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Mobile application for sensory deprivation of neurodiverse children during dental treatment

https://doi.org/10.33925/1683-3031-2023-664

Abstract

Relevance. Dental care for children with autism spectrum disorders (ASD) requires modification of the conventional treatment setting, which includes many sensory stimuli that influence the behaviour of these children. However, it is not possible to eliminate all dental treatment stimuli from clinical practice. The development of a new method for digital priming of neurodiverse patients was facilitated by the need to mitigate unavoidable dental treatment stimuli to achieve sensory deprivation, expressed as reduced anxiety and improved cooperation.

The study aimed to investigate the level of cooperation and anxiety in children with ASD before and during dental treatment using a developed mobile application.

Material and Methods. Forty-three children aged 7 and 12 years old with con-firmed ASD of varying severity participated in the study. The cooperation and anxiety level in children with ASD were assessed according to the Larry L. Venham clinical anxiety rating scale before and during treatment using the mobile application.

Results. During dental treatment, the children with mild/moderate autism showed a statistically significant (p < 0.05) decrease in their anxiety level and improvement of the cooperativeness profile, which indicates a positive effect of the developed mobile application on the level of anxiety and cooperation.

Conclusion. Further research is necessary to evaluate similar information and communication technology types as a part of significant approaches to sensory deprivation, behaviour improvement, and dental treatment outcomes in vulnerable children.

About the Authors

А. S. Dontsova
"InWhite Medical Kids" Dental Clinic
Russian Federation

Albina S. Dontsova, DMD, Pediatric Dentist, Chief physician

Moscow



O. V. Gulenko
Kuban State Medical University
Russian Federation

Olga V. Gulenko, DMD, PhD, DSc, Professor, Department of Oral and Maxillofacial Surgery

Krasnodar



References

1. Rouches A, Lefer G, Dajean-Trutaud S, Lopez-Cazaux S. Amélioration de la santé orale des enfants avec autisme: les outils à notre disposition [Tools and techniques to improve the oral health of children with autism]. Arch Pediatr. 2018;25(2):145-149. doi: 10.1016/j.arcped.2017.11.013

2. Andropoulos DB. Effect of Anesthesia on the Developing Brain: Infant and Fetus. Fetal Diagn Ther. 2018;43(1):1-11. doi: 10.1159/000475928

3. Ferrazzano GF, Salerno C, Bravaccio C, Ingenito A, Sangianantoni G, Cantile T. Autism spectrum disorders and oral health status: review of the literature. Eur J Paediatr Dent. 2020;21(1):9-12. doi: 10.23804/ejpd.2020.21.01.02

4. Danilova MA, Bronnikov VA, Zalazaeva EA. The influence of prenatal risk factors on the formation of dental and speech disorders in children with cerebral paralysis. Vyatskij medicinskij vestnik. 2017;2(54):88-92 (In Russ.). Available from: https://cyberleninka.ru/article/n/vliyanie-perinatalnyh-faktorov-riska-na-formirovanie-zubochelyustnyh-i-rechevyh-narusheniy-u-detey-s-tserebralnym-paralichom

5. Suetenkov DE, Firsova IV, Sayutina LV, Kazakova LN, Naryzhnaya EV, Nasrulaev RK. Features of dental care for children with autism spectrum disorders. Pacific Medical Journal. 2020;(2):19-24 (In Russ.)]. doi: 10.34215/1609-1175-2020-2-19-24

6. Grewal N, Sethi T, Grewal S. Widening horizons through alternative and augmentative communication systems for managing children with special health care needs in a pediatric dental setup. Spec Care Dentist. 2015;35(3):114-119. doi: 10.1111/scd.12099

7. Popple B, Wall C, Flink L, Powell K, Discepolo K, Keck D, et al. Brief Report: Remotely Delivered Video Modeling for Improving Oral Hygiene in Children with ASD: A Pilot Study. J. Autism Dev. Disord. 2016;46:2791–2796. doi: 10.1007/s10803-016-2795-4

8. Nilchian F, Shakibaei F, Jarah ZT. Evaluation of Visual Pedagogy in Dental Check-ups and Preventive Practices Among 6-12-Year-Old Children with Autism. J. Autism Dev. Disord. 2017;47:858–864. doi: 10.1007/s10803-016-2998-8

9. Mah JW, Tsang P. Visual Schedule System in Dental Care for Patients with Autism: A Pilot Study. J. Clin. Pediatr Dent. 2016;40:393–399. doi: 10.17796/1053-4628-40.5.393

10. Corridore D, Zumbo G, Corvino I, Guaragna M, Bossu M, Polimeni A, et al. Prevalence of oral disease and treatment types proposed to children affected by Autistic Spectrum Disorder in Pediatric Dentistry: a Systematic Review. Clin Ter. 2020;171(3):e275-282. doi: 10.7417/ct.2020.2226

11. Narayan VK, Samuel SR. Appropriateness of various behavior rating scales used in pediatric dentistry: A Review. J Global Oral Health. 2019;2(2):112-7. doi: 10.25259/JGOH_64_2019


Supplementary files

Review

For citations:


Dontsova А.S., Gulenko O.V. Mobile application for sensory deprivation of neurodiverse children during dental treatment. Pediatric dentistry and dental prophylaxis. 2023;23(4):314-319. (In Russ.) https://doi.org/10.33925/1683-3031-2023-664

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ISSN 1683-3031 (Print)
ISSN 1726-7218 (Online)