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Adapting Oral Care Protocols to Support Children with Sensory Sensitivities: Occupational Therapy and Dentistry

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Dental Care for Children with Special Needs

Abstract

Sensory sensitivities occur when people notice stimuli present in daily life more so than others and perceive those stimuli as noxious. This perception often leads to exaggerated and often aversive behavioral responses. Sensory sensitivities are commonly experienced by children with special healthcare needs and have the potential to negatively impact diet, oral care practices in the home, and professional dental treatment. There is a need for a holistic and comprehensive approach to consider the myriad of potential sensory-related barriers that individuals with sensory sensitivities may encounter during oral care. Occupational therapists are ideal collaborators for caregivers and dental providers when working to identify and develop strategies to address these sensory-related oral care challenges. Strategies in the home may include the use of visual supports and sensory-based strategies. In the dental office, strategies may include preparation and practice prior to the dental visit, sensory-specific adaptations to the waiting room and dental office environments, and modifications to the sensory stimuli encountered during dental treatment itself.

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References

  1. American Occupational Therapy Association. What is occupational therapy? Available at: https://www.aota.org/Conference-Events/OTMonth/what-is-OT.aspx. Accessed 25 Feb 2018.

  2. Ayres AJ. The nervous system within: understanding how the brain works and the importance of sensation. Sensory integration and the child: understanding hidden challenges. Los Angeles, CA: Western Psychological Services; 2005.

    Google Scholar 

  3. Lane SJ. Sensory modulation. In: Bundy AC, Fisher K, editors. Sensory integration: theory and practice. 2nd ed. Philadelphia, PA: FA Davis Company; 2002. p. 101–22.

    Google Scholar 

  4. Dunn W. Sensory profile 2 user’s manual. San Antonio, TX: Psychological Corporation; 2014.

    Google Scholar 

  5. Parham L, Ecker C, Miller-Kuhaneck H, Henry D, Glennon T. Sensory processing measure. Los Angeles, CA: Western Psychological Services; 2007.

    Google Scholar 

  6. Tomchek SD. Sensory processing in individuals with an autism spectrum disorder. In: Miller-Kuhaneck H, Watling R, editors. Autism: a comprehensive occupational therapy approach. 3rd ed. Bethesda, MD: AOTA Press; 2010. p. 135–62.

    Google Scholar 

  7. Dunn W. The sensations of everyday life: empirical, theoretical, and pragmatic considerations. Am J Occup Ther. 2001;55:608–20.

    Article  Google Scholar 

  8. Leekam SR, Nieto C, Libby SJ, Wing L, Gould J. Describing the sensory abnormalities of children and adults with autism. J Autism Dev Disord. 2007;37:894–910.

    Article  Google Scholar 

  9. Bijlenga D, Tjon-Ka-Jie JYM, Schuijers F, Kooij JJS. Atypical sensory profiles as core features of adult ADHD, irrespective of autistic symptoms. Eur Psychiatry. 2007;43:51–7.

    Article  Google Scholar 

  10. Gavin WJ, Dotseth A, Roush KK, Smith CA, Spain HD, Davies PL. Electroencephalography in children with and without sensory processing disorders during auditory perception. Am J Occup Ther. 2011;65:370–7.

    Article  Google Scholar 

  11. Reynolds S, Lane SJ. Diagnostic validity of sensor over-responsivity: a review of the literature and case reports. J Autism Dev Disord. 2008;38:516–29.

    Article  Google Scholar 

  12. Miller-Kuhaneck H. Going to the dentist. Available from: https://www.spdstar.org/basic/going-to-dentist. Accessed 25 Feb 2018.

  13. Baranek GT, David FJ, Poe MD, Stone WL, Watson LR. Sensory experiences questionnaire: discriminating sensory features in young children with autism, developmental delays, and typical development. J Child Psychol Psychiatry. 2006;47:591–601.

    Article  Google Scholar 

  14. Baranek GT, Boyd BA, Poe MD, David FJ, Watson LR. Hyperresponsive sensory patterns in young children with autism, developmental delay, and typical development. Am J Ment Retard. 2007;112:233–45.

