Dental care for children with autism spectrum disorders

Questions of the need for treatment of oral diseases, problems and characteristics of providing dental care for children with developmental disorders, especially with autism spectrum disorders, both in Russia and abroad have very little coverage. Usual conditions for dental care for these children are unacceptable. A clear, scientifi¬cally based system of dental care is needed to reduce the number of diseases of the oral cavity. Results of stud¬ies of the dental status of children with autism spectrum disorders in foreign countries are presented in a brief review. Features and algorithm of dental care for children with autism spectrum disorders worked out by the staff of Yevdokimov Moscow State University of Medicine and Dentistry are described. Medical institutions providing dental care to children with autism spectrum disorders in Moscow are listed.

1. Kisel’nikova L.P., Zolotusskii A.G., Fadeeva E.N., Karaseva R.V. Osobennosti sanatsii polosti rta v usloviyakh sedatsii s sokhranennym soznaniem [The characteristics of oral cavity sanation in children of younger age under the conditions of sedation with retained consciousness]. Rossiiskii meditsinskii zhurnal [Medical Journal of the Russian Federation]. 2012, no. 4, pp. 21—26.
2. Order of Department of healthcare of Moscow from 18.02.2010 no. 235 “O merakh po dal’neishemu sovershenstvovaniyu stomatologicheskoi pomoshchi detyam v gorode Moskve” [“On the measures for further improvement of dental care for children in Moscow” (along with “Directions and the order for directing children to dental care using anesthesia”)]. Source: http://pravo-med.ru/legislation/moscow/5053/
3. Order of Ministry of healthcare of Russian Federation from 02.02.2015 no. 32н “Ob utverzhdenii standarta spetsializirovannoi meditsinskoi pomoshchi detyam s obshchimi rasstroistvami psikhologicheskogo razvitiya (autisticheskogo spektra)” [“On the approval of a standard of medical support for children with general disorders of mental development (autism spectrum)”]. Source: https://www.rosminzdrav.ru/documents/8890.
4. Yakubova I.I. Uroven’ sanitarno-gigienicheskikh znanii i kachestvo gigieny polosti rta u detei shkol’nogo vozrasta [Level of sanitary and hygienic awareness and quality of oral cavity hygiene in children of school age] / I.I. Yakubova, N.M. Krupnik. Vestnik stomatologii [Stomatology Herald]. 2003, no. 3, pp. 53—57.
5. Bassoukou I.H. Saliva flow rate, buffer capacity, and pH of autistic individuals / I.H. Bassoukou, J. Nicolau, M.T. dos Santos. Clin. Oral. Investig. 2009, no. 13 (1), pp. 23—27.
6. Jaber M.A. Dental caries experience, oral health status and treatment needs of dental patients with autism / M.A. Jaber. J. Appl. Oral. Sci. 2011, vol. 19, no. 3 (May-Jun), pp. 212—217.
7. Nagarajappa R., Kenchappa M., Ramesh G., Nagarajappa S., Tak M. Assessment of periodontal status and treatment needs among 12 and 15 years old school children in Udaipur, India. Official Journal of European Academy of Paediatric Dentistry, vol. 13 (Issue 3, June 2012).
8. Oral health status and dental needs of an autistic population of children and young adults / [Shapira  J., Mann J., Tamari I. et al.]. E. Spec. Care Dentist. 1989, vol. 9, no. 2, pp. 38—41.
9. Tse K.Y., Carrew-O’Donell S., Albadri S. Management of autistic children reffered for dental treatment under GA. Official Journal of the European Academy of Paediatric Dentistry. 2010, p. 55.