Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Floríndez, L., Como, D., Floríndez, D., Floríndez, F. M., Law, E., Polido, J., & Cermak, S. (2022). Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children. Children, 9(5), 741. https://doi.org/10.3390/children9050741

Publication date: 18 May 2022 Added to AutiHub: 18 Oct 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
7
Publication authors identified as autistic
1 / 7 (14.3%)

Abstract

Background: Oral care activities, e.g., toothbrushing, are habitual occupations often considered routine. However, for autistic children, performing these routine dental practices can be challenging due to the child’s sensory sensitivities, unique executive function, and the complicated way in which autistic children conceptualize structure and habits. Limited research exists exploring the nuances of oral care routines in the autistic population, and more knowledge is needed to support targeted education interventions to improve oral care and address health inequities. The purpose of this study was to examine videos of oral care routines in the home to understand how oral care activities, such as toothbrushing, were performed by autistic and non-autistic Latino/a children. Methods: Parents/caregivers from eighteen Latino/a families with children between 6 and 12 years old (n = 10 autistic children and n = 8 non-autistic children) video recorded their child’s oral care routines for three days. The research team blindly coded and analyzed these videos using an oral care observation template to understand how these activities were uniquely performed by the children. Results: Eighty-five oral care videos were analyzed for this study. In addition to noting areas of oral care that can be improved, which included length of brushing and using the correct brushing technique, we identified two themes related to the differences between oral care practices in the autistic and non-autistic children: parent involvement and modifications. Conclusions: Qualitative findings show that parental involvement was documented especially in the case of autistic children, and that two types of modifications, habitual and sensory, were observed that demonstrated parents being aware of the needs of their autistic child and modifying the oral care activity to meet those needs. By synthesizing observations from the oral care videos into suggestions for practitioners working with families, we hope to supplement knowledge about effective oral care practices for autistic and non-autistic Latino/a children, thereby improving overall oral health and reducing oral health inequities in this population.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 28 Oct 2026 01:01.

Cited references
42
With a DOI
30
Without a DOI, from raw bibliography text
10
4 / 42 (9.5%) cited references include at least one author identified as autistic.
References with data to complete
7 / 42 (16.7%)
References with detected author names
35 / 42 (83.3%)
Without detected author names
7
Without a structured title
5
Without a stable identifier
6
References with raw author names still to review
5
References with external metadata lookup issues
1
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
172
From DOI or external metadata
172
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
16
48 / 172 (27.9%) names are linked to an author already present in AutiHub. 124 / 172 (72.1%) names are not yet linked.
Names linked to a person identified as autistic
5 / 172 (2.9%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 5 / 48 (10.4%). Distinct people identified as autistic: 3 / 134 (2.2%).
  1. Leah Duker , Jose Polido , Sharon Cermak (2013). Oral care and sensory over-responsivity in children with autism spectrum disorders . Pediatr. Dent., 35(3), 230.
    Type: Article OpenAlex: https://openalex.org/W121240543
    Crossref OpenAlex
  2. U.S. Department of Health and Human Services Oral Health Coordinating Committee , Margo R. Adesanya , William Bailey , Donald C. Belcher , Marco Beltran , Tracy Branch et al. (2016). U.S. Department of Health and Human Services Oral Health Strategic Framework, 2014–2017 . Public Health Reports®, 131(2), 242-257. SAGE Publications.
    Crossref OpenAlex OpenCitations
  3. Leah Duker , Jose Polido , Sandy Oliver Lopez Najera , Sharon Cermak (2012). Oral care experiences and challenges in children with autism spectrum disorders . Pediatr. Dent., 34(5), 387.
    Type: Article OpenAlex: https://openalex.org/W176728965
    Crossref OpenAlex
  4. Glenn Flores , Hua Lin , Candy Walker , Michael Lee , Alberto Portillo , Monica Henry et al. (2016). A cross-sectional study of parental awareness of and reasons for lack of health insurance among minority children, and the impact on health, access to care, and unmet needs . International Journal for Equity in Health, 15(1), 44. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  5. Susan A. Fisher‐Owens , Inyang A. Isong , Mah‐J Soobader , Stuart A. Gansky , Jane A. Weintraub , Larry J. Platt et al. (2013). An examination of racial/ethnic disparities in children's oral health in the United States . Journal of Public Health Dentistry, 73(2), 166-174. Wiley.
    Crossref OpenAlex OpenCitations
  6. Inyang A. Isong , Mah-J Soobader , Susan A. Fisher-Owens , Jane A. Weintraub , Stuart A. Gansky , Larry J. Platt et al. (2012). Racial Disparity Trends in Children’s Dental Visits: US National Health Interview Survey, 1964–2010 . Pediatrics, 130(2), 306-314. American Academy of Pediatrics (AAP).