    Article  Google Scholar 

  15. Ghanizadeh A. Sensory processing problems in children with ADHD: a systematic review. Psychiatry Investig. 2011;8:89–94.

    Article  Google Scholar 

  16. Panagiotidi M, Overton PG, Stafford T. The relationship between ADHD traits and sensory sensitivity in the general population. Compr Psychiatry. 2018;80:179–85.

    Article  Google Scholar 

  17. Baranek GT, Roberts JE, David FJ, et al. Developmental trajectories and correlates of sensory processing in young boys with Fragile X Syndrome. Phys Occup Ther Pediatr. 2008;28:79–98.

    Article  Google Scholar 

  18. Wengel T, Hanlon-Dearman AC, Fjeldsted B. Sleep and sensory characteristics in young children with Fetal Alcohol Spectrum Disorder. J Dev Behav Pediatr. 2011;32:384–92.

    Article  Google Scholar 

  19. Wilbarger J, Gunnar M, Schneider M, Pollak S. Sensory processing in internationally adopted, post-institutionalized children. J Child Psychol Psychiatry. 2010;41:1105–14.

    Article  Google Scholar 

  20. Ahn RR, Miller LJ, Milberger S, McIntosh DN. Prevalence of parents’ perceptions of sensory processing disorders among kindergarten children. Am J Occup Ther. 2004;58:287–93.

    Article  Google Scholar 

  21. Centers for Disease Control and Prevention. Autism spectrum disorders: data and statistics. Available at: http://www.cdc.gov/ncbddd/autism/data.html. Accessed 13 Aug 2018.

  22. Tomchek SD, Dunn W. Sensory processing in children with and without autism: a comparative study using the short sensory profile. Am J Occup Ther. 2007;61:190–200.

    Article  Google Scholar 

  23. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: text revision. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013.

    Book  Google Scholar 

  24. Pfeiffer B, Kinnealey M, Reed C, Herzberg G. Sensory modulation and affective disorders in children and adolescents with Asperger’s disorder. Am J Occup Ther. 2005;59:335–45.

    Article  Google Scholar 

  25. Biddiss E, Knibbe TJ, McPherson A. The effectiveness of interventions aimed at reducing anxiety in health care waiting spaces: a systematic review of randomized and nonrandomized trials. Anesth Analg. 2014;119:433–48.

    Article  Google Scholar 

  26. Koenig KP, Rudney SG. Performance challenges for children and adolescents with difficulty processing and integrating sensory information: a systematic review. Am J Occup Ther. 2010;64:430–42.

    Article  Google Scholar 

  27. Baker AEZ, Lane A, Angley MT, Young RL. The relationship between sensory processing patterns and behavioural responsiveness in autistic disorder: a pilot study. J Autism Dev Disord. 2008;38:867–75.

    Article  Google Scholar 

  28. Tomchek SD, Little LM, Dunn W. Sensory pattern contributions to developmental performance in children with autism spectrum disorder. Am J Occup Ther. 2015;69:6905185040:1-10.

    Article  Google Scholar 

  29. Charles JM. Dental care in children with developmental disabilities: attention deficit disorder, intellectual disabilities, and autism. J Dent Child. 2010;77:84–91.

    Google Scholar 

  30. Stein LI, Polido JC, Cermak SA. Oral care and sensory over-responsivity in children with autism spectrum disorders. Pediatr Dent. 2013;35:230–5.

    PubMed  Google Scholar 

  31. National Institute of Dental and Craniofacial Research. Practical oral care for people with autism. Available at: http://www.nidcr.nih.gov/OralHealth/Topics/DevelopmentalDisabilities/PracticalOralCarePeopleAutism.htm. Accessed 10 Feb 2018.

  32. Cermak SA, Curtin C, Bandini LG. Food selectivity and sensory sensitivity in children with autism spectrum disorders. J Am Diet Assoc. 2010;110:238–46.

