Practice abstract


British Dental Journal 198