    Crossref OpenAlex OpenCitations
  7. Yogita Butani , Jane A Weintraub , Judith C Barker (2008). Oral health-related cultural beliefs for four racial/ethnic groups: Assessment of the literature . BMC Oral Health, 8(1), 26-26. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  8. Vivek H. Murthy (2016). Oral Health in America, 2000 to Present: Progress Made, But Challenges Remain . Public Health Reports®, 131(2), 224-225. SAGE Publications.
    Crossref OpenAlex OpenCitations
  9. Jason Seawright , John Gerring (2008). Case Selection Techniques in Case Study Research . Political Research Quarterly, 61(2), 294-308. SAGE Publications.
    Crossref OpenAlex OpenCitations
  10. Dominique Como , Leah Duker , Jose Polido , Sharon Cermak (2019). The Persistence of Oral Health Disparities for African American Children: A Scoping Review . International Journal of Environmental Research and Public Health, 16(5), 710. MDPI AG.
    Crossref OpenAlex OpenCitations
  11. C. PILEBRO , B. BÄCKMAN (2005). Teaching oral hygiene to children with autism . International Journal of Paediatric Dentistry, 15(1), 1-9. Wiley.
    Crossref OpenAlex OpenCitations
  12. Arthur H. Friedlander , John A. Yagiela , Victoria I. Paterno , Michael E. Mahler (2006). The neuropathology, medical management and dental implications of autism . The Journal of the American Dental Association, 137(11), 1517-1527. Elsevier BV.
    Crossref OpenAlex OpenCitations
  13. Lydie A. Lebrun-Harris , María Teresa Canto , Pamella Vodicka , Marie Y. Mann , Sara B. Kinsman (2021). Oral Health Among Children and Youth With Special Health Care Needs . Pediatrics, 148(2), e2020025700. American Academy of Pediatrics (AAP).
    Crossref OpenAlex OpenCitations
  14. Šarūnė Barsevičienė , Eglė Žymantienė , Jurgita Andruškienė (2018). GENDER DIFFERENCES IN ORAL CARE HABITS, ATTITUDES AND BEHAVIOURS OF ADOLESCENTS IN THE CITY OF KLAIPEDA . CBU International Conference Proceedings, 6, 870-875. CBU Research Institute.
    Crossref OpenAlex OpenCitations
  15. Vanessa Bal , So Hyun Kim , Daniel Cheong , Catherine Lord (2015). Daily living skills in individuals with autism spectrum disorder from 2 to 21 years of age . Autism, 19(7), 774-784. SAGE Publications.
    Crossref OpenAlex OpenCitations
  16. Bruce A Dye , Gina Thornton-Evans , Xianfen Li , Timothy J Iafolla (2015). Dental Caries and Sealant Prevalence in Children and Adolescents in the United States, 2011–2201 . NCHS Data Brf., 191(191), 1.
    Type: Article OpenAlex: https://openalex.org/W2403437397
    Crossref OpenAlex
  17. Kathleen M. Eisenhardt (1989). Building Theories from Case Study Research . The Academy of Management Review, 14(4), 532. Academy of Management.
    Type: Article DOI: 10.2307/258557 OpenAlex: https://openalex.org/W3123397884
    Crossref OpenAlex OpenCitations
  18. Kristin S. Hoeft , Judith C. Barker , Erin E. Masterson (2010). Urban Mexican‐American mothers’ beliefs about caries etiology in children . Community Dentistry and Oral Epidemiology, 38(3), 244-255. Wiley.
    Crossref OpenAlex OpenCitations
  19. Lin, M., Griffin, S. O., Gooch, B. F., Espinoza, L., Wei, L., Li, C.-H., Thornton-Evans, G., Junger, M. L., Robison, V. A., and Fleming, E. B. (2019). Oral Health Surveillance Report: Trends in Dental Caries and Sealants, Tooth Retention, and Edentulism, United States: 1999–2004 to 2011–2016, Centers for Disease Control and Prevention.
    Type: Other
    Crossref
  20. Stella Koritsas , Teresa A. Iacono (2011). Secondary Conditions in People With Developmental Disability . American Journal on Intellectual and Developmental Disabilities, 116(1), 36-47. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  21. Betty Risteen Hasselkus (2006). The World of Everyday Occupation: Real People, Real Lives . American Journal of Occupational Therapy, 60(6), 627-640. SAGE Publications.
