Skip to main content
Top
Published in: European Archives of Paediatric Dentistry 2/2017

01-04-2017 | Original Scientific Article

Salivary biomarker levels and oral health status of children with autistic spectrum disorders: a comparative study

Authors: S. Bhandary, N. Hari

Published in: European Archives of Paediatric Dentistry | Issue 2/2017

Login to get access

Abstract

Aim

To evaluate the oral health status, salivary flow rate, pH and buffering capacity in children with autistic spectrum disorders (ASD) in comparison to their healthy siblings.

Methods

A total of 30 subjects with ASD and 30 normal healthy siblings between the ages of 6–12 years of both genders attending various special schools and hospitals of Mangalore, India were recruited. Estimation of salivary pH, flow rate and buffering capacity were performed and oral health status was assessed using the WHO oral assessment form for children (World Health Organization in Oral health surveys: basic methods, World Health Organization, Geneva, 2013). The oral hygiene of the subjects was assessed using the oral hygiene index-simplified. Dental erosive lesions, presence of mucosal lesions and dental trauma were recorded for both the study and the control groups.

Results

It was observed that salivary pH and buffering capacity were lower in children with ASD than their healthy siblings, the dental caries incidence was higher in ASD children when compared to their healthy siblings and oral hygiene was fair with gingival bleeding in children with ASD.

