European Archives of Paediatric Dentistry

, Volume 20, Issue 3, pp 277–284 | Cite as

Toothbrushing training programme using an iPad® for children and adolescents with autism

  • S. Lopez CazauxEmail author
  • G. Lefer
  • A. Rouches
  • P. Bourdon
Original Scientific Article



To improve the oral health of children and teenagers with autism spectrum disorder (ASD) by using an iPad®-based training programme.


Fifty-two children and teenagers with ASD (aged 3–19 years) educated in schools or in care centres participated in this cohort study and followed for 8 months. A training programme for teaching toothbrushing behaviours was proposed to the educational staff. Quotation grids enabled assessment of the programme’s efficacy.


Showed an improvement in toothbrushing. The children’s autonomy increased and oral care was more easily implemented when steps were taken by the caregivers. Wilcoxon analysis showed significant improvement in each variable related to toothbrushing.


The iPad® is an attractive and easy device for people with ASD to use. Its use in a training programme for teaching toothbrushing behaviours was efficient.


Autism Oral health Toothbrushing iPad® Training programme 



This study was supported by grants from the International Foundation of Applied Disability Research (FIRAH). We would like to express our gratitude to the çATED-autisme team. The authors would like to thank children, parents and professionals who participated to the “çATED pour tes dents” programme.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical approval

All procedures performed in this study 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.

Informed consent

For this study, written informed consent was obtained from all parents of children and adolescents included in the study.


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Copyright information

© European Academy of Paediatric Dentistry 2019

Authors and Affiliations

  • S. Lopez Cazaux
    • 1
    • 2
    • 3
    Email author
  • G. Lefer
    • 3
    • 4
  • A. Rouches
    • 1
  • P. Bourdon
    • 3
    • 4
  1. 1.Faculté de Chirurgie DentaireNantes Cedex 1France
  2. 2.Centre Hospitalo-Universitaire de NantesNantes Cedex 1France
  3. 3.Centre de Recherche en Education de NantesNantes Cedex 3France
  4. 4.Chemin de Launay VioletteEcole Supérieure du Professorat et de l’EducationNantesFrance

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