Oral Health Status of Pediatric Patients with Autism Spectrum Disorder: A case-control study
Objective: This study aimed to determine the oral health status 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....
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Asociación Latinoamericana de Odontopediatría
2025-05-01
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| Series: | Revista de Odontopediatria Latinoamericana |
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| Online Access: | https://www.revistaodontopediatria.org/index.php/alop/article/view/686 |
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| author | Mariela Sosa Seda Naydi Perez Rios Sona Rivas Tumanayan Damaris Molina Negron Lydia M Lopez del Valle |
| author_facet | Mariela Sosa Seda Naydi Perez Rios Sona Rivas Tumanayan Damaris Molina Negron Lydia M Lopez del Valle |
| author_sort | Mariela Sosa Seda |
| collection | DOAJ |
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Objective: This study aimed to determine the oral health status 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. 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 easily 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 than the control subjects. The barriers to treatment for ASD patients were lack of access to dental care and living in a rural area.
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| format | Article |
| id | doaj-art-2ba8bfa0c7b94361891cb4d9d6c44fc4 |
| institution | DOAJ |
| issn | 2174-0798 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Asociación Latinoamericana de Odontopediatría |
| record_format | Article |
| series | Revista de Odontopediatria Latinoamericana |
| spelling | doaj-art-2ba8bfa0c7b94361891cb4d9d6c44fc42025-08-20T03:10:17ZengAsociación Latinoamericana de OdontopediatríaRevista de Odontopediatria Latinoamericana2174-07982025-05-011510.47990/njr9j726Oral Health Status of Pediatric Patients with Autism Spectrum Disorder: A case-control studyMariela Sosa Seda0https://orcid.org/0009-0009-6797-0427Naydi Perez Rios1https://orcid.org/0000-0003-2878-5308Sona Rivas Tumanayan2https://orcid.org/0000-0002-3773-7028Damaris Molina Negron3https://orcid.org/0000-0003-1431-6332Lydia M Lopez del Valle4https://orcid.org/0000-0002-7285-9047Escuela de Medicina Dental Universidad de Puerto Rico, Puerto RicoBiostatistics, Epidemiology and Research Design Core, the Hispanic Alliance for Clinical and Translational Research (Alliance), San Juan, Puerto RicoEscuela de Medicina Dental Universidad de Puerto Rico, Puerto Rico y Biostatistics, Epidemiology and Research Design Core, the Hispanic Alliance for Clinical and Translational Research (Alliance), San Juan, Puerto RicoEscuela de Medicina Dental Universidad de Puerto Rico, Puerto RicoEscuela de Medicina Dental Universidad de Puerto Rico, Puerto Rico Objective: This study aimed to determine the oral health status 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. 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 easily 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 than the control subjects. The barriers to treatment for ASD patients were lack of access to dental care and living in a rural area. https://www.revistaodontopediatria.org/index.php/alop/article/view/686Autism Spectrum Disordersocial determinants of healthoral health status |
| spellingShingle | Mariela Sosa Seda Naydi Perez Rios Sona Rivas Tumanayan Damaris Molina Negron Lydia M Lopez del Valle Oral Health Status of Pediatric Patients with Autism Spectrum Disorder: A case-control study Revista de Odontopediatria Latinoamericana Autism Spectrum Disorder social determinants of health oral health status |
| title | Oral Health Status of Pediatric Patients with Autism Spectrum Disorder: A case-control study |
| title_full | Oral Health Status of Pediatric Patients with Autism Spectrum Disorder: A case-control study |
| title_fullStr | Oral Health Status of Pediatric Patients with Autism Spectrum Disorder: A case-control study |
| title_full_unstemmed | Oral Health Status of Pediatric Patients with Autism Spectrum Disorder: A case-control study |
| title_short | Oral Health Status of Pediatric Patients with Autism Spectrum Disorder: A case-control study |
| title_sort | oral health status of pediatric patients with autism spectrum disorder a case control study |
| topic | Autism Spectrum Disorder social determinants of health oral health status |
| url | https://www.revistaodontopediatria.org/index.php/alop/article/view/686 |
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