Conclusions

This study clearly indicates a need for better home care measures, parent, caregiver and institutional education on the importance of oral well-being among children with ASD.
Literature
go back to reference Adair MS. Epidemiology and mechanisms of dental disease. In: Pinkham J, Paul C, McTigue D, Fields H, Nowak A, editors. Infancy through adolescence, vol. 4th. Philadelphia: Elsevier Saunders; 2005. p. 475. Adair MS. Epidemiology and mechanisms of dental disease. In: Pinkham J, Paul C, McTigue D, Fields H, Nowak A, editors. Infancy through adolescence, vol. 4th. Philadelphia: Elsevier Saunders; 2005. p. 475.
go back to reference Barry S, O’Sullivan EA, Toumba KJ. Barriers to dental care for children with autism spectrum disorder. Eur Arch Paediatr Dent. 2014;15:127–34.CrossRefPubMed Barry S, O’Sullivan EA, Toumba KJ. Barriers to dental care for children with autism spectrum disorder. Eur Arch Paediatr Dent. 2014;15:127–34.CrossRefPubMed
go back to reference Bassoukou IH, Nicolau J, Santos MT. Saliva flow rate, buffer capacity and pH of autistic individuals. Clin Oral Investig. 2009;13:23–7.CrossRefPubMed Bassoukou IH, Nicolau J, Santos MT. Saliva flow rate, buffer capacity and pH of autistic individuals. Clin Oral Investig. 2009;13:23–7.CrossRefPubMed
go back to reference Dorota T, Peggy A. dental needs and status of autistic children: results from the national survey of children’s health. Pediatr Dent. 2008;30:54–8. Dorota T, Peggy A. dental needs and status of autistic children: results from the national survey of children’s health. Pediatr Dent. 2008;30:54–8.
go back to reference Ericsson Y. Clinical investigation of salivary buffering action. Acta Odontol Scand. 1959;17:131–65.CrossRef Ericsson Y. Clinical investigation of salivary buffering action. Acta Odontol Scand. 1959;17:131–65.CrossRef
go back to reference Klein U, Nowak A. Autistic disorder—a review for the pediatric dentist. AAPD. 1998;20(5):312–7. Klein U, Nowak A. Autistic disorder—a review for the pediatric dentist. AAPD. 1998;20(5):312–7.
go back to reference Loo CY, Graham RM, Hughes CV. The caries experience and behavior of dental patients with autism spectrum disorder. J Am Dent Assoc. 2008;139:1518–24.CrossRefPubMed Loo CY, Graham RM, Hughes CV. The caries experience and behavior of dental patients with autism spectrum disorder. J Am Dent Assoc. 2008;139:1518–24.CrossRefPubMed
go back to reference Lowe O, Lindermann R. Assessment of the autistic patient’s dental needs and ability to undergo dental examination. ASDC J Dent Child. 1985;52(1):29–35.PubMed Lowe O, Lindermann R. Assessment of the autistic patient’s dental needs and ability to undergo dental examination. ASDC J Dent Child. 1985;52(1):29–35.PubMed
go back to reference Marshall JM, Sheller BS, Lloyd M. Caries risk assessment and caries status of children with autism. Pediatr Dent. 2010;32:69–75.PubMed Marshall JM, Sheller BS, Lloyd M. Caries risk assessment and caries status of children with autism. Pediatr Dent. 2010;32:69–75.PubMed
go back to reference Namal N, Vehit HE, Koksal S. Do autistic children have higher levels of caries? A cross sectional study in Turkish children. J Indian Soc Pedod Prev Dent. 2007;25(2):38–41.CrossRef Namal N, Vehit HE, Koksal S. Do autistic children have higher levels of caries? A cross sectional study in Turkish children. J Indian Soc Pedod Prev Dent. 2007;25(2):38–41.CrossRef
go back to reference Rai K, Hegde A, Nijo J. Salivary antioxidants and oral health in children with autism. Arch Oral Biol. 2012;57(8):1116–20.CrossRefPubMed Rai K, Hegde A, Nijo J. Salivary antioxidants and oral health in children with autism. Arch Oral Biol. 2012;57(8):1116–20.CrossRefPubMed
go back to reference Shapira J, Mann J, Tamari I, et al. Oral health status and dental needs of autistic population of children and young adults. Spec Care Dentist. 1989;9(2):38–41.CrossRefPubMed Shapira J, Mann J, Tamari I, et al. Oral health status and dental needs of autistic population of children and young adults. Spec Care Dentist. 1989;9(2):38–41.CrossRefPubMed
go back to reference Tharapiwattananon T. Autistic child and dental management. CU Dent J. 1994;17:1–10. Tharapiwattananon T. Autistic child and dental management. CU Dent J. 1994;17:1–10.
go back to reference Vajawat M, Deepika PC. Comparative evaluation of oral hygiene practices and oral health status in autistic and normal individuals. J Int Soc Prev Community Dent. 2012;2(2):58–63.CrossRefPubMedPubMedCentral Vajawat M, Deepika PC. Comparative evaluation of oral hygiene practices and oral health status in autistic and normal individuals. J Int Soc Prev Community Dent. 2012;2(2):58–63.CrossRefPubMedPubMedCentral
go back to reference Weddel J, Sanders B, Jones J. Dental problems of children with disabilities. In: Mc Donald R, Avery D, Dean J, editors. Dentistry for the child and adolescent. 8th ed. New York: Elsevier Mosby; 2004. p. 543. Weddel J, Sanders B, Jones J. Dental problems of children with disabilities. In: Mc Donald R, Avery D, Dean J, editors. Dentistry for the child and adolescent. 8th ed. New York: Elsevier Mosby; 2004. p. 543.
go back to reference World Health Organization. F84. Pervasive developmental disorders, international statistical classification of diseases and related health problems. 10th ed. (ICD-10); 2006. World Health Organization. F84. Pervasive developmental disorders, international statistical classification of diseases and related health problems. 10th ed. (ICD-10); 2006.
go back to reference World Health Organization. Oral health surveys: basic methods. 5th ed. Geneva: World Health Organization; 2013. World Health Organization. Oral health surveys: basic methods. 5th ed. Geneva: World Health Organization; 2013.
Metadata
Title
Salivary biomarker levels and oral health status of children with autistic spectrum disorders: a comparative study
Authors
S. Bhandary
N. Hari
Publication date
01-04-2017
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Paediatric Dentistry / Issue 2/2017
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-017-0275-y

Other articles of this Issue 2/2017

European Archives of Paediatric Dentistry 2/2017 Go to the issue