{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:44:49Z","timestamp":1792622689533,"version":"4.5.0"},"reference-count":65,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T00:00:00Z","timestamp":1732579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Children with Autism Spectrum Disorder (ASD) often struggle with dental care due to sensory sensitivities and behavioral issues, increasing their risk for oral health problems. Adaptation strategies such as visual aids, video modeling, and sensory-adapted environments aim to improve their dental experiences. Methods: A systematic review of randomized controlled trials (RCTs) was conducted according to PRISMA 2020 guidelines using the PubMed, Scopus, Embase, and Cochrane databases. Of the 1072 records screened, nine RCTs were included in the analysis. Studies included children with ASD under 18 years and compared dental adaptation techniques with traditional care. The risk of bias and study quality were assessed. The quality of evidence for the results was determined using the GRADE tool. Results: Nine RCTs with sample sizes ranging from 25 to 138 participants showed significant improvements in oral hygiene, reduced anxiety, and increased cooperation. Video modeling and sensory-adapted environments were particularly effective in lowering distress during dental visits. Conclusions: Dental adaptation strategies, especially video modeling and sensory-adapted environments, effectively improve oral health outcomes and reduce anxiety in children with ASD. More research is needed to explore the long-term effects and include children with severe ASD.<\/jats:p>","DOI":"10.3390\/jcm13237144","type":"journal-article","created":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T05:06:53Z","timestamp":1732597613000},"page":"7144","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Dental Adaptation Strategies for Children with Autism Spectrum Disorder\u2014A Systematic Review of Randomized Trials"],"prefix":"10.3390","volume":"13","author":[{"given":"Magdalena","family":"Prynda","sequence":"first","affiliation":[{"name":"Orthodontic Specialist, M-Dent Center for Esthetic Dentistry and Implantology, 34a\/7 Sienkiewicza St., 50-335 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnieszka Anna","family":"Pawlik","sequence":"additional","affiliation":[{"name":"Specialist DentalClinic dr n.med.Agnieszka Anna Pawlik ul, Strumie\u0144skiego 12\/4, 41-400 Mys\u0142owice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wojciech","family":"Niemczyk","sequence":"additional","affiliation":[{"name":"Department of Periodontal Diseases and Oral Mucosa Diseases, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Pl. Traugutta 2, 41-800 Zabrze, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5673-7413","authenticated-orcid":false,"given":"Rafa\u0142","family":"Wiench","sequence":"additional","affiliation":[{"name":"Department of Periodontal Diseases and Oral Mucosa Diseases, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Pl. Traugutta 2, 41-800 Zabrze, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1093\/bmb\/ldy026","article-title":"Autism Spectrum Disorder","volume":"127","author":"Campisi","year":"2018","journal-title":"Br. Med. Bull."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1111\/j.1365-263X.2009.01011.x","article-title":"Behaviour Guidance in Dental Treatment of Patients with Autism Spectrum Disorder","volume":"19","author":"Loo","year":"2009","journal-title":"Int. J. Paediatr. Dent."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Frye, R.E. (2022). A Personalized Multidisciplinary Approach to Evaluating and Treating Autism Spectrum Disorder. J. Pers. Med., 12.","DOI":"10.3390\/jpm12030464"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/j.ridd.2010.10.021","article-title":"Sensory Abnormalities in Autism","volume":"32","author":"Klintwall","year":"2011","journal-title":"Res. Dev. Disabil."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1002\/aur.3179","article-title":"Sensory Over-responsivity and Atypical Neural Responses to Socially Relevant Stimuli in Autism","volume":"17","author":"Than","year":"2024","journal-title":"Autism Res."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Hsieh, J.