Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial

Autism Spectrum Disorders (ASDs) are neurodevelopmental disorders that don’t have a direct effect on oral health, but severe difficulties in oral hygiene and dental procedures expose people with ASDs to an increased risk of oral diseases. This RCT aimed to evaluate which pedagogical tool was the bes...

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Main Authors: Silvia Cirio, Claudia Salerno, Stefania Mbanefo, Luca Oberti, Lujbicca Paniura, Guglielmo Campus, Maria Grazia Cagetti
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/5/729
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author Silvia Cirio
Claudia Salerno
Stefania Mbanefo
Luca Oberti
Lujbicca Paniura
Guglielmo Campus
Maria Grazia Cagetti
author_facet Silvia Cirio
Claudia Salerno
Stefania Mbanefo
Luca Oberti
Lujbicca Paniura
Guglielmo Campus
Maria Grazia Cagetti
author_sort Silvia Cirio
collection DOAJ
description Autism Spectrum Disorders (ASDs) are neurodevelopmental disorders that don’t have a direct effect on oral health, but severe difficulties in oral hygiene and dental procedures expose people with ASDs to an increased risk of oral diseases. This RCT aimed to evaluate which pedagogical tool was the best to prepare children with ASDs for their first dental examination, either video or photo aids. Two different criteria were used to evaluate their efficacy: the achieved steps into which the procedure was divided (<i>n</i> = 8), and the level of cooperation according to the Frankl Behavioral Scale. One hundred-thirteen subjects were randomly assigned to the two groups and 84 subjects completed the trial (Video group <i>n</i> = 41; Photo group <i>n</i> = 43). A predictive model for the achievement of the Preliminary (1–4) or Dental (4–8) steps was performed using a multivariate logistic regression procedure. Children in the Video group achieved more steps, but the comparison between groups was statistically significant only for the Preliminary steps (<i>p</i> = 0.04). The percentage of subjects judged as cooperating was similar in the two groups. The results of this study underline that behavioural intervention should be used as an effective strategy to prepare subjects with ASDs for a dental examination.
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spelling doaj.art-12572692a62a4b7bb7a86006cafc94612023-11-23T10:31:31ZengMDPI AGChildren2227-90672022-05-019572910.3390/children9050729Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled TrialSilvia Cirio0Claudia Salerno1Stefania Mbanefo2Luca Oberti3Lujbicca Paniura4Guglielmo Campus5Maria Grazia Cagetti6Department of Biomedical, Surgical and Dental Science, University of Milan, Via Beldiletto 1, 20142 Milan, ItalyDepartment of Biomedical, Surgical and Dental Science, University of Milan, Via Beldiletto 1, 20142 Milan, ItalyDepartment of Biomedical, Surgical and Dental Science, University of Milan, Via Beldiletto 1, 20142 Milan, ItalyDepartment of Biomedical, Surgical and Dental Science, University of Milan, Via Beldiletto 1, 20142 Milan, ItalyDepartment of Biomedical, Surgical and Dental Science, University of Milan, Via Beldiletto 1, 20142 Milan, ItalyDepartment of Medicine, Surgery and Experimental Sciences, School of Dentistry, University of Sassari, Viale San Pietro, 07100 Sassari, ItalyDepartment of Biomedical, Surgical and Dental Science, University of Milan, Via Beldiletto 1, 20142 Milan, ItalyAutism Spectrum Disorders (ASDs) are neurodevelopmental disorders that don’t have a direct effect on oral health, but severe difficulties in oral hygiene and dental procedures expose people with ASDs to an increased risk of oral diseases. This RCT aimed to evaluate which pedagogical tool was the best to prepare children with ASDs for their first dental examination, either video or photo aids. Two different criteria were used to evaluate their efficacy: the achieved steps into which the procedure was divided (<i>n</i> = 8), and the level of cooperation according to the Frankl Behavioral Scale. One hundred-thirteen subjects were randomly assigned to the two groups and 84 subjects completed the trial (Video group <i>n</i> = 41; Photo group <i>n</i> = 43). A predictive model for the achievement of the Preliminary (1–4) or Dental (4–8) steps was performed using a multivariate logistic regression procedure. Children in the Video group achieved more steps, but the comparison between groups was statistically significant only for the Preliminary steps (<i>p</i> = 0.04). The percentage of subjects judged as cooperating was similar in the two groups. The results of this study underline that behavioural intervention should be used as an effective strategy to prepare subjects with ASDs for a dental examination.https://www.mdpi.com/2227-9067/9/5/729ASDs childrendental visitvisual pedagogy
spellingShingle Silvia Cirio
Claudia Salerno
Stefania Mbanefo
Luca Oberti
Lujbicca Paniura
Guglielmo Campus
Maria Grazia Cagetti
Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial
Children
ASDs children
dental visit
visual pedagogy
title Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial
title_full Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial
title_fullStr Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial
title_full_unstemmed Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial
title_short Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial
title_sort use of visual pedagogy to help children with asds facing the first dental examination a randomized controlled trial
topic ASDs children
dental visit
visual pedagogy
url https://www.mdpi.com/2227-9067/9/5/729
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