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Revista de odontopediatria latinoamericana最新文献

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Oral Health Indicators among a sample of Hispanic Patients diagnosed with Autism Spectrum Disorder. 西班牙裔自闭症谱系障碍患者的口腔健康指标分析
Pub Date : 2025-03-12 Epub Date: 2025-05-13 DOI: 10.47990/njr9j726
Mariela Sosa Seda, Naydi Perez Rios, Sona Rivas Tumanyan, Damaris Molina Negron, Lydia M Lopez Del Valle

Objective: This study aimed to determine the oral health and the associated health disparities of pediatric patients with autism spectrum disorder (ASD).

Methods: This non-matched, case-control study recruited 22 subjects diagnosed with ASD (cases) and 27 without ASD (controls) aged 5-18 years. Two calibrated dentists performed dental exams for caries and gingivitis on all subjects. Parents/caregivers completed sociodemographics and social determinants oral health questionnaires. As appropriate, between-group comparisons were performed using chi-square, Fisher's exact test, t-test, and Mann-Whitney test. Associations between ASD and oral health indices were determined using logistic, Poisson, and linear regression models.

Results: Statistically significant differences were found for not easy finding dental services for ASD patients (p=0.014) and behavioral problems during dental visits (p=0.012). Children with ASD had significantly lower odds of caries (DMFT+dft>0) compared to children without ASD (OR=0.121; 95% CI: 0.023; 0.636). Age- and sex-adjusted models showed a significantly lower gingival index among those with ASD.

Conclusion: ASD patients had better oral health indices than the control subjects. The barriers to treatment for ASD patients were lack of access to dental care and living in a rural area.

目的:了解儿童自闭症谱系障碍(ASD)患者口腔健康状况及相关健康差异。方法:这项非匹配的病例对照研究招募了22名诊断为ASD的受试者(病例)和27名未诊断为ASD的受试者(对照组),年龄在5-18岁之间。两名经过校准的牙医对所有受试者进行了龋齿和牙龈炎的牙科检查。父母/照顾者填写了社会人口统计学和社会决定因素口腔健康问卷。适当时,采用卡方检验、Fisher确切检验、t检验和Mann-Whitney检验进行组间比较。使用logistic、泊松和线性回归模型确定ASD与口腔健康指标之间的关联。结果:ASD患者就诊难找(p=0.014)和就诊时出现行为问题(p=0.012)两项差异有统计学意义。与没有ASD的儿童相比,有ASD的儿童患龋的几率(DMFT+dft bb0)显著降低(OR=0.121; 95% CI: 0.023; 0.636)。年龄和性别调整模型显示,ASD患者的牙龈指数明显较低。结论:ASD患者口腔健康指标优于对照组。ASD患者治疗的障碍是缺乏获得牙科护理的机会和生活在农村地区。
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Revista de odontopediatria latinoamericana
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