-J., Nagai, Y., Kumagaya, S., Ayaya, S., and Asada, M. (2022). Atypical Auditory Perception Caused by Environmental Stimuli in Autism Spectrum Disorder: A Systematic Approach to the Evaluation of Self-Reports. Front. Psychiatry, 13.","DOI":"10.3389\/fpsyt.2022.888627"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1111\/j.1754-4505.2011.00187.x","article-title":"Oral Care and Sensory Sensitivities in Children with Autism Spectrum Disorders","volume":"31","author":"Stein","year":"2011","journal-title":"Spec. Care Dent."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1038\/s41572-019-0138-4","article-title":"Autism Spectrum Disorder","volume":"6","author":"Lord","year":"2020","journal-title":"Nat. Rev. Dis. Primers"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1186\/s13052-022-01310-w","article-title":"The Global Prevalence of Autism Spectrum Disorder: A Comprehensive Systematic Review and Meta-Analysis","volume":"48","author":"Salari","year":"2022","journal-title":"Ital. J. Pediatr."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Talantseva, O.I., Romanova, R.S., Shurdova, E.M., Dolgorukova, T.A., Sologub, P.S., Titova, O.S., Kleeva, D.F., and Grigorenko, E.L. (2023). The Global Prevalence of Autism Spectrum Disorder: A Three-Level Meta-Analysis. Front. Psychiatry, 14.","DOI":"10.3389\/fpsyt.2023.1071181"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1111\/j.1754-4505.1999.tb01386.x","article-title":"Characteristics of Patients with Autistic Disorder (AD) Presenting for Dental Treatment: A Survey and Chart Review","volume":"19","author":"Klein","year":"1999","journal-title":"Spec. Care Dent."},{"key":"ref_12","first-page":"e467","article-title":"Behavioural Aspects of Patients with Autism Spectrum Disorders (ASD) That Affect Their Dental Management","volume":"19","year":"2014","journal-title":"Med. Oral"},{"key":"ref_13","first-page":"307","article-title":"Association Between Autism Spectrum Disorder and Dental Anomalies of the Permanent Dentition","volume":"43","author":"Gandhi","year":"2021","journal-title":"Pediatr. Dent."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1177\/1362361317730299","article-title":"Oral Assessment of Children with Autism Spectrum Disorder in Rawalpindi, Pakistan","volume":"23","author":"Suhaib","year":"2019","journal-title":"Autism"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1111\/ipd.12274","article-title":"Oral Health Status of Children and Young Adults with Autism Spectrum Disorders: Systematic Review and Meta-analysis","volume":"27","author":"Gimenez","year":"2017","journal-title":"Int. J. Paediatr. Dent."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Carli, E., Pasini, M., Pardossi, F., Capotosti, I., Narzisi, A., and Lardani, L. (2022). Oral Health Preventive Program in Patients with Autism Spectrum Disorder. Children, 9.","DOI":"10.3390\/children9040535"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Piraneh, H., Gholami, M., Sargeran, K., and Shamshiri, A.R. (2022). Oral Health and Dental Caries Experience among Students Aged 7\u201315 Years Old with Autism Spectrum Disorders in Tehran, Iran. BMC Pediatr., 22.","DOI":"10.1186\/s12887-022-03178-5"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Hariyani, N., Shoaib, L.A., Rohani, M.M., Hanna, K.M.B., and Lee, H. (2024). Caregivers\u2019 Perceptions, Beliefs and Behavior Influence Dental Caries Experience in Children with Autism Spectrum Disorder: A Qualitative Study. Saudi Dent. J.","DOI":"10.1016\/j.sdentj.2024.09.019"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.adaj.2023.02.020","article-title":"Autism Spectrum Disorder and Periodontitis Risk","volume":"154","author":"Tsai","year":"2023","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/j.sdentj.2021.02.006","article-title":"A Systematic Review of Population-Based Gingival Health Studies among Children and Adolescents with Autism Spectrum Disorder","volume":"33","author":"AlOtaibi","year":"2021","journal-title":"Saudi Dent. J."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1177\/13623613231193529","article-title":"Oral Health-Care Practices and Dental Assistance Management Strategies for People with Autism Spectrum Disorder: An Integrative Literature Review","volume":"28","author":"Vianna","year":"2024","journal-title":"Autism"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"3035463","DOI":"10.1155\/2020\/3035463","article-title":"Dental Service Utilization and Barriers to Dental Care for Individuals with Autism Spectrum Disorder in Jordan: A Case-Control Study","volume":"2020","author":"Alshatrat","year":"2020","journal-title":"Int. J. Dent."