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[Evaluation of the effectiveness of adaptation of children with autism spectrum disorders to dental care].

Stomatologiia2025

Nagoeva E A, Kardangusheva A M

What this study means for families

Researchers tested whether virtual reality technology could help autistic children feel more comfortable at the dentist. They compared 76 children - some got regular preparation for dental visits, others got preparation plus virtual reality. Children who used virtual reality were much calmer and more cooperative during dental visits. Many fewer children showed very upset behavior, and many more showed positive behavior.

This suggests virtual reality could be a helpful tool to make dental visits less stressful for autistic children.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This study evaluated augmented reality (AR) technology as an adaptation method for dental care in children with autism spectrum disorders. Seventy-six children aged 3-16 were randomized into two groups: standard adaptation versus standard adaptation plus AR technology. Behavioral responses were measured using the Frankl behavioral scale. The AR group showed significantly improved behavioral outcomes, with absolutely negative behavior decreasing from 26.3% to 2.6% and absolutely positive behavior increasing from 26.3% to 50%.

Overall, negative behaviors dropped from 50% to 5.2%. The researchers concluded that AR-enhanced adaptation effectively reduces undesirable behaviors and can be recommended for preparing autistic children for dental appointments and procedures.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Absolutely negative behavior decreased from 26.3% to 2.6% with AR adaptation

    Confidence: moderateRelevance: Significant reduction in severe behavioral challenges during dental care
  • 2

    Absolutely positive behavior increased from 26.3% to 50% with AR adaptation

    Confidence: moderateRelevance: Substantial improvement in cooperative behavior for dental procedures
  • 3

    Overall negative behaviors reduced from 50% to 5.2% with AR intervention

    Confidence: moderateRelevance: Dramatic improvement in overall behavioral adaptation to dental care

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Augmented reality technology shows promise as an effective adaptation tool for dental care in autistic children. The significant behavioral improvements suggest AR could be integrated into standard dental preparation protocols. However, larger controlled trials are needed to confirm effectiveness and establish implementation guidelines for clinical practice.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Small sample size of 76 participants limits generalizability. Study methodology and randomization procedures are not clearly described. No long-term follow-up reported. Unclear if effects persist beyond immediate intervention period. Limited details on AR technology specifications and implementation protocols provided.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

The aim the studi is to evaluation of the effectiveness of the method of adaptation of children with autism spectrum disorders to a dental appointment using augmented reality technology. 76 children with autism spectrum disorders aged 3 to 16 years were examined and divided into 2 comparable groups. In group 1, standard adaptation of children to a dentist's appointment was carried out, in group 2, a method of adaptation of children developed using augmented reality (AR) technology was additionally used. To determine the degree of anxiety of children with autism, the Frankl behavioral scale was used before and after the application of the developed adaptation method. In the second group, more children with autism spectrum disorders adapted to dental visits.

Specifically, the percentage of children displaying absolutely negative behavior dropped significantly (from 26.3% to 2.6%,<0.05), as did those with negative behavior (from 23.7% to 2.6%,<0.05). Conversely, the number of children exhibiting absolutely positive behavior increased (from 26.3% to 50%,<0.05). Overall, the percentage of children with negative or absolutely negative behavior decreased dramatically, from 50% to 5.2% (<0.05). These findings demonstrate the effectiveness of the proposed methodology and support its recommendation for practical use.

The use of the technique for adapting children with ASD to a dental appointment, developed using PAP and AR technology, helps to reduce the manifestation of undesirable behavior in children with ASD and can be used to prepare a child for a dental appointment and dental manipulations.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Stomatologiia
Year
2025
PMID
41174848
DOI
10.17116/stomat202510405143

MeSH Terms

HumansAutism Spectrum DisorderChildAdolescentChild, PreschoolMaleFemaleDental AnxietyDental Care for ChildrenAdaptation, Psychological