Autism & Developmental

Dental desensitization by dentists and occupational therapists for autistic adults: A pilot study.

Castaño Novoa et al. (2024) · Autism : the international journal of research and practice 2024
★ The Verdict

Dentist plus OT can train most autistic adults to sit through dental work wide awake.

✓ Read this if BCBAs helping adults with autism access medical or dental care.
✗ Skip if Practitioners focused only on pediatric feeding or outpatient behavior reduction.

01Research in Context

01

What this study did

Castaño Novoa et al. (2024) ran a small pilot where dentists and occupational therapists worked together. They taught autistic adults to tolerate dental exams and simple treatments without sedation.

The team used gradual exposure in the dental chair. OTs handled sensory tools and coping skills. Dentists performed the actual procedures.

02

What they found

Most adults in the program completed exams and minor work without drugs. The study calls this a 'considerable percentage' success.

Participants stayed calm enough for the dentist to finish the job. No one needed pharmacological restraint during the pilot.

03

How this fits with other research

Nguyen et al. (2025) got the same sedation-free goal using telehealth caregiver coaching. Their 29 of 30 adults succeeded, but only with the coached clinic. Patricia's team shows in-clinic desensitization works too, so you now have two proven roads to the same outcome.

Nordahl et al. (2008) removed sedation for toddler MRI scans using child-friendly steps. Patricia moves that idea to adult dental care, proving the no-sedation approach spans both age and procedure type.

Pimentel Júnior et al. (2024) scoping review laments 'protocol gaps' and too few trained dentists. Patricia's dentist-OT partnership is exactly the kind of structured program the field is missing, so it fills a gap the literature just flagged.

04

Why it matters

If you serve autistic adults, you can now request or help build a joint dentist-OT desensitization track. Schedule a few warm-up visits with the OT first, then add the dentist for short probes. Your client avoids sedation side effects, and the dental team gets a repeatable protocol. Share the Patricia paper with local dentists who say 'we can't treat autistic adults without sedation.'

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Email your nearest special-needs dental clinic and ask if they will add OT-run desensitization visits before the next appointment.

02At a glance

Intervention
other
Design
case series
Population
autism spectrum disorder
Finding
positive

03Original abstract

Managing patients with autism in the dental clinic often requires resorting to pharmacological behavioral control techniques, including general anesthesia. References in the literature to desensitization programs are scarce and focus on training children with autism to undergo oral examinations and preventive procedures. This study shows that a dental desensitization program implemented by dentists and occupational therapists could help in performing not only oral examinations but also simple dental therapeutic procedures for a considerable percentage of adults with autism, without using a pharmacological intervention (sedation or general anesthesia).

Autism : the international journal of research and practice, 2024 · doi:10.1177/13623613231173757