Parental Perspectives on the Impact of ReAttach Therapy on Dental Care for Children with Autism

Main Article Content

Dr. Sahana.S
Dr Suresh Bommaji
Dr. Srivani Mallikarjunaramesh
Dr. Amita Rao
Dr. Venu Naidu.B
Dr K.V. Lokesh

Abstract

Introduction: Children diagnosed with autism spectrum disorder (ASD) often encounter significant challenges in maintaining proper dental care practices. These challenges, including dental anxiety and sensory sensitivities, contribute to oral health disparities in this population. ReAttach Therapy, an emerging holistic approach, has gained attention for its potential to enhance various aspects of daily life for individuals with autism. However, its influence on dental care remains an underexplored area. This study investigates parental perspectives regarding the impact of ReAttach Therapy on dental care for children with autism.


Methods: A questionnaire-based study was conducted, involving parents or carers (n = 150) of children diagnosed with autism who had undergone ReAttach Therapy. The questionnaire gathered information on demographics, the child's ASD diagnosis, dental care practices, the frequency and duration of ReAttach therapy sessions, perceived changes in dental care routines, and the therapy's impact on dental anxiety. Statistical analyses were employed to identify significant correlations and trends in the data.


Results: The study findings illuminate a positive and significant impact of ReAttach Therapy on dental care for children with autism, as perceived by their parents or caregivers. Key outcomes included reported enhancements in oral hygiene routines (78% of respondents), reductions in dental anxiety (67% of parents), improved cooperation during dental visits (82% of respondents), and increased comfort with dental equipment (61% of parents). Statistical analysis further indicated a significant positive correlation between the duration of ReAttach therapy and improvements in dental care practices (p < 0.05).


Discussion: The study's results underscore the potential benefits of ReAttach therapy as a complementary intervention in the dental care of children with autism. These positive outcomes encompass not only improved oral hygiene practices and reduced dental anxiety but also enhanced cooperation during dental visits and increased comfort with dental procedures. However, it is essential to acknowledge that this study primarily relies on parental perceptions, suggesting a need for future research incorporating clinical assessments and professional perspectives to strengthen the evidence base.


Conclusion: Parental perspectives suggest that ReAttach Therapy has a positive and significant impact on dental care for children with autism. These findings emphasise the potential value of ReAttach therapy in improving oral health outcomes and overall well-being for paediatric patients with autism. Subsequent research should further investigate and validate these outcomes to enhance our understanding of the therapy's role in optimising dental care for this population.

Article Details

How to Cite
Dr. Sahana.S, Dr Suresh Bommaji, Dr. Srivani Mallikarjunaramesh, Dr. Amita Rao, Dr. Venu Naidu.B, & Dr K.V. Lokesh. (2023). Parental Perspectives on the Impact of ReAttach Therapy on Dental Care for Children with Autism. Journal for ReAttach Therapy and Developmental Diversities, 6(10s(2), 1605–1609. https://doi.org/10.53555/jrtdd.v6i10s(2).2179
Section
Articles
Author Biographies

Dr. Sahana.S

Professor and Head, Public Health Dentistry, Peoples College of Dental Sciences and Research Centre, Peoples University, Bhopal

Dr Suresh Bommaji

Associate Professor, Dept of Oral and Maxillo Facial Surgery, Coorg institute of Dental Sciences ,Virajpet, Karnataka, University: RGUHS

Dr. Srivani Mallikarjunaramesh

Consultant dentist, V. S. super speciality dental hospital, Hyderabad

Dr. Amita Rao

MDS (Periodontics), Reader, Department of Periodontics, Nitte ( Deemed to be University), AB Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore 575018, Karnataka, India

Dr. Venu Naidu.B

Professor, Dept. of Oral Pathology, Anil Neerukonda Institute of Dental Sciences Visakhapatnam, Affiliated to Dr. Y. S. R. University of Health Sciences, Vijayawada, Andhra Pradesh

Dr K.V. Lokesh

Associate professor, Oral medicine and Radiology, Anil Neerukonda institute of dental sciences, YSR University of health sciences

References

Hodges H, Fealko C, Soares N. Autism spectrum disorder: definition, epidemiology, causes, and clinical evaluation. Transl Pediatr. 2020 Feb;9(Suppl 1):S55-S65. doi: 10.21037/tp.2019.09.09. PMID: 32206584; PMCID: PMC7082249.

