Application of psychological behavioural therapies in improving oral health for children and adolescents with autism spectrum disorder: A systematic review and meta-analysis / Phoebe Pui Ying LAM in Autism, 29-11 (November 2025)  

Public ISBD [article]  inAutism > 29-11 (November 2025) . - p.2662-2676 Titre : Application of psychological behavioural therapies in improving oral health for children and adolescents with autism spectrum disorder: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Phoebe Pui Ying LAM, Auteur ; Elise Hoi Wan FOK, Auteur ; Megan Yuen Tung CHAN, Auteur ; Colman P. MCGRATH, Auteur ; Cynthia Kar YUNG YIU, Auteur Article en page(s) : p.2662-2676 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  behaviour modification  oral health  oral hygiene  systematic review Index. décimale : PER Périodiques Résumé : This systematic review aimed to summarize the current evidence on the effectiveness of various psychological behavioural therapies in improving oral hygiene maintenance habits and oral health among children with autism. Independent screening and study selection, data extraction, risk of bias assessment, and evaluation of the certainty of evidence were conducted. A total of 16 studies were deemed eligible for qualitative synthesis, with 9 included in quantitative analyses. Psychological behavioural therapies including visual pedagogies, social stories, components of PECS (Picture Exchange Communication System) and Applied Behavioural Analysis, as well as the use of smart device applications all demonstrated improvement in oral health parameters following implementation. However, most studies lacked control groups and exhibited a high risk of bias due to the lack of reporting or failure to account for autism spectrum disorder (ASD) severity and associated comorbidities. In addition, studies typically relied on caregivers to carry out reinforcement of therapies, which may explain the significant heterogeneity observed. In summary, the evidence supporting the use of psychoeducational techniques to improve the oral health parameters of autistic children is limited and of very low certainty. Further research utilizing larger-scale studies and more rigorous study designs is necessary to enhance the certainty of evidence in this field.Lay abstract This review looked at existing studies to see how effective different psychological and behavioural therapies are in helping children with autism take better care of their teeth and maintain good oral health. The researchers carefully selected and analysed 16 studies, with 9 of those used for detailed analysis. The therapies examined included visual tools, social stories, parts of the Picture Exchange Communication System (PECS), Applied Behavioural Analysis (ABA), and smartphone apps. Overall, these approaches showed some improvements in oral health. However, many of the studies had weaknesses, such as not having control groups or not fully considering the severity of the autistic conditions or if other medical conditions are present. In short, the current evidence that these therapies help improve oral health in children with autism is limited and not very strong. More high-quality research with larger groups of children is needed to better understand what works best. En ligne : https://dx.doi.org/10.1177/13623613251372276 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=570 [article] Application of psychological behavioural therapies in improving oral health for children and adolescents with autism spectrum disorder: A systematic review and meta-analysis [texte imprimé] / Phoebe Pui Ying LAM, Auteur ; Elise Hoi Wan FOK, Auteur ; Megan Yuen Tung CHAN, Auteur ; Colman P. MCGRATH, Auteur ; Cynthia Kar YUNG YIU, Auteur . - p.2662-2676. Langues : Anglais (eng) in Autism > 29-11 (November 2025) . - p.2662-2676 Mots-clés : Autism Spectrum Disorder  behaviour modification  oral health  oral hygiene  systematic review Index. décimale : PER Périodiques Résumé : This systematic review aimed to summarize the current evidence on the effectiveness of various psychological behavioural therapies in improving oral hygiene maintenance habits and oral health among children with autism. Independent screening and study selection, data extraction, risk of bias assessment, and evaluation of the certainty of evidence were conducted. A total of 16 studies were deemed eligible for qualitative synthesis, with 9 included in quantitative analyses. Psychological behavioural therapies including visual pedagogies, social stories, components of PECS (Picture Exchange Communication System) and Applied Behavioural Analysis, as well as the use of smart device applications all demonstrated improvement in oral health parameters following implementation. However, most studies lacked control groups and exhibited a high risk of bias due to the lack of reporting or failure to account for autism spectrum disorder (ASD) severity and associated comorbidities. In addition, studies typically relied on caregivers to carry out reinforcement of therapies, which may explain the significant heterogeneity observed. In summary, the evidence supporting the use of psychoeducational techniques to improve the oral health parameters of autistic children is limited and of very low certainty. Further research utilizing larger-scale studies and more rigorous study designs is necessary to enhance the certainty of evidence in this field.Lay abstract This review looked at existing studies to see how effective different psychological and behavioural therapies are in helping children with autism take better care of their teeth and maintain good oral health. The researchers carefully selected and analysed 16 studies, with 9 of those used for detailed analysis. The therapies examined included visual tools, social stories, parts of the Picture Exchange Communication System (PECS), Applied Behavioural Analysis (ABA), and smartphone apps. Overall, these approaches showed some improvements in oral health. However, many of the studies had weaknesses, such as not having control groups or not fully considering the severity of the autistic conditions or if other medical conditions are present. In short, the current evidence that these therapies help improve oral health in children with autism is limited and not very strong. More high-quality research with larger groups of children is needed to better understand what works best. En ligne : https://dx.doi.org/10.1177/13623613251372276 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=570

