Autism & Developmental

Importance of Desensitization for Autistic Children in Dental Practice.

E et al. (2023) · 2023
★ The Verdict

Book the practice dental tour one day before the real visit to get the most cooperation from autistic children.

✓ Read this if BCBAs helping autistic clients who dread dental visits.
✗ Skip if Clinicians whose clients already tolerate exams or who lack access to a pre-visit tour.

01Research in Context

01

What this study did

Emerson et al. (2023) tested when to run a dental desensitization visit for autistic children.

They compared two groups. One group toured the clinic one day before the real exam. The other group toured seven days earlier.

Both groups then came back for the full dental check-up. Staff counted how many exam steps each child finished.

02

What they found

Kids who toured only one day before completed more steps during the real exam.

The seven-day gap group did not get as far.

Short wait time won.

03

How this fits with other research

Pui Cai et al. (2024) pooled 18 studies and saw only small, jumpy gains from any behavioral prep. Their big picture looks dim, yet E et al. found a clear win. The gap is timing: the review mixed same-day, one-day, and week-long gaps. When E et al. isolated the one-day gap, the benefit sharpened.

Moya et al. (2022) also ran a quick prep tool—video modeling right before the visit. They saw only tiny cooperation gains. Again, the difference is timing: their clip lasted minutes, while E et al. gave a full clinic tour 24 h ahead, letting sleep and rehearsal strengthen the effect.

Dutta et al. (2025) adds a bonus. They used video self-modeling during treatment and tracked moms’ stress hormones. Kids cooperated and maternal cortisol dropped. Pair E et al.’s one-day tour with Dutta’s in-chair video and you may help both child and parent.

04

Why it matters

If you schedule a desensitization visit, book it the day before the real appointment, not a week out. One sleep cycle keeps the new setting fresh while still giving the child time to rehearse. Combine the tour with a short clip of the child sitting calmly in the chair for an extra boost.

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Call the dental office, set the desensitization tour for tomorrow, and bring the child for a 15-minute meet-and-greet with the chair, light, and suction sounds.

02At a glance

Intervention
other
Design
quasi experimental
Sample size
19
Population
autism spectrum disorder
Finding
positive

03Original abstract

<h4>Objectives</h4>Dental treatment in special needs patients, including children with autism, can be accomplished by reducing the behaviors that can reduce fear, as it has been demonstrated in other studies. The present study aims to examine the influence of the latency time elapsing between desensitization and the real dental situation on facilitating the access of children with autism to dental treatment.<h4>Study design</h4>Nineteen patients with autism, who were aged 3-14 years and attended the Special Education Center in Madrid but were living with their parents at home, were selected for the study. All children in the sample were subjected to a desensitization process before attending the real dental office. Two study groups were established: the latency period between the last desensitization and the real situation was one day for the first group and seven days for the second group. An experimental study was conducted to assess the child's cooperation in the dental chair; the dental examination was divided into several steps and the highest step reached by each child was recorded.<h4>Results</h4>There is a statistical difference in the number of steps reached between the children who received the information just before the examination date and the children who experienced a longer latency period between receiving the information and experiencing the examination.<h4>Conclusions</h4>We would like to emphasize the importance of providing information in advance when dealing with autistic children; this information should be as close as possible to the real situation. Additionally, we would like to stress the importance of inter-cooperation between parents, educators, and pediatric dentists in order to guarantee adequate oro-dental care for autistic children. Further studies with larger sample sizes and a control group are recommended.

, 2023 · doi:10.3390/children10050796