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.ambp.2008.04.005","article-title":"Parental Perceptions of Dental\/Oral Health Among Children With and Without Special Health Care Needs","volume":"8","author":"Kenney","year":"2008","journal-title":"Ambul. Pediatr."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Fallea, A., Vetri, L., L\u2019Episcopo, S., Bartolone, M., Zingale, M., Di Fatta, E., d\u2019Albenzio, G., Buono, S., Roccella, M., and Elia, M. (2024). Oral Health and Quality of Life in People with Autism Spectrum Disorder. J. Clin. Med., 13.","DOI":"10.3390\/jcm13175179"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Fallea, A., Zuccarello, R., Roccella, M., Quatrosi, G., Donadio, S., Vetri, L., and Cal\u00ec, F. (2022). Sensory-Adapted Dental Environment for the Treatment of Patients with Autism Spectrum Disorder. Children, 9.","DOI":"10.3390\/children9030393"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Niemczyk, W., Balicz, A., Lau, K., Morawiec, T., and Kasperczyk, J. (2024). Factors Influencing Peri-Extraction Anxiety: A Cross-Sectional Study. Dent. J., 12.","DOI":"10.3390\/dj12060187"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2791","DOI":"10.1007\/s10803-016-2795-4","article-title":"Brief Report: Remotely Delivered Video Modeling for Improving Oral Hygiene in Children with ASD: A Pilot Study","volume":"46","author":"Popple","year":"2016","journal-title":"J. Autism Dev. Disord."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.acap.2023.11.006","article-title":"Optimizing Care for Autistic Patients in Health Care Settings: A Scoping Review and Call to Action","volume":"24","author":"Harris","year":"2024","journal-title":"Acad. Pediatr."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Schardt, C., Adams, M.B., Owens, T., Keitz, S., and Fontelo, P. (2007). Utilization of the PICO Framework to Improve Searching PubMed for Clinical Questions. BMC Med. Inform. Decis. Mak., 7.","DOI":"10.1186\/1472-6947-7-16"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1016\/j.theriogenology.2010.01.003","article-title":"Method Agreement Analysis: A Review of Correct Methodology","volume":"73","author":"Watson","year":"2010","journal-title":"Theriogenology"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"GRADE: An Emerging Consensus on Rating Quality of Evidence and Strength of Recommendations","volume":"336","author":"Guyatt","year":"2008","journal-title":"BMJ"},{"key":"ref_33","first-page":"18","article-title":"Communication Application for Use During the First Dental Visit for Children and Adolescents with Autism Spectrum Disorders","volume":"40","author":"Zink","year":"2018","journal-title":"Am. Acad. Pediatr. Dent."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1007\/s10803-016-2998-8","article-title":"Evaluation of Visual Pedagogy in Dental Check-Ups and Preventive Practices Among 6\u201312-Year-Old Children with Autism","volume":"47","author":"Nilchian","year":"2017","journal-title":"J. Autism Dev. Disord."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"393","DOI":"10.17796\/1053-4628-40.5.393","article-title":"Visual Schedule System in Dental Care for Patients with Autism: A Pilot Study","volume":"40","author":"Mah","year":"2016","journal-title":"J. Clin. Pediatr. Dent."},{"key":"ref_36","first-page":"29","article-title":"Assessment of the Autistic Patient\u2019s Dental Needs and Ability to Undergo Dental Examination","volume":"52","author":"Lowe","year":"1985","journal-title":"ASDC J. Dent. Child."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1177\/0009922813517169","article-title":"Addressing Dental Fear in Children with Autism Spectrum Disorders: A Randomized Controlled Pilot Study Using Electronic Screen Media","volume":"53","author":"Isong","year":"2014","journal-title":"Clin. Pediatr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"2876","DOI":"10.1007\/s10803-015-2450-5","article-title":"Sensory Adapted Dental Environments to Enhance Oral Care for Children with Autism Spectrum Disorders: A Randomized Controlled Pilot Study","volume":"45","author":"Cermak","year":"2015","journal-title":"J. Autism Dev. Disord."