Resumo
Este artigo tem como objetivo descrever as características de pacientes com transtornos do neurodesenvolvimento, especificamente transtorno do espectro autista e transtorno de déficit de atenção e hiperatividade, e relacioná los com o tipo de abordagem odontológica que esse paciente necessita, além de descrever as estratégias educativas que podem ser oferecidas ao paciente e aos pais para promover os cuidados de saúde bucal como parte da saúde geral. Foi realizada uma revisão bibliográfica onde foram analisados artigos nas bases de dados: PubMed, SciELO, Scopus, LILACS e Google Acadêmico. Conclui-se que os transtornos do neurodesenvolvimento podem aumentar o risco de cárie dentária e outras doenças bucais em pacientes pediátricos, portanto medidas preventivas devem ser aumentadas e aprimoradas, além do acompanhamento dos pais quanto aos cuidados que têm na saúde bucal desses pacientes. O conhecimento e a aplicação das técnicas corretas de manejo do comportamento podem permitir que o cirurgião-dentista preste um atendimento mais eficaze adequado a esses pacientes.
Referências
Salvador-Carulla L, Reed GM, Vaez-Azizi LM, Cooper S-A, Martinez-Leal R, Bertelli M, et al. Intellectual developmental disorders: towards a new name, definition and framework for “mental retardation/ intellectual disability” in ICD-11. World Psychiatry. 2011;10(3):175–80.
Berg AT, Caplan R, Hesdorffer DC. Psychiatric and neurodevelopmental disorders in childhood-onset epilepsy. Epilepsy Behav. 2011;20(3):550–5.
Thapar A, Cooper M, Rutter M. Neurodevelopmental disorders. Lancet Psychiatry. 2017;4(4):339–46.
Ismail FY, Shapiro BK. What are neurodevelopmental disorders? Curr Opin Neurol. 2019;32(4):611–6.
Doernberg E, Hollander E. Neurodevelopmental Disorders (ASD and ADHD): DSM-5, ICD-10, and ICD-11. CNS Spectr. 2016;21(4):295–9.
D’Souza H, Karmiloff-Smith A. Neurodevelopmental disorders. Wiley Interdiscip Rev Cogn Sci [Internet]. 2017;8(pp.4-6). Disponible en: http://dx.doi.org/10.1002/wcs.1398
Morris-Rosendahl DJ, Crocq M-A. Neurodevelopmental disorders-the history and future of a diagnostic concept. Dialogues Clin Neurosci. 2020;22(1):65–72.
Lai M-C, Lombardo MV, Baron-Cohen S. Autism. Lancet. 2014;383(9920):896–910.
Baggio S, Fructuoso A, Guimaraes M, Fois E, Golay D, Heller P, et al. Prevalence of Attention Deficit Hyperactivity Disorder in Detention Settings: A Systematic Review and Meta-Analysis. Front Psychiatry. 2018;9:331.
Council on Children With Disabilities, Section on Developmental Behavioral Pediatrics, Bright Futures Steering Committee, Medical Home Initiatives for Children With Special Needs Project Advisory Committee. Identifying infants and young children with developmental disorders in the medical home: an algorithm for developmental surveillance and screening. Pediatrics. 2006;118(1):405–20.
Baron-Cohen S. Autismo y síndrome de Asperger. Alianza Editorial Sa; 2010. 204 p.
Pineda M. Trastornos del espectro autista [Internet]. Vol. 81, Anales de Pediatría. 2014. p. 1–2. Disponible en: http://dx.doi.org/10.1016/j.anpedi.2014.04.018
Valencia AL. El sindrome de Asperger: entidad nosológica independiente o variante de los trastornos del espectro autista [Internet]. Vol. 2, TEMPUS PSICOLÓGICO. 2018. p. 154–75. Disponible en: http://dx.doi.org/10.30554/tempuspsi.1.2.2567.2019
Truffino JC, Villamisar DG. Identificación y diagnóstico precoz de los trastornos del espectro autista [Internet]. Rev. de neuro.. 2004. Vol. 39, p. 81. Disponible en: http://dx.doi.org/10.33588/ rn.3901.2004098
Temudo T, de Sá Maciel PE. Síndrome de Rett. Características clínicas y avances genéticos [Internet]. Rev. Neuro; 2022. Vol. 34, p. 54. Disponible en: http://dx.doi.org/10.33588/rn.34s1.2002031
Colvin MK, Stern TA. Diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder. J Clin Psychiatry. 2015;76(9):e1148.
Morales-Chávez M, Villarroel-Dorrego M. Índice de caries y de higiene oral en un grupo de pacientes autistas [Internet]. Rev. Estomatol. Hered. 2018, Vol. 28. p. 160. Disponible en: http://dx.doi.org/10.20453/reh.v28i3.3393
Grooms MT, Keels MA, Roberts MW, McIver FT. Caries experience associated with attention-deficit/
hyperactivity disorder. J Clin Pediatr Dent. 2005;30(1):3–7.
Delli K, Reichart PA, Bornstein MM, Livas C. Management of children with autism spectrum disorder in the dental setting: concerns, behavioural approaches and recommendations. Med Oral Patol Oral Cir Bucal. 2013;18(6):e862–8.
C, Kirzioglu Z. Dental caries status and related factors in children with Attention Deficit and Hyperactivity Disorder. Ann Med Res. 2021;28(5):918.
Hage SRV, Lopes-Herrera SA, Santos T-HF, Defense-Netvral DA, Martins A, Sawasaki LY, et al. Oral hygiene and habits of children with autism spectrum disorders and their families. J Clin Exp Dent. 2020;12(8):e719–24.
Costa AP, Donat FJS. Odontología en pacientes especiales. Universitat de València; 2011. 314 p.
