[Behavioural management techniques in oral care of girl with autism spectrum disorder and mild intellectual disability].

This case study shows how a young girl with autism and mild intellectual disability was able to receive dental care without sedation. At first, she couldn't cooperate during dental visits. But by working together and using special techniques like explaining what would happen step-by-step and practicing procedures gradually, the dentist helped her become comfortable with dental treatment. This took time and patience from everyone involved.

This case report describes successful behavioural management techniques used in dental care for a young girl with autism spectrum disorder and mild intellectual disability. Initially, adequate cooperation seemed unattainable, but through collaborative efforts between the dentist, parents, and patient, significant progress was achieved. The case demonstrates the effectiveness of specific behavioural management strategies including the 5W1H-principle, tell-show-feel-do method, and successive approximations. The approach required investment of time and energy to build trust and develop an individualized treatment plan, ultimately enabling non-sedation dental treatment in a general practice setting.

General dental practices can successfully treat autistic patients using structured behavioural management techniques without sedation. Requires investment in relationship-building and individualized approaches. May reduce need for specialized sedation services and improve access to routine dental care.

Single case report limits generalizability. No quantitative measures of progress or outcomes reported. Specific details about implementation of techniques not provided. Long-term sustainability of approach unclear.

In a young patient with a mild intellectual disability and an autism spectrum disorder, adequate cooperation in a dental setting initially seemed unattainable. However, with the investment of time and energy by the dentist, parents, and patient to build a relationship of trust as well as an individual treatment plan, much progress was achieved. The application of behavioural management techniques, such as the 5W1H-principle, the 'tell-show-feel-do'-method and successive approximations provide perspective for non-sedation treatment of this patient population in the general dental practice.