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European Archives of Paediatric Dentistry

, Volume 17, Issue 2, pp 75–80 | Cite as

Risk factors for anterior traumatic dental injury in children and adolescents with autism spectrum disorders: a case–control study

  • R. C. H. Habibe
  • A. O. L. Ortega
  • R. O. Guaré
  • M. B. Diniz
  • M. T. B. R. SantosEmail author
Original Scientific Article

Abstract

Aim

This was to assess and compare risk factors for traumatic dental injury (TDI) among children/adolescents with and without autism spectrum disorders (ASD).

Methods

The study consisted of 122 children and adolescents (98 males, 24 females), 61 with ASD (study group) and 61 without ASD (control group, CG). Dental injuries were determined according to Andreasen´ss classification. The cause, location and type of activity at the time of trauma were recorded from patient/carer recollection.

Results

Subjects with ASD presented higher percentages of TDI in routine activities (P = 0.003), falling while walking and episodes of self-harm (P = 0.007) in the individual’s own residence (P = 0.036). TDI prevalence in the ASD group was higher (39.3 %) than in the CG (26.2 %) though not significant, (P = 0.123). Girls with ASD presented a significantly higher TDI percentage (50.0 %) compared with girls from the CG (8.3 %) (P = 0.024). Enamel fracture was the most frequent type of TDI for both groups (P = 0.292). The teeth most commonly affected were #11 and #21 for both groups.

Conclusions

Children and adolescents with ASD exhibit different risk factors for TDI compared with those without ASD, and girls with ASD are more prone than boys.

Keywords

Autistic disorder Prevalence Epidemiology Tooth injuries 

Notes

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interest.

Ethical approval and Consent

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Signed informed consent was obtained from all child’s parents/guardians in the study. This research was approved by the Review Board for Human Studies of the University Center of Volta Redonda (UniFOA), Volta Redonda, Rio de Janeiro, Brazil, under protocol no. CAAE 1338.0.000.446-11.

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Copyright information

© European Academy of Paediatric Dentistry 2015

Authors and Affiliations

  • R. C. H. Habibe
    • 1
  • A. O. L. Ortega
    • 2
  • R. O. Guaré
    • 2
  • M. B. Diniz
    • 3
  • M. T. B. R. Santos
    • 2
    • 4
    Email author
  1. 1.Coordinator School of Dentistry University Center of Volta Redonda (UniFOA)Campus Olezio Galotti—Três PoçosVolta RedondaBrazil
  2. 2.Persons with Disabilities Division, Institute of DentistryCruzeiro do Sul UniversitySão PauloBrazil
  3. 3.Paediatric Dentistry, Institute of DentistryCruzeiro do Sul UniversitySão PauloBrazil
  4. 4.Individuals with Special NeedsCruzeiro do Sul UniversitySão PauloBrazil

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