Romero-Martínez J. Efectividad de las intervenciones en Funciones Ejecutivas en alumnado con Trastorno del Espectro Autista. Una revisión bibliográfica [Internet]. ReiDoCrea: Revista electrónica de investigación Docencia Creativa. 2021. Disponible en: http://dx.doi.org/10.30827/digibug.66393
Butrón-Téllez Girón C., Hernández-Torres R, Vásquez-Martínez MA, Grande-Gallegos M de L, Mariel-Cárdenas J. Consideraciones para la atención odontológica en un paciente con síndrome de Asperger. Rev. Odonto. Ped. 2018;17(1):79-84. Disponible en: http://www.op.spo.com.pe/index.php/
odontologiapediatrica/article/view/27
Villavicencio GMQ, Machuca MV-V. Déficit de atención e hiperactividad: un reto para el odontopediatra [Internet]. Rev. Estomato. Hered. 2015;17:40. Disponible en: http://dx.doi.org/10.20453/reh.v17i1.2432
Bazzano M. Trastorno de Atención e Hiperactividad en la Escuela: Un Programa de Formación para el Profesorado y las Familias. GRIN Verlag; 2017. 60 p.
Perales-Terán M, Sabbagh-Haddad A, Juárez-Ibarra KI, Cruz-Fierro N. Evaluación de tres técnicas para el manejo de conducta odontológica en pacientes con trastorno del espectro autista [Internet] Odontol Sanmarquina. 2021; 24:7-14. Disponible en: http://dx.doi.org/10.15381/os.v24i1.19692
Bellostas I. Manual de autismo para padres: causas, tratamiento médico y pérdida del diagnóstico inicial. 2019. 255 p.
Gutiérrez LH. Manejo del paciente autista en el consultorio odontológico [Internet]. R Odonto. Pediat.2018;7(2):34-35. Disponible en: https://www.imbiomed.com.mx/articulo.php?id=64497
Corridore D, Zumbo G, Corvino I, Guaragna M, Bossù M, Polimeni A, et al. Prevalence of oral disease and treatment types proposed to children affected by Autistic Spectrum Disorder in Pediatric Dentistry: a Systematic Review. Clin Ter. 2020;171(3):e275–82.
Wang Y-C, Lin I-H, Huang C-H, Fan S-Z. Dental anesthesia for patients with special needs. Acta Anaesthesiol Taiwan. 2012;50(3):122–5.
Wang X-Q, Albitos PJ, Hao Y-F, Zhang H, Yuan L-X, Zang Y-F. A review of objective assessments for hyperactivity in attention deficit hyperactivity disorder. J Neurosci Methods. 2022;109479.
Guerrero R. Trastorno por déficit de atención con hiperactividad: Una guía para padres y maestros. Océano; 2020. 348 p.
Chau YCY, Peng S-M, McGrath CPJ, Yiu CKY. Oral Health of Children With Attention Deficit Hyperactivity Disorder: Systematic Review and Meta-Analysis. J Atten Disord. 2020;24(7):947–62.
Carlsson V, Hakeberg M, Blomkvist K, Wide Boman U. Attention deficit hyperactivity disorder and dental anxiety in adults: relationship with oral health. Eur J Oral Sci. 2013;121(3 Pt 2):258–63.
Blomqvist M, Holmberg K, Fernell E, Ek U, Dahllöf G. Oral health, dental anxiety, and behavior management problems in children with attention deficit hyperactivity disorder. Eur J Oral Sci. 2006;114(5):385–390.
Aguilera FS. Estudio de la ansiedad dental infantil en el gabinete odontológico. 1992. 277 p.
Campbell C. Dental Fear and Anxiety in Pediatric Patients: Practical Strategies to Help Children Cope. Springer; 2017. 252 p.
Pimienta N, González Y, Rodríguez L. Autismo infantil, manejo en la Especialidad de Odontología. Acta Médica del Centro [Internet]. 2017 [citado 1 Jul 2022]; 11 (4):[aprox. 10 p.]. Disponible en: http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/823
Malik P. Parents’ Experiences Regarding the Use of Papoose Boards on Their Children During Dental Services [A thesis submitted to McGill University in partial fulfillment of the requeriments of the degree of master of science] Montereal, Canada. Faculty of Dentistry; 2018.
Kerins CA, McWhorter AG, Seale NS. Pharmacologic behavior management of pediatric dental patients diagnosed with attention deficit disorder/attention deficit hyperactivity disorder. Pediatr Dent. 2007;29(6):507–13.
Chi SI, Kim H, Seo K-S. Analysis of application of dental sedation in attention deficit hyperactivity disorder (ADHD) patients using the Korean National Health Insurance data. J Dent Anesth Pain Med. 2021;21(2):99–111.
Pilebro C, Bäckman B. Teaching oral hygiene to children with autism. Int J Paediatr Dent. 2005;15(1):1–9.
Bäckman B, Pilebro C. Visual pedagogy in dentistry for children with autism. ASDC J Dent Child. 1999;66(5):325–31, 294.
Nilchian F, Shakibaei F, Jarah ZT. Evaluation of Visual Pedagogy in Dental Check-ups and Preventive Practices Among 6-12-Year-Old Children with Autism. J Autism Dev Disord. 2017;47(3):858–64.
Strategies used for the outpatient dental care of people with autism spectrum disorder: An integrative review. Res Autism Spectr Disord. 2022;91:101903.
Alshatrat SM, Al-Bakri IA, Al-Omari WM. Dental Service Utilization and Barriers to Dental Care for Individuals with Spectrum Disorder in Jordan: A Case-Control Study. Int J Dent.2020;2020:3035463.