Developing a Toothbrushing Visual Pedagogy (TBVP) for Preschool Children with Autism Spectrum Disorder / Rennan Yanlin DU in Journal of Autism and Developmental Disorders, 52-1 (January 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-1 (January 2022) . - p.327-338 Titre : Developing a Toothbrushing Visual Pedagogy (TBVP) for Preschool Children with Autism Spectrum Disorder Type de document : texte imprimé Auteurs : Rennan Yanlin DU, Auteur ; Weipeng YANG, Auteur ; Phoebe Pui Ying LAM, Auteur ; Cynthia K.Y. YIU, Auteur ; Colman P. MCGRATH, Auteur Article en page(s) : p.327-338 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Child, Preschool  Humans  Learning  Toothbrushing  Autism spectrum disorder  Life skills  Oral hygiene  Preschool children  Toothbrushing visual pedagogy Index. décimale : PER Périodiques Résumé : Visual pedagogy and social stories have been widely used to assist children with Autism Spectrum Disorder (ASD) in learning various skills. A toothbrushing visual pedagogy (TBVP) was developed adapting existing toothbrushing social stories for children with ASD. This TBVP consists of 13 toothbrushing steps with scripts describing the toothbrushing technique. To evaluate its feasibility, a review panel was formed to provide feedback on the TBVP and three other published toothbrushing social stories. Effectiveness of the TBVP was further evaluated among 119 preschool children with ASD with significant improvements in toothbrushing skills observed at 3-month and 6-month follow-ups. It is concluded that TBVP is a feasible and an effective educational means that assists children with ASD in learning toothbrushing skills. En ligne : http://dx.doi.org/10.1007/s10803-021-04946-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455 [article] Developing a Toothbrushing Visual Pedagogy (TBVP) for Preschool Children with Autism Spectrum Disorder [texte imprimé] / Rennan Yanlin DU, Auteur ; Weipeng YANG, Auteur ; Phoebe Pui Ying LAM, Auteur ; Cynthia K.Y. YIU, Auteur ; Colman P. MCGRATH, Auteur . - p.327-338. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-1 (January 2022) . - p.327-338 Mots-clés : Autism Spectrum Disorder  Child, Preschool  Humans  Learning  Toothbrushing  Autism spectrum disorder  Life skills  Oral hygiene  Preschool children  Toothbrushing visual pedagogy Index. décimale : PER Périodiques Résumé : Visual pedagogy and social stories have been widely used to assist children with Autism Spectrum Disorder (ASD) in learning various skills. A toothbrushing visual pedagogy (TBVP) was developed adapting existing toothbrushing social stories for children with ASD. This TBVP consists of 13 toothbrushing steps with scripts describing the toothbrushing technique. To evaluate its feasibility, a review panel was formed to provide feedback on the TBVP and three other published toothbrushing social stories. Effectiveness of the TBVP was further evaluated among 119 preschool children with ASD with significant improvements in toothbrushing skills observed at 3-month and 6-month follow-ups. It is concluded that TBVP is a feasible and an effective educational means that assists children with ASD in learning toothbrushing skills. En ligne : http://dx.doi.org/10.1007/s10803-021-04946-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455

