients with special needs[J]. J Dent Anesth Pain Med201717(3):205-213. DOI:10.17245/jdapm.2017.17.3.205.
[23]
夏斌,秦满,马文利,等. 693例儿童全身麻醉下牙齿治疗的特征分析[J].北京大学学报(医学版)201345(6):984-988. DOI:10.3969/j.issn.1671-167X.2013.06.032.
[24]
刘亚蛟,吴珺华.孤独症患者口腔诊疗中的行为控制与治疗方式选择[J].国际口腔医学杂志201441(5):555-558. DOI:10.7518/gjkq.2014.05.013.
[1] 王思思, 伍金林. MTHFR基因C677T多态性与儿童孤独症谱系障碍发病风险的Meta分析[J]. 中华妇幼临床医学杂志(电子版), 2021, 17(02): 198-206.
[2] 郑萍, 李尔珍, 赵晓荣, 刘翠英, 赵秋芬, 王珺, 陈倩, 关宏岩. 血浆催产素和精氨酸后叶加压素水平与儿童孤独症谱系障碍的相关性研究[J]. 中华妇幼临床医学杂志(电子版), 2018, 14(02): 213-217.
[3] 赵应华, 魏玲, 刘世林. 我国儿童孤独症药物治疗的现状分析[J]. 中华妇幼临床医学杂志(电子版), 2014, 10(06): 816-819.
[4] 王湘滔, 张爱娟, 王万春, 王芳萍, 徐颖婕, 孟洋. 中药白及在口腔疾病中的研究与应用[J]. 中华口腔医学研究杂志(电子版), 2023, 17(05): 371-375.
[5] 张东敏, 李臻, 梁珊珊, 杜民权, 江汉. 学龄儿童第一恒磨牙龋综合干预2年效果评价[J]. 中华口腔医学研究杂志(电子版), 2023, 17(03): 167-171.
[6] 廖心敏, 李月梅, 陈婵婵, 丁桂聪. 全身麻醉下乳牙牙髓治疗研究进展[J]. 中华口腔医学研究杂志(电子版), 2023, 17(02): 128-132.
[7] 赵宏, 崔红, 宋雪杨, 曾敏敏. 儿童牙科畏惧症的影响因素及其与父母教养方式的相关性研究[J]. 中华口腔医学研究杂志(电子版), 2023, 17(02): 111-117.
[8] 徐舒豪, 杨燃, 邹静, 黄睿洁. 儿童口腔医学教学中健康宣教能力的培养[J]. 中华口腔医学研究杂志(电子版), 2022, 16(05): 313-317.
[9] 张涵, 刘雅芳, 杨军英. 基于口-肠轴菌群变化的宏基因组学及其技术在口腔疾病研究中的意义[J]. 中华口腔医学研究杂志(电子版), 2022, 16(03): 194-198.
[10] 周炼, 周航, 张东强, 徐海涛. 改良舌弓治疗下颌第一磨牙异位萌出的临床应用[J]. 中华口腔医学研究杂志(电子版), 2022, 16(02): 94-99.
[11] 韩欣欣, 杜样, 赵辛, 王子瑞, 汪璐璐, 王小竞. 儿童口腔医生使用局部麻醉的现状调查[J]. 中华口腔医学研究杂志(电子版), 2020, 14(03): 164-170.
[12] 韩欣欣, 汪璐璐, 王子瑞, 赵辛, 王小竞. 局部麻醉药物在儿童口腔诊疗中的应用[J]. 中华口腔医学研究杂志(电子版), 2019, 13(01): 51-55.
[13] 刘君杰, 全宏志, 张建, 黄俊辉. DKK1与牙齿发育和口腔疾病关系的研究进展[J]. 中华口腔医学研究杂志(电子版), 2018, 12(04): 255-259.
[14] 句新科, 汪璐璐, 张彩娣, 邢向辉, 王小竞. 客观结构化临床考试在儿童口腔医学本科教学中的应用[J]. 中华口腔医学研究杂志(电子版), 2017, 11(06): 371-375.
阅读次数
全文


摘要