Showing posts with label Parents. Show all posts
Showing posts with label Parents. Show all posts

Tuesday, December 2, 2008

Autism - The disease and Implications for Dental Care


Dr Sharat Chandra Pani

Autism is a severe developmental disorder that affects the way a child sees and interacts with the rest of the world. It limits their ability to interact with others socially, in fact many autism suffers avoid human contact. Autism is part of a larger group of disorders called pervasive developmental disorders (PDD).

In 1911 a  Swiss psychiatrist Eugene Bleuler, coined the term Autism to describe pepole who had a difficulty in communication, he however was referring to adult schizophrenia. The term as we know it today is attributed to Leo Kanner, an American Psychiatrist, who in 1943 coined the term while studying children at Johns Hopkins University. He based his discovery on findings from 11 children he observed between 1938 and 1943. What he studied were children who had withdrawal from human contact as early as age one.Until the 1960’s Autism was thought to be a form of schizophrenia, a misdiagnosis that led many parents to blame themselves for the problem.  It has only been in the last few decades that the medical fraternity has truly  begun to understand Autism; so it is not surprising that a great deal of confusion exists, even among the medical fraternity about the diagnosis, treatment and dental management of children with autism.

In this series of Posts DCSN looks at Autism, it's causes, probable management strategies and useful tips for the parent who is anxious about taking the child to the dentist for the first time; and also the dentist who is probably equally anxious about treating a child with autism.

 Posts for parents

 Posts for Dentists

Diagnosing Autism  

What causes Autism?  

Is a child with Autism always mentally retarded?  

Preparing your Child for a vist to the Dentist 

Preparing yourself to treat an autistic child 

Autism in India - the challenges of misdiagnosis  

Autism in India - Support Centers in India

Monday, December 1, 2008

Autism in India - The Challenges of Misdiagnoses

Numerous studies have placed the occurrence of autism at a rate of approximately 1 in 500 people. At India’s current population, this means there are an estimated 1.7 million autistic persons in the country, assuming that there are no significant variations in this rate worldwide, which is a question that has not yet been addressed by epidemiologists outside the West. While the disorder is not rare, the majority of autistic people in India have not been diagnosed and do not receive the services they need. The main reason for this is a lack of awareness and misunderstanding about autism among medical professionals, who may either misdiagnose or under diagnose the condition.

One of the major difficulties faced by parents of children with autism in India is obtaining an accurate diagnosis. A parent may take their child to a paediatrician only to be reassured that their child is just "slow." Unsatisfied, they may visit a psychologist, to be told their child is "mentally subnormal." Convinced that their child does not fit the typical picture of mental retardation, they may visit a psychiatrist, to be told that their child has attention deficit disorder, and must be put on medication to control hyperactivity. After months of sedation and unsatisfactory progress, they may again begin a cycle of searching for the correct name for their child’s problem.

It is therefore very likely that a dentist may find himself/herself treating an Austistic child when the parents are unaware of the condition. It is therefore necessary for the dentist to be able to recognize the symptoms of autism and be aware of the steps he/she may take to render optimal care to autistic individuals. It is similarly important for parents to know the symptoms their child may face, and be mentally prepared for a visit to the dentist.

Large parts of this post have been based on information made available free by the NGO action for autism. Readers can read more at http://www.autism-india.org/afa_autisminindia.html

DCSN does not endorse or take responsibilty for information provided by external sources; we have however verified the information in this post and find it to be accurate to the best of our knowledge.