Background. The oral health care of autistic children is elaborated; they often fail to define dental problems, and a family-centered approach can be useful to improve and intercept these disorders. Aim. To assess the oral status of autistic children, comparing it with no autistic patients. Materials and Methods. A retrospective study analyzed the oral health status of 70 children, 35 with autism and 35 without the disorder. Conditions assessed were dental trauma type, periodontal tissue injuries, soft tissue lip injuries, different treatments carried out, associated soft tissue findings and disorders, and the long-term management. All patients (≤15 years of age) were chosen consecutively. Results. Females (57%) suffered more traumatic injuries than males (43%) in the autistic group, whereas males affected by dental trauma (54%) are predominant in the control group. The enamel fracture was the main finding among the dental trauma types in both groups followed by enamel/dentin/pulp fracture (31%), root fracture (11%), and avulsions (3%) in the autistic group and by avulsions (20%), root fracture (11%), and enamel/dentin/pulp fracture (6%) in the control group. The comparison of all variables of the two groups showed a statistically significant difference (). The lower lip was statistically more injured than the upper lip (). Conclusions. The composite restorative technique was the most common approach carried out; the long-term evaluation, when possible, was predominantly managed through root canal therapy in the control group (81%), and root canal therapy (50%) and tooth extraction (50%) in the sample group.

中文翻译：

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自闭症儿童的牙外伤：一项回顾性研究

背景。阐述自闭症儿童口腔保健；他们经常无法定义牙齿问题，而以家庭为中心的方法有助于改善和拦截这些疾​​病。瞄准。评估自闭症儿童的口腔状况，将其与没有自闭症的患者进行比较。材料和方法。一项回顾性研究分析了 70 名儿童的口腔健康状况，其中 35 名患有自闭症，35 名没有自闭症。评估的条件是牙外伤类型、牙周组织损伤、软组织唇部损伤、进行的不同治疗、相关的软组织发现和疾病以及长期管理。连续选择所有患者（≤15岁）。结果. 在自闭症组中，女性（57%）比男性（43%）遭受更多的创伤，而在对照组中受牙外伤影响的男性（54%）占主导地位。牙釉质骨折是两组牙外伤类型中的主要发现，其次是自闭症组的牙釉质/牙本质/牙髓骨折（31%）、牙根骨折（11%）和撕脱（3%）以及撕脱（20 %)、牙根折断 (11%) 和牙釉质/牙本质/牙髓折断 (6%)。两组各变量比较差异有统计学意义（）。在统计上，下唇比上唇更容易受伤（）。 结论。复合修复技术是最常见的方法。在可能的情况下，长期评估主要通过对照组（81%）的根管治疗、样本组的根管治疗（50%）和拔牙（50%）进行。