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

被引:15
作者
Teste, M. [1 ]
Broutin, A. [1 ]
Marty, M. [1 ]
Valera, M. C. [2 ]
Soares Cunha, F. [3 ,4 ]
Noirrit-Esclassan, E. [2 ]
机构
[1] Univ Toulouse III, Dent Univ, Dept Pediat Dent, Toulouse, France
[2] Univ Toulouse III, Dent Univ, Childrens Hosp Toulouse, I2MC,Inserm U1048,CHU Toulouse, Toulouse, France
[3] Univ Pernambuco, Sch Phys Educ, Lifestyles & Hlth Res Grp GPES, Recife, PE, Brazil
[4] Karolinska Inst, Div Orthodont & Pediat Dent, Dept Dent Med, Stockholm, Sweden
关键词
Autism spectrum disorders; Toothbrushing; Parental perception; Qualitative analysis; ORAL-HEALTH;
D O I
10.1007/s40368-021-00640-3
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose The 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. Methods A 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. Results This 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. Conclusion The role of parents remains essential and professionals should work in collaboration with them.
引用
收藏
页码:1049 / 1056
页数:8
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