},{"key":"ref_39","unstructured":"Higgins, J.P.T., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M.J., and Welch, V.A. (2024, November 17). Cochrane Handbook for Systematic Reviews of Interventions, Available online: https:\/\/training.cochrane.org\/handbook."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1111\/scd.12916","article-title":"A Comparative Evaluation of Video Modeling and Social Stories for Improving Oral Hygiene in Children with Autism Spectrum Disorder: A Pilot Study","volume":"44","author":"Gandhi","year":"2024","journal-title":"Spec. Care Dent."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"3813","DOI":"10.1007\/s10803-022-05679-9","article-title":"Social Story Based Toothbrushing Education Versus Video-Modeling Based Toothbrushing Training on Oral Hygiene Status Among Male Students Aged 7\u201315 Years Old with Autism Spectrum Disorders in Tehran, Iran: A Quasi-Randomized Controlled Trial","volume":"53","author":"Piraneh","year":"2023","journal-title":"J. Autism Dev. Disord."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Aljubour, A., AbdElBaki, M., El Meligy, O., Al Jabri, B., and Sabbagh, H. (2022). Effect of Culturally Adapted Dental Visual Aids on Oral Hygiene Status during Dental Visits in Children with Autism Spectrum Disorder: A Randomized Clinical Trial. Children, 9.","DOI":"10.3390\/children9050666"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Aljubour, A., AbdElBaki, M., El Meligy, O., Al-Jabri, B., and Sabbagh, H. (2023). Effect of Culturally Adapted Dental Visual Aids on Anxiety Levels in Children with Autism Spectrum Disorder: A Randomized Clinical Trial. Children, 10.","DOI":"10.3390\/children10061040"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"20","DOI":"10.5005\/jp-journals-10024-3620","article-title":"Culturally Adapted Dental Visual Aids Effect on Behavior Management during Dental Visits in Children with Autism Spectrum Disorder","volume":"25","author":"Aljubour","year":"2024","journal-title":"J. Contemp. Dent. Pract."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1007\/s10803-022-05820-8","article-title":"Efficacy of the Video Modeling Technique as a Facilitator of Non-Invasive Dental Care in Autistic Children: Randomized Clinical Trial","volume":"54","author":"Rodrigues","year":"2024","journal-title":"J. Autism Dev. Disord."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Cirio, S., Salerno, C., Mbanefo, S., Oberti, L., Paniura, L., Campus, G., and Cagetti, M.G. (2022). Use of Visual Pedagogy to Help Children with ASDs Facing the First Dental Examination: A Randomized Controlled Trial. Children, 9.","DOI":"10.3390\/children9050729"},{"key":"ref_47","first-page":"25","article-title":"Picture Examination Communication System Versus Video Modelling in Improving Oral Hygiene of Children with Autism Spectrum Disorder: A Prospective Randomized Clinical Trial","volume":"44","author":"Shalabi","year":"2022","journal-title":"Pediatr. Dent."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e2316346","DOI":"10.1001\/jamanetworkopen.2023.16346","article-title":"Sensory Adaptations to Improve Physiological and Behavioral Distress During Dental Visits in Autistic Children: A Randomized Crossover Trial","volume":"6","author":"Como","year":"2023","journal-title":"JAMA Netw. Open"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1177\/1088357609352901","article-title":"Evaluating the Effectiveness of Video Instruction on Social and Communication Skills Training for Children With Autism Spectrum Disorders: A Review of the Literature","volume":"25","author":"Miller","year":"2010","journal-title":"Focus. Autism Other Dev. Disabl."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1017\/S2045796017000610","article-title":"Video Modeling for the Development of Personal Hygiene Skills in Youth with Autism Spectrum Disorder","volume":"27","author":"Piccin","year":"2018","journal-title":"Epidemiol. Psychiatr. Sci."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1080\/02739615.2020.1831389","article-title":"Effectiveness of Dental Visual Aids in Behavior Management of Children with Autism Spectrum Disorder: A Systematic Review","volume":"50","author":"Aljubour","year":"2021","journal-title":"Child. Health Care"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"533","DOI":"10.15537\/smj.2017.5.17398","article-title":"Effectiveness of a Preparatory Aid in Facilitating Oral Assessment in a Group of Saudi Children with Autism Spectrum Disorders in Central Saudi Arabia","volume":"38","author":"Murshid","year":"2017","journal-title":"Saudi Med. J."