    Article  Google Scholar 

  33. Coulthard CR, Blissett J. Fruit and vegetable consumption in children and their mothers: moderating effects of child sensory sensitivity. Appetite. 2009;52:410–5.

    Article  Google Scholar 

  34. Johnson CR, Turner K, Stewart PA, et al. Relationships between feeding problems, behavioral characteristics and nutritional quality in children with ASD. J Autism Dev Disord. 2014;44:2175–84.

    Article  Google Scholar 

  35. Chistol LT, Bandini LG, Must A, et al. Sensory sensitivity and food selectivity in children with autism spectrum disorder. J Autism Dev Disord. 2018;48:583–91.

    Article  Google Scholar 

  36. Lane AE, Geraghy ME, Young GS, Rostorfer JL. Problem eating behaviors in autism spectrum disorder are associated with suboptimal nutrient intake and taste/smell sensitivity. Infant Child Adolesc Nutr. 2014;6:172–80.

    Article  Google Scholar 

  37. Hubbard KL, Anderson SE, Curtin C, Must A, Bandini LG. A comparison of food refusal related to characteristics of food in children with autism spectrum disorder and typically developing children. J Acad Nutr Diet. 2014;114:1981–7.

    Article  Google Scholar 

  38. Marshall J, Sheller B, Mancl L. Caries-risk assessment and caries status of children with autism. Pediatr Dent. 2010;32:69–75.

    PubMed  Google Scholar 

  39. Lu J, Xiong S, Arora N, Dubé L. Using food as reinforcer to shape children’s noon-food behavior: the adverse nutritional effect doubly moderated by reward sensitivity and gender. Eat Behav. 2015;19:94–7.

    Article  Google Scholar 

  40. Patel MR, Piazza CC, Layer SA, et al. A systematic evaluation of food textures to decrease packing and increase oral intake in children with pediatric feeding disorders. J Appl Behav Anal. 2005;38:89–100.

    Article  Google Scholar 

  41. Levin D, Volkert VM, Piazza CC. A multi-component treatment to reduce packing in children with feeding and autism spectrum disorders. Behav Modif. 2014;38:940–63.

    Article  Google Scholar 

  42. Stein LI, Polido JC, Mailloux Z, Coleman GG, Cermak SA. Oral care and sensory sensitivities in children with autism spectrum disorder. Spec Care Dentist. 2011;31:102–10.

    Article  Google Scholar 

  43. Stein Duker LI, Henwood BF, Bluthenthal RN, et al. Parents’ perceptions of dental care challenges in male children with autism spectrum disorder: an initial qualitative exploration. Res Autism Spectr Disord. 2017;39:63–72.

    Article  Google Scholar 

  44. Stein LI, Lane CJ, Williams ME, et al. Physiological and behavioral stress and anxiety in children with autism spectrum disorders during routine oral care. Biomed Res Int. 2014;694876:1–10.

    Article  Google Scholar 

  45. Cermak SA, Stein Duker LI, Williams ME, et al. Sensory adapted dental environments to enhance oral care for children with autism spectrum disorders: a randomized controlled pilot study. J Autism Dev Disord. 2015;45:2876–88.

    Article  Google Scholar 

  46. Nelson LP, Getzin A, Graham D, et al. Unmet dental needs and barriers to care for children with significant special health care needs. Pediatr Dent. 2011;33:29–36.

    PubMed  Google Scholar 

  47. Miller-Kuhaneck H, Chisolm EC. Improving dental visits for individuals with autism spectrum disorders through an understanding of sensory processing. Spec Care Dentist. 2012;32:229–33.

    Article  Google Scholar 

  48. Lewis C, Vigo L, Novak L, Klein EJ. Listening to parents: a qualitative look at the dental and oral care experiences of children with autism spectrum disorder. Pediatr Dent. 2015;37:e98–104.

    PubMed  Google Scholar 

  49. Stein Duker LI, FlorĂ­ndez LI, Henwood BF, et al. Strategies for success: A qualitative study of caregiver and dentist approaches to improving oral care for children with autism. Pediatr Dent. In press.