Oral health status of children and adolescents with autism spectrum disorder: A systematic review of case-control studies and meta-analysis / Phoebe Pui Ying LAM in Autism, 24-5 (July 2020)  

Public ISBD [article]  inAutism > 24-5 (July 2020) . - p.1047-1066 Titre : Oral health status of children and adolescents with autism spectrum disorder: A systematic review of case-control studies and meta-analysis Type de document : texte imprimé Auteurs : Phoebe Pui Ying LAM, Auteur ; Rennan DU, Auteur ; Simin PENG, Auteur ; Colman P. MCGRATH, Auteur ; Cynthia K.Y. YIU, Auteur Article en page(s) : p.1047-1066 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  children and adolescents  oral health Index. décimale : PER Périodiques Résumé : Children and adolescents diagnosed with Autism Spectrum Disorder (ASD) are thought to be more vulnerable to oral diseases than typically-developing individuals. This is due to their increased barriers to dental care services, self-harm behaviors and dietary habits that may favor tooth decay. In this review, we summarized the current evidence comparing the oral health status of children and adolescents diagnosed with and without ASD. After a systematic search in the literature, we found that the salivary pH of individuals diagnosed with ASD was significantly lower, but the results were not clinically significant that can increase their risks to tooth decay. We also found weak evidence suggesting a higher percentage of children and adolescents diagnosed with ASD having the habit of tooth grinding compared with their neurotypical counterparts. When comparing salivary flow rate, tooth decay, gum diseases, tooth malalignment and tooth trauma; no significant differences were found between the two groups. The findings did not suggest ASD as a predisposing factor to oral diseases: other factors including sugary diet and inadequate oral hygiene may play a more important role. We also call for further research to establish more concrete association between ASD and oral diseases. En ligne : http://dx.doi.org/10.1177/1362361319877337 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=426 [article] Oral health status of children and adolescents with autism spectrum disorder: A systematic review of case-control studies and meta-analysis [texte imprimé] / Phoebe Pui Ying LAM, Auteur ; Rennan DU, Auteur ; Simin PENG, Auteur ; Colman P. MCGRATH, Auteur ; Cynthia K.Y. YIU, Auteur . - p.1047-1066. Langues : Anglais (eng) in Autism > 24-5 (July 2020) . - p.1047-1066 Mots-clés : autism spectrum disorder  children and adolescents  oral health Index. décimale : PER Périodiques Résumé : Children and adolescents diagnosed with Autism Spectrum Disorder (ASD) are thought to be more vulnerable to oral diseases than typically-developing individuals. This is due to their increased barriers to dental care services, self-harm behaviors and dietary habits that may favor tooth decay. In this review, we summarized the current evidence comparing the oral health status of children and adolescents diagnosed with and without ASD. After a systematic search in the literature, we found that the salivary pH of individuals diagnosed with ASD was significantly lower, but the results were not clinically significant that can increase their risks to tooth decay. We also found weak evidence suggesting a higher percentage of children and adolescents diagnosed with ASD having the habit of tooth grinding compared with their neurotypical counterparts. When comparing salivary flow rate, tooth decay, gum diseases, tooth malalignment and tooth trauma; no significant differences were found between the two groups. The findings did not suggest ASD as a predisposing factor to oral diseases: other factors including sugary diet and inadequate oral hygiene may play a more important role. We also call for further research to establish more concrete association between ASD and oral diseases. En ligne : http://dx.doi.org/10.1177/1362361319877337 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=426

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