The investigators aim at creating a dedicated pathway to allow accessibility to dental care for ASD children within a hospital Dentistry Department, in order to diminish the need for general anesthesia. Visual pedagogy, parent training, a strict schedule for appointments (every two months) spanning over three years and longer duration of dedicated examination are set up for a group of ASD children, whose behavior is compared to that of children seen one or twice a year.
Treated group: Enrollment: caregivers receive instructions and a visual pedagogy aid with instructions for toothbrushing. They complete also enrollment and informed consent forms. At the first visit: caregivers receive a dental mirror to be used at home. Children are free to explore the office and dental room. Subsequent visits, every two months for three years: trials are made to establish contact with children, make them seat at the dentist's chair, execute dental visits and treatments as needed. Control group: subjects (similar inclusion and exclusion criteria) that access the Department for clinical reasons or control visits, but cannot comply with the strict two-months schedule.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
170
Behavioral support as described under 'Arm description'.
Piove di Sacco Hospital
Piove di Sacco, PD, Italy
Collaboration
Degree of collaboration on Frankl's scale, from 0 (none) to 3 (optimal)
Time frame: Change in degree of collaboration from baseline at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36 months.
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 1, month 2
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 1, month 4
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 1, month 6
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 1, month 8
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 1, month 10
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 1, month 12
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 2, month 2
Acceptance
Acceptance of every action or instrument: Yes/No
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Time frame: Year 2, month 4
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 2, month 6
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 2, month 8
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 2, month 10
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 2, month 12
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 3, month 2
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 3, month 4
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 3, month 6
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 3, month 8
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 3, month 10
Acceptance
Acceptance of every action or instrument: Yes/No
Time frame: Year 3, month 12