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"e598","DOI":"10.4317\/medoral.20424","article-title":"Dental Care Protocol Based on Visual Supports for Children with Autism Spectrum Disorders","volume":"20","author":"Cagetti","year":"2015","journal-title":"Med. Oral"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"6903220020p1","DOI":"10.5014\/ajot.2015.013714","article-title":"Feasibility of a Sensory-Adapted Dental Environment for Children With Autism","volume":"69","author":"Cermak","year":"2015","journal-title":"Am. J. Occup. Ther."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1542\/peds.147.3MA8.779","article-title":"Sensory Adapted Dental Environments to Enhance Oral Care for Children with Autism Spectrum Disorder","volume":"147","author":"Duker","year":"2021","journal-title":"Pediatrics"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"2","DOI":"10.4103\/jisppd.jisppd_36_21","article-title":"The Effect of Multisensory-Adapted Dental Environment on Children\u2019s Behavior toward Dental Treatment: A Systematic Review","volume":"39","author":"Ismail","year":"2021","journal-title":"J. Indian Soc. Pedod. Prev. Dent."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.nicl.2018.04.008","article-title":"Neural Correlates of Taste Reactivity in Autism Spectrum Disorder","volume":"19","author":"Avery","year":"2018","journal-title":"NeuroImage Clin."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Zerman, N., Zotti, F., Chirumbolo, S., Zangani, A., Mauro, G., and Zoccante, L. (2022). Insights on Dental Care Management and Prevention in Children with Autism Spectrum Disorder (ASD). What Is New?. Front. Oral Health, 3.","DOI":"10.3389\/froh.2022.998831"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s40368-019-00485-x","article-title":"Effectiveness of a Tooth-Brushing Programme Using the Picture Exchange Communication System (PECS) on Gingival Health of Children with Autism Spectrum Disorders","volume":"21","author":"Nazer","year":"2020","journal-title":"Eur. Arch. Paediatr. Dent."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1111\/scd.12183","article-title":"Use of a Picture Exchange Communication System for Preventive Procedures in Individuals with Autism Spectrum Disorder: Pilot Study","volume":"36","author":"Zink","year":"2016","journal-title":"Spec. Care Dent."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1007\/s10803-013-1930-8","article-title":"Training Adults and Children with an Autism Spectrum Disorder to Be Compliant with a Clinical Dental Assessment Using a TEACCH-Based Approach","volume":"44","author":"Orellana","year":"2014","journal-title":"J. Autism Dev. Disord."},{"key":"ref_62","first-page":"16","article-title":"Effectiveness of the D-TERMINED Program of Repetitive Tasking for Children with Autism Spectrum Disorder","volume":"83","author":"AlHumaid","year":"2016","journal-title":"J. Dent. Child."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1016\/j.pcl.2008.07.005","article-title":"Autism: Definition, Neurobiology, Screening, Diagnosis","volume":"55","author":"Rapin","year":"2008","journal-title":"Pediatr. Clin. N. Am."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1590\/S1678-77572011000300006","article-title":"Dental Caries Experience, Oral Health Status and Treatment Needs of Dental Patients with Autism","volume":"19","author":"Jaber","year":"2011","journal-title":"J. Appl. Oral Sci."},{"key":"ref_65","first-page":"124","article-title":"Providing dental care for children with autism spectrum disorders","volume":"7","author":"Muraru","year":"2017","journal-title":"Int. J. Med. Dent."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/23\/7144\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:39:22Z","timestamp":1760114362000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/23\/7144"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,26]]},"references-count":65,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["jcm13237144"],"URL":"https:\/\/doi.org\/10.3390\/jcm13237144","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,26]]}}}