Authors: John Morgan, Bonnie F. Zimble
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Autism Spectrum Disorders:
Summary
Special Care in Dentistry
John Morgan, DDS
Tufts University School of Dental Medicine, 2008
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Table: Autism Spectrum
Disorders
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DEFINITIONS AND
SYMPTOMS
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MAJOR
ORAL CONDITIONS WHICH MAY OR MAY NOT BE
PRESENT |
PREVENTION AND
TREATMENT
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MEDICATIONS
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What is Autism?
Developmental
disability that significantly affects verbal and nonverbal
communication and social interaction
Generally
evident before age 3
Early Indicators
Engagement in
repetitive activities
Resistance to change in daily routine
Unusual
responses to sensory experiences
Delayed cognitive
and social skills
Rigid
or flaccid muscle tone when being held
Self-destructive behavior
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No
specific oral manifestations associated with
autism |
Strict
daily oral hygiene regimen starting at an early
age
Toothbrushing skills should be adapted to the individual’s
abilities and strengths
Routine
exams and prophylaxis
Use of
mechanical toothbrushes
Use of antimicrobial
agents
Fluoride therapy
Sealant
application
Nutrition
counseling
Positive reinforcement techniques
Development of an oral desensitization
program
Behavior modification programs should be
monitored for sugar based rewards
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Sucrose based medications may
increase susceptibility to dental
caries |
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