Blomqvist M, Dahllöf G, Bejerot S. Experiences of dental care and dental anxiety in adults with autism spectrum disorder. Autism Res Treat. 2014;2014:238764. doi: 10.1155/2014/238764. Epub 2014 Oct 28. PMID: 25530879; PMCID: PMC4228704.

Weerkamp-Bartholomeus P. ReAttach – The Exciting Development of a Promising Intervention for Autism Spectrum Disorders [Internet]. Autism Spectrum Disorder - Recent Advances. InTech; 2015. Available from: http://dx.doi.org/10.5772/60462.

Stein Duker LI, Floríndez LI, Como DH, Tran CF, Henwood BF, Polido JC, Cermak SA. Strategies for Success: A Qualitative Study of Caregiver and Dentist Approaches to Improving Oral Care for Children with Autism. Pediatr Dent. 2019 Jan 15;41(1):4E-12E. PMID: 30803480; PMCID: PMC6391730.

Ghoneim A, D'Souza V, Ebnahmady A, Kaura Parbhakar K, He H, Gerbig M, Laporte A, Hancock Howard R, Gomaa N, Quiñonez C, Singhal S. The Impact of Dental Care Programs on Individuals and Their Families: A Scoping Review. Dent J (Basel). 2023 Jan 30;11(2):33. doi: 10.3390/dj11020033. PMID: 36826178; PMCID: PMC9954911.

Zerman N, Zotti F, Chirumbolo S, Zangani A, Mauro G, Zoccante L. Insights on dental care management and prevention in children with autism spectrum disorder (ASD). What is new? Front Oral Health. 2022 Sep 27;3:998831. doi: 10.3389/froh.2022.998831. PMID: 36238091; PMCID: PMC9551997.

Zerman N, Zotti F, Chirumbolo S, Zangani A, Mauro G, Zoccante L. Insights on dental care management and prevention in children with autism spectrum disorder (ASD). What is new? Front Oral Health. 2022 Sep 27;3:998831. doi: 10.3389/froh.2022.998831. PMID: 36238091; PMCID: PMC9551997.

Bosgraaf L, Spreen M, Pattiselanno K, van Hooren S. Art Therapy for Psychosocial Problems in Children and Adolescents: A Systematic Narrative Review on Art Therapeutic Means and Forms of Expression, Therapist Behavior, and Supposed Mechanisms of Change. Front Psychol. 2020 Oct 8;11:584685. doi: 10.3389/fpsyg.2020.584685. PMID: 33132993; PMCID: PMC7578380.

Chandrashekhar S, S Bommangoudar J. Management of Autistic Patients in Dental Office: A Clinical Update. Int J Clin Pediatr Dent. 2018 May-Jun;11(3):219-227. doi: 10.5005/jp-journals-10005-1515. Epub 2018 Jun 1. PMID: 30131645; PMCID: PMC6102426.

Como, D.H.; Stein Duker, L.I.; Polido, J.C.; Cermak, S.A. Oral Health and Autism Spectrum Disorders: A Unique Collaboration between Dentistry and Occupational Therapy. Int. J. Environ. Res. Public Health 2021, 18, 135. https://doi.org/10.3390/ijerph18010135

Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent. 2016 Mar 10;8:35-50. doi: 10.2147/CCIDE.S63626. PMID: 27022303; PMCID: PMC4790493.

Duker LIS, Henwood BF, Bluthenthal RN, Juhlin E, Polido JC, Cermak SA. Parents' perceptions of dental care challenges in male children with autism spectrum disorder: An initial qualitative exploration. Res Autism Spectr Disord. 2017 Jul;39:63-72. doi: 10.1016/j.rasd.2017.03.002. Epub 2017 May 20. PMID: 29098015; PMCID: PMC5662021.