    Google Scholar 

  50. Weil TN, Bagramian RA, Inglehart MR. Treating patients with autism spectrum disorder – SCDA members’ attitudes and behavior. Spec Care Dentist. 2011;31:8–17.

    Article  Google Scholar 

  51. Nelson TM, Sheller B, Friedman CS, Bernier R. Educational and therapeutic behavioral approaches to providing dental care for patients with autism spectrum disorder. Spec Care Dentist. 2015;35:105–13.

    Article  Google Scholar 

  52. Marion IW, Nelson TM, Sheller B, et al. Dental stories for children with autism. Spec Care Dentist. 2016;36:181–6.

    Article  Google Scholar 

  53. Pfeiffer B, Stein Duker LI. The impact of the sensory environment on patient care for individuals with autism spectrum disorders. In: Giarelli E, Fisher K, editors. Integrated health care for people with autism spectrum disorder: interdisciplinary planning and delivery of care. Springfield, IL: Charles C. Thomas Publishers; 2016. p. 69–92.

    Google Scholar 

  54. Backman B, Pilebro C. Visual pedagogy in dentistry for children with autism. ASDC J Dent Child. 1999;66:325–31.

    Google Scholar 

  55. Cagetti MG, Mastroberardino S, Campus G, et al. Dental care protocol based on visual supports for children with autism spectrum disorders. Med Oral Patol Oral Cir Bucal. 2015;20:e598–604.

    Article  Google Scholar 

  56. Gray C. The new social story™ book. 10th ed. Arlington, TX: Future Horizons; 2010.

    Google Scholar 

  57. Reynhout G, Carter M. Social Stories™ for children with disabilities. J Autism Dev Disord. 2006;36:445–69.

    Article  Google Scholar 

  58. Rhodes C. Do social stories help to decrease disruptive behavior in children with autistic spectrum disorders: a review of the published literature. J Intellect Disabil. 2014;18:35–50.

    Article  Google Scholar 

  59. Hong EY, Cermak SA, Stein Duker LI. Occupational therapists’ distinct value in creating a sensory-friendly waiting room. Am J Occup Ther SIS Quarterly Practice Connections. 2018;3:11–3.

    Google Scholar 

  60. Edelson SM, Edelson MG, Kerr DCR, Grandin T. Behavioral and physiological effects of deep pressure on children with autism: a pilot study evaluating the efficacy of Grandin’s hug machine. Am J Occup Ther. 1999;53:145–52.

    Article  Google Scholar 

  61. Grandin T. Thinking in pictures: my life with autism. New York: Vintage Books; 2006.

    Google Scholar 

  62. Jafarzadeh M, Arman S, Farahbakhsh Pour F. Effect of aromatherapy with orange essential oil on salivary cortisol and pulse rate in children during dental treatment: a randomized controlled clinical trial. Adv Biomed Res. 2013;2(1):10.

    Article  Google Scholar 

  63. Shapiro M, Sgan-Cohen HD, Parush S, Melmed RN. Influence of adapted environment on the anxiety of medically treated children with developmental disability. J Pediatr. 2009;154:546–50.

    Article  Google Scholar 

  64. Shapiro M, Melmed RN, Sgan-Cohen HD, Parush S. Effect of sensory adaptation on anxiety of children with developmental disabilities: a new approach. Pediatr Dent. 2009;31:222–8.

    Google Scholar 

  65. Green D, Flanagan D. Understanding the autistic dental patient. Gen Dent. 2008;56:167–71.

    PubMed  Google Scholar 

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Correspondence to Leah I. Stein Duker .

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Stein Duker, L.I. (2019). Adapting Oral Care Protocols to Support Children with Sensory Sensitivities: Occupational Therapy and Dentistry. In: Nelson, T., Webb, J. (eds) Dental Care for Children with Special Needs. Springer, Cham. https://doi.org/10.1007/978-3-030-10483-2_4

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  • DOI: https://doi.org/10.1007/978-3-030-10483-2_4

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