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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MDPI AG
2022-05-01
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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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id | doaj.art-12572692a62a4b7bb7a86006cafc9461 |
institution | Directory Open Access Journal |
issn | 2227-9067 |
language | English |
last_indexed | 2024-03-10T03:08:21Z |
publishDate | 2022-05-01 |
publisher | MDPI AG |
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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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