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We report the case of a patient with autistic spectrum disorders for whom it was difficult to establish home care and to have the patient adapt to dental treatment for long periods. We undertook periodontal treatment by scaling and root planning(SRP) for this patient, which resulted in favorable behavior modification. A 25-year-old male patient was referred to our clinic with the chief complaint of bleeding of the gingiva. Oral examination revealed voluminous dental plaques and calculi, and reddening and swelling of the gingiva. Over 10 years since the first visit, we were not able to perform a diagnostic examination of the periodontal condition, because of the maladaptive behavior of our patient and our lack of experience of periodontal treatment in such cases. Therefore, we had been provided oral hygiene instruction, and performed supragingival scaling and professional mechanical tooth cleaning. However, there were some indications, such as moving teeth and acute symptoms, that the periodontal disease was advanced. In accordance with the shift of attending, we performed periodontal examinations by applying behavior modification techniques and rethought the therapeutic principle. With the SRP, his periodontal condition improved and favorable behavior modification was recognized, with the patient showing better adaptation to dental treatment and getting to request voluntarily to subjective symptoms in oral conditions. Furthermore, it eased the maladaptive behavior during assisted tooth brushing by the mother, and she became keen to play an active role in his improvement. Through the treatment of this case, we have demonstrated that improvement of periodontal disease in autistic spectrum disorders may lead to favorable behavior modification of these patients. Furthermore, it is suggested that the patientsʼ behavior modification may also affect the patientsʼ motivation to undergo treatment. Nihon Shishubyo Gakkai Kaishi(J Jpn Soc Periodontol)52(3):245-254,2010.

nihon shishuubyou gakkai kaishi/nihon shishūbyō gakkai kaishi

Periodontal treatment by scaling and root planning resulted in behavior modification of a patient with autistic spectrum disorders: A 14-year follow-up case