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Case Presentation
A nine year old boy reported to the Department of Pedodontics
and Preventive Dentistry of Bharati Vidyapeeth Deemed
University, Sangli with a chief complaint of pain and abscess in
the lower left back region of the jaw since one month. Patient was
a known case of autism spectrum disorder. He was inattentive,
hyperactive and showed repetition of gestures. Psychological
testing report showed childhood autism rating scale (CARS) 2,
which falls into mild to moderate autistic category. Vineland
social maturity scale (VSMS) measuring the social intelligence of
child was found to be 31.5 with social age of around 5-6 years.
The family history was non-contributory. He was not on any
medications and had reported no history of drug allergies. Extra-
oral examination showed no specific findings (Figure 1). Intraoral
examination revealed multiple carious lesions (Figure 2&3).
Occlusal caries involving enamel, dentin and pulp with 55 and 75.
Intra oral dentoalveolar abscess was also seen in relation with 75
Figure 1: Extra-oral image.
(Figure 4). Dentinal caries was seen with 85 and occlusal pit and
fissure caries was seen with 65. No soft tissue abnormalities were
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Total Oral Rehabilitation of an Autistic Child 2016 Patil et al. 2/3
Figure 2: Intra oral pre-operative image of the maxilla. Figure 3: Intra oral pre-operative image of the mandible.
Figure 6: Stainless steel crown cemented on 55 and glass ionomer Figure 7: Stainless steel crown cemented on 75 and glass ionomer
cement restoration on 65 and sealants on 16, 26. cement restoration on 85 and Sealants on 36, 46.
Oral hygiene care instructions were given to the parents two months follow-up revealed improved eating habits of the
and maintenance protocol was explained and they were also child.
encouraged for regular follow-up for preventive dental care. The
Citation: Patil A, Shigli A, Rane S, Sale M (2016) Total Oral Rehabilitation of an Autistic Child. MOJ Clin Med Case Rep 4(6): 00111.
DOI: 10.15406/mojcr.2016.04.00111
Copyright:
Total Oral Rehabilitation of an Autistic Child 2016 Patil et al. 3/3
References
1. Kanner L (1943) Autistic disturbances of affective contact, Nervous
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2. American Psychiatric Association (1994) Diagnostic and statistical
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TL (1988) Hypoplasia of cerebellar vermal lobules VI and VII in
Figure 8: Post- operative orthopantomograph. autism, N Engl J Med 318(12): 1349-1354.
4. Jepson B, Johnson J (2007) Changing the Course of Autism, Boulder,
Sentient Publications, USA, pp. 42-46.
Discussion
5. Volkmar FR, Klin A (2005) Issues in the classification of autism
Autistic children suffer from multiple behavioural problems, and related conditions. In: Handbook of Autism and Pervasive
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and preventive care through parent counselling, speech therapy, with disabilities. In: McDonald RE, Avery DR, Dean JA (Eds.), Dentistry
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aspects before treating autistic children like understanding their 556.
sensory needs, using motivating games, giving rewards to the child 7. Newschaffer CJ, Croen LA, Daniels J, Giarelli e, Grether JK, et al. (2007)
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abscess and patient was unable to understand instructions and
8. Speaks TM (2011) Treating Children with Autism Spectrum Disorders:
was hyperactive hence dental treatment was planned under A Dental Guide. Autism Intervention Research Network on Physical
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condition, it is very likely that the paediatric dentist will have one
14. Patil A, Tamgond S, Sandhyarani B, Shigli A, Patil S, et al. (2016) An
or more of these children in their practice. Treating these children
Update on Dental Outlook for Autism, Autism Open Access 6: 3.
requires multidisciplinary comprehensive care and flexible and
Citation: Patil A, Shigli A, Rane S, Sale M (2016) Total Oral Rehabilitation of an Autistic Child. MOJ Clin Med Case Rep 4(6): 00111.
DOI: 10.15406/mojcr.2016.04.00111