Service Delivery

Barriers to Professional Dental Care among Children with Autism Spectrum Disorder.

Alshihri et al. (2021) · Journal of autism and developmental disorders 2021
★ The Verdict

Most autistic kids miss dental care because dentists lack ABA tools you already know.

✓ Read this if BCBAs helping families with medical or dental appointments.
✗ Skip if Clinicians who only work in schools and never touch health care.

01Research in Context

01

What this study did

Shawler et al. (2021) asked 142 moms of autistic kids about dental visits.

They used an online survey. Moms listed every problem they met while booking or paying for care.

02

What they found

Two out of three families said getting dental care was hard.

The top two reasons were cost and dentists who would not take the child.

03

How this fits with other research

Kammer et al. (2025) talked to parents and dentists and dug deeper. They found the real issue is poor staff training and lack of parent supports. Their work extends A et al. by showing why dentists say no.

McMullen et al. (2017) proved one child with autism can learn to sit through a dental exam when the team uses ABA desensitization and a picture schedule. This case shows the training gap Vitali found is fixable.

Weng et al. (2011) counted fluoride varnish use in Taiwan. Fewer than 1 in the kids with disabilities got it. That number matches the low U.S. access rate A et al. reports, showing the problem is global.

04

Why it matters

You can close the gap. Share McMullen’s prediction-plus-desensitization packet with local dentists. Offer to train office staff or accompany the child for the first visit. One cooperative patient often turns a reluctant dentist into a willing one.

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Email a nearby pediatric dentist and attach McMullen’s 2017 desensitization protocol.

02At a glance

Intervention
not applicable
Design
survey
Sample size
142
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Aims were to: (1) investigate the parental difficulties toward their ASD children dental care and, (2) analyze factors influencing their access to such services. Questionnaires were completed by 142 mothers of ASD children. Children aged between 2.5 and 14 years old, with 3.9:1 male to female ratio. 68.3% perceived difficulties in finding dental care. Most barriers were: Cost (75.4%), finding a dentist to treat ASD child (74.6%), and behavior of their ASD child (45.1%). There was no difference among age and "difficulty finding dental care" (p = 0.429). Having medical insurance and previous bad experience showed significant effects on the difficulty in finding dental care (p < 0.05). Children with ASD and their parents encounter various barriers to dental services.

Journal of autism and developmental disorders, 2021 · doi:10.1016/j.jaac.2013.10.013