Browsing by Author "Charrier, Lola Juliette Marie"
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- Management of non-communicating patients with autism spectrum disorder (ASD) in paediatric dentistryPublication . Charrier, Lola Juliette Marie; Kizi, Gunel; Barata, Ana RaquelDescribed as a permanent neurodevelopmental disorder, Autism Spectrum Disorder (ASD) is characterised by deficits in social interactions and communication, as well as repetitive and stereotyped behaviours (Jamain et al., 2003). However, it is important to note that this disorder is not limited only to behavioural and social aspects, as it has implications for physical health, including oral health. Several disorders and pathologies with an influence on the oral cavity include selective eating behaviours, poor oral hygiene routines, specific sensory sensitivities, communication difficulties, and other associated pathologies, such as genetic diseases, epilepsy, and gastrointestinal problems (Erwin et al., 2022) (Bougeard et al., 2021) (Jamain et al., 2003). Dentists must be prepared to deal with a variety of etiologies during the clinical examination and must be attentive to the pathologies presented by the autistic child. It is also crucial to assess the prevalence of autism in Europe, as well as the number of children who do not have access to adequate treatment, partly due to the lack of training offered to dentists. This lack of training can create challenges in treating autistic children. The professional must be able to recognise signs of pain and stress and explain, especially with pictograms, the treatment to the patient (Bougeard et al., 2021) (Erwin et al., 2022). Despite the challenges, many solutions are available for dentists to perform adequate procedures with autistic children. Communication can be established using pictograms such as PECS (Picture Exchange Communication System) or Makaton in collaboration with parents and speech therapists (Brignell A et al., 2018) (Cagetti et al., 2015). Methods enhancing cooperation also play a crucial role in their management, such as behavioral methods (tell-show-do, ABA, TEACCH) or conscious sedation (Bommangoudar, 2018). It is through a comprehensive understanding of autism and the particularities and challenges faced by these patients that the professional can offer a relevant, non-traumatic, and effective clinical approach to non-verbal and minimal-verbal children with ASD.