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Procedures for reducing dental fear in children with autism

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Abstract

Children with autism are often unable to tolerate dental examinations because of fear associated with sights and sounds in the dental operatory. This study applies procedures commonly used to reduce phobic behavior in otherwise normal persons and individuals with mental retardation, to dental fear in children with autism. Three male subjects were desensitized to a dental exam by the experimenter who paired the anxiety-causing event with stronger stimuli that elicited anxiety-antagonistic responses. Application of the treatment package resulted in successful completion of the steps in a dental exam in an analog setting, and a clinically significant increase in the number of steps completed in vivo.This study demonstrates that children with autism can be trained to cooperate during a dental exam.

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References

  • American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.

    Google Scholar 

  • Braff, M., & Nealon, L. (1979). Sedation of autistic dental patient for dental procedures.Journal of Dentistry for Children, 46, 404–407.

    PubMed  Google Scholar 

  • Burkhart, N. (1984). Understanding and managing the autistic children in the dental office.Dental Hygiene, pp. 59–64.

  • Butts, J. (1967). I. Dental status of mentally retarded children; II. A survey of the prevalence of certain dental conditions in mentally retarded children of Georgia.Journal of Public Health Dentistry, 27(4), 195–211.

    PubMed  Google Scholar 

  • Center, D. (1989).Curriculum and teaching strategies for students with behavioral disorders. Englewood Cliffs, NJ: Prentice Hall.

    Google Scholar 

  • Hemsley, R. (1978). Treating autistic children in a family context. In M. Rutter & E. Schopler (Eds.),Autism: A reappraisal of concepts and treatment (p. 392). New York: Plenum Press.

    Google Scholar 

  • Howlin, P., & Rutter, M. (1987).Treatment of autistic children (p. 91). New York: Wiley.

    Google Scholar 

  • Howlin, P., Marchant, Rutter, M., Berger, M., Hersov, L., & Yule, W. (1973). A home-based approach to the treatment of autistic children.Journal of Autism and Childhood Schizophrenia, 3, 308–336.

    PubMed  Google Scholar 

  • Jackson, H. J., & King, N. J. (1982). The therapeutic management of an autistic child's phobia using laughter as the anxiety inhibitor.Behavioral Psychotherapy, 10, 364–369.

    Google Scholar 

  • Kamen, S., & Skier, J. (1985). Dental management of the autistic child.Special Care in Dentistry, 5(1), 20–23.

    PubMed  Google Scholar 

  • Kopel, H. (1977). The autistic child in dental practice.Journal of Dentistry for Children, pp. 302–309.

  • LaCamara, R., & LaCamara, C. (1987). Routine health care. In D. Cohen & A. Donnellan (Eds.),Handbook of autism and pervasive developmental disorders (pp. 584–595). New York: Wiley.

    Google Scholar 

  • Love, S., Matson, J., & West, D. (1990). Mothers as effective therapists for autistic children's phobias.Journal of Applied Behavioral Analysis, 23, 379–385.

    Google Scholar 

  • Lowe, O., & Jedrychowski, J. (1987). A sedation technique for autistic patients who require dental treatment.Special Care in Dentistry, 7(6), 267–270.

    Google Scholar 

  • Lowe, O., & Lindemann, R. (1985). Assessment of the autistic patient's dental needs and ability to undergo dental examination.Journal of Dentistry for Children, pp. 29–35.

  • Luiselli, J. (1978). Treatment of an autistic child's fear of riding a school bus through exposure and reinforcement.Journal of Behavior Therapy and Experimental Psychiatry, 9, 169–172.

    Google Scholar 

  • Milan, M. A., & McKee, J. M. (1976). The cellblock token economy: token reinforcement procedures in a maximum security correctional institution for adult male felons.Journal of Applied Behavior Analysis, 9, 253–275.

    PubMed  Google Scholar 

  • Starks, D., Market, G. Miller, C., & Greenbaum, J. (1985, July). Day to day dental care: A parent's guide.Exceptional Parent, pp. 13–17.

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Luscre, D.M., Center, D.B. Procedures for reducing dental fear in children with autism. J Autism Dev Disord 26, 547–556 (1996). https://doi.org/10.1007/BF02172275

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  • DOI: https://doi.org/10.1007/BF02172275

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