Oral manifestations of caries disease in pediatric dentistry patients with Autism Spectrum Disorder: integrative literature review

• Autor(a) principal: Lima , Lídia Soares de
• Data de Publicação: 2023
• Outros Autores: Teixeira , Daniela Navarro Ribeiro, Siqueira , Ana Paula Nascentes de Deus Fonseca, Rocha, Karine Siqueira Cabral, Machado, Fabrício Campos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Brazilian Journal of Implantology and Health Sciences
• DOI: 10.36557/2674-8169.2023v5n4p826-839
• Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/431
• topic: Cárie dental; Transtorno do espectro autista; Odontologia; Dental caries; Autism espectrum disorder; Dentistry

Autistic Spectrum Disorder (ASD) is a complex neurodevelopmental disorder, characterized by impaired language and social interactions. Therefore, these patients present greater risks to oral health, as they tend not to be able to perform proper hygiene. The objective of this study was to identify the oral health condition and the occurrence of caries in children and adolescents with Autistic Spectrum Disorder. An integrative literature review was carried out in the electronic databases PubMed, LILACS and Scielo, using the following descriptors in Portuguese and their corresponding ones in English: dental caries OR dental caries OR decayed tooth AND autism spectrum disorder or Autism. Inclusion and exclusion criteria followed the PRISMA-ScR strategy. 43 articles were found, 5 of which were included in this review. A deficit in hygiene and food selectivity was noticed, which can have consequences in the oral cavity according to the cariogenic level of these foods, gingival alteration and molar-incisor hypomineralization (MIH). It was concluded, therefore, that given the multifactorial cause of caries disease and the various factors that can affect a patient with ASD, these, together, can cause a predisposition to the involvement of the caries lesion. Related factors are food selectivity, poor hygiene, behavioral changes and hypersensitivity. Furthermore, the studies showed that the medication and salivary composition acting on the protective buffering effect did not demonstrate a significant negative effect on the oral cavity of these patients.