Abstract：
BACKGROUND: Children with autism exhibit a higher risk of poor oral health due to difficulty in the performance of simple tasks such as toothbrushing.
OBJECTIVE: This current systematic review aims to evaluate the effectiveness of Picture based intervention of toothbrush training on improvement of oral hygiene in children with autism spectrum disorders (ASD) MATERIALS AND METHODS: Prospero registered (CRD42023450156). PubMed, Cochrane, Scopus databases are searched from years January 1, 1980 to August 1, 2023 using broad search terms (brush) AND (autism).
RESULTS: The search queries have identified 853 titles, from three databases (PubMed, Scopus, Cochrane), after application of filters for exclusion of systematic reviews and meta-analysis, duplicate exclusion and removal of irrelevant titles led to the final inclusion of 24 articles for full text screening. From the 24 included studies, 10 studies (four RCTs and six non-randomized clinical studies) sustained the final rigorous PICO search. Quantitative pooling of data were performed for limited articles.
CONCLUSIONS: Low quality evidence suggest that picture-based intervention of toothbrush training has significant improvement (p ≤ .05) in improving toothbrushing habit as well as performance as indicated by the Plaque Index score (PI), Gingival index (GI) and Oral hygiene index score (OHI-S).
OBJECTIVE: This current systematic review aims to evaluate the effectiveness of Picture based intervention of toothbrush training on improvement of oral hygiene in children with autism spectrum disorders (ASD) MATERIALS AND METHODS: Prospero registered (CRD42023450156). PubMed, Cochrane, Scopus databases are searched from years January 1, 1980 to August 1, 2023 using broad search terms (brush) AND (autism).
RESULTS: The search queries have identified 853 titles, from three databases (PubMed, Scopus, Cochrane), after application of filters for exclusion of systematic reviews and meta-analysis, duplicate exclusion and removal of irrelevant titles led to the final inclusion of 24 articles for full text screening. From the 24 included studies, 10 studies (four RCTs and six non-randomized clinical studies) sustained the final rigorous PICO search. Quantitative pooling of data were performed for limited articles.
CONCLUSIONS: Low quality evidence suggest that picture-based intervention of toothbrush training has significant improvement (p ≤ .05) in improving toothbrushing habit as well as performance as indicated by the Plaque Index score (PI), Gingival index (GI) and Oral hygiene index score (OHI-S).
摘要：
背景：自闭症儿童由于难以执行诸如刷牙之类的简单任务而表现出口腔健康不良的较高风险。
目的：本系统综述旨在评估基于图片的牙刷训练干预对改善自闭症谱系障碍（ASD）儿童口腔卫生的有效性材料和方法：Prospero注册（CRD42023450156）。PubMed,科克伦,Scopus数据库从1980年1月1日到2023年8月1日使用广泛的搜索词（刷）和（自闭症）进行搜索。
结果：搜索查询确定了853个标题，来自三个数据库(PubMed，Scopus,Cochrane)，在应用过滤器排除系统评价和荟萃分析后，重复排除和删除不相关的标题导致最终纳入24篇文章进行全文筛选。从纳入的24项研究中，10项研究（4项RCT和6项非随机临床研究）维持了最终的严格PICO搜索。对有限的文章进行了数据的定量汇集。
结论：低质量证据表明，基于图片的牙刷训练干预在改善刷牙习惯和表现方面具有显着改善（p≤0.05），如牙菌斑指数评分（PI）所示，牙龈指数（GI）和口腔卫生指数（OHI-S）评分。
目的：本系统综述旨在评估基于图片的牙刷训练干预对改善自闭症谱系障碍（ASD）儿童口腔卫生的有效性材料和方法：Prospero注册（CRD42023450156）。PubMed,科克伦,Scopus数据库从1980年1月1日到2023年8月1日使用广泛的搜索词（刷）和（自闭症）进行搜索。
结果：搜索查询确定了853个标题，来自三个数据库(PubMed，Scopus,Cochrane)，在应用过滤器排除系统评价和荟萃分析后，重复排除和删除不相关的标题导致最终纳入24篇文章进行全文筛选。从纳入的24项研究中，10项研究（4项RCT和6项非随机临床研究）维持了最终的严格PICO搜索。对有限的文章进行了数据的定量汇集。
结论：低质量证据表明，基于图片的牙刷训练干预在改善刷牙习惯和表现方面具有显着改善（p≤0.05），如牙菌斑指数评分（PI）所示，牙龈指数（GI）和口腔卫生指数（OHI-S）评分。
