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Quintessence Publishing: Journals: ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Fall 2010
Volume 11 , Issue 3

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Periodontal Status And Orthodontic Treatment Need Of Autistic Children

Suwannee Luppanapornlarp, BSc, DDS, MSc, PhD/Pattarawadee Leelataweewud, DDS, MS/Pongstorn Putongkam/Sutasinee Ketanont, DDS

Pages: 256261
PMID: 20877735

Aim: To evaluate the periodontal status and orthodontic treatment need of autistic children and compare these findings to nonaffected, same-age individuals. Method: The periodontal status and orthodontic treatment need were evaluated in 32 autistic and 48 nonautistic boys and girls age 8 years to 12 years (mean 9.7 1.2 years and 9.9 1.1 years, respectively). The periodontal status of all subjects was recorded using the Community Periodontal Index of Treatment Need (CPITN) with a slight modification. The orthodontic treatment need was determined using the Dental Aesthetic Index (DAI). Chi-square test and odds ratio were used for statistical analysis. Results: No significant sex differences were found in the autistic or nonautistic groups. The autistic children presented with a significantly poorer periodontal status than the nonautistic children (P < .05). No significant differences in terms of the various malocclusion categories were found between both groups (P > .05); however, children with autism showed missing teeth, spacing, diastemas, reverse overjets, open bites, and Class II molar relationship tendencies in a higher percentage than nonautistic individuals. In all, autistic children and nonautistic children frequently needed orthodontic treatment. Conclusion: This study suggests that children with autism require special dental management to improve their oral hygiene as well as their dental esthetics. More care from parents, general dentists, and pedodontists/orthodontists should be provided routinely to autistic children. World J Orthod 2010;11:256261.

Key words: autism, treatment need, periodontal condition, Dental Aesthetic Index, Community Periodontal Index of Treatment Need

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