    Crossref OpenAlex OpenCitations
  22. Kimberly K. Walker , E. Angeles Martínez-Mier , Armando E. Soto-Rojas , Richard D. Jackson , Sarah M. Stelzner , Lorena C. Galvez et al. (2017). Midwestern Latino caregivers’ knowledge, attitudes and sense making of the oral health etiology, prevention and barriers that inhibit their children’s oral health: a CBPR approach . BMC Oral Health, 17(1), 61-61. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  23. Lucía Floríndez , Leah Duker , Eunice Hong , Sharon Cermak (2016). Oral Health Interventions for Individuals with Autism: A Systematic Review . Archives of Physical Medicine and Rehabilitation, 97(10), e140. Elsevier BV.
    Crossref OpenAlex OpenCitations
  24. Dominique Como , Leah Duker , Jose Polido , Sharon Cermak (2020). Oral Health and Autism Spectrum Disorders: A Unique Collaboration between Dentistry and Occupational Therapy . International Journal of Environmental Research and Public Health, 18(1), 135. MDPI AG.
    Crossref OpenAlex OpenCitations
  25. Jennifer Marshall , Barbara Sheller , Lloyd Mancl (2010). Caries-risk assessment and caries status of children with Autism . Pediatric Dent., 32(1), 69.
    Type: Article OpenAlex: https://openalex.org/W2341074544
    Crossref OpenAlex
  26. CDC (2013). Centers for Disease Control and Prevention—Summary health statistics for US children: National health interview survey, 2012. Vital Health Stat., 10, 1–8.
    Type: Other
    Crossref
  27. Maurizio Bossù , Mario Trottini , Denise Corridore , Gianni Di Giorgio , Gian Luca Sfasciotti , Gaspare Palaia et al. (2020). Oral Health Status of Children with Autism in Central Italy . Applied Sciences, 10(7), 2247. MDPI AG.
    Crossref OpenAlex OpenCitations
  28. Morton Ann Gernsbacher (2017). Editorial Perspective: The use of person‐first language in scholarly writing may accentuate stigma . Journal of Child Psychology and Psychiatry, 58(7), 859-861. Wiley.
    Crossref OpenAlex OpenCitations
  29. Arwa Alumran , Luloah Almulhim , Bainah Almolhim , Shouq Bakodah , Hessa Aldossary , Zahra Alakrawi (2018). Preparedness and willingness of dental care providers to treat patients with special needs . Clinical, Cosmetic and Investigational Dentistry, Volume 10, 231-236. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  30. O. B. Al-Batayneh , T. S. Nazer , Y. S. Khader , A. I. Owais (2020). Effectiveness of a tooth-brushing programme using the picture exchange communication system (PECS) on gingival health of children with autism spectrum disorders . European Archives of Paediatric Dentistry, 21(2), 277-283. Springer Science and Business Media LLC.
    OpenAlex OpenCitations
  31. D Corridore , G Zumbo , I Corvino , M Guaragna , M Bossù , A Polimeni et al. (2020). Prevalence of oral disease and treatment types proposed to children affected by Autistic Spectrum Disorder in Pediatric Dentistry: A Systematic Review . Clin. Ter., 171(3), e275.
    Crossref OpenAlex
  32. Rennan Yanlin Du , Phoebe Pui Ying Lam , Cynthia Kar Yung Yiu , Colman Patrick McGrath (2021). Evaluation of visual pedagogy in improving plaque control and gingival inflammation among preschool children with autism spectrum disorder: An interventional study . International Journal of Paediatric Dentistry, 31(1), 89-105. Wiley.
    Crossref OpenAlex OpenCitations
  33. Crabtree, B. F., and Miller, W. F. (1992). A Template Approach to Text Analysis: Developing and Using Codebooks, Sage Publications.
    Type: Other
    Crossref
  34. AAPD (2016). American Academy of Pediatric Dentistry Guideline on behavior guidance for the pediatric dental patient. Pediatr. Dent., 37, 57–70.
    Type: Other
    Crossref
  35. (2009). Guideline on Behavior Guidance for the Pediatric Dental Patient. PubMed, 30(5), 125-33.
    Type: Article OpenAlex: https://openalex.org/W4292647856
    OpenAlex
  36. Nazer (2019). Effectiveness of a tooth-brushing programme using the picture exchange communication system (PECS) on gingival health of children with autism spectrum disorders . Eur. Arch. Paediatr. Dent., 21, 277.
    Type: Other
    Crossref
  37. (2016). U.S. Department of Health and Human Services Oral Health Strategic Framework, 2014-2017. PubMed, 131(2), 242-57.
    Type: Article OpenAlex: https://openalex.org/W4302560685
    OpenAlex
  38. Nelson, D. L., and Jepson-Thomas, J. (2003). Occupational form, occupational performance, and a conceptual framework for therapeutic occupation. Perspectives in Human Occupation: Participation in Life, LippincottWilliams & Wilkins.
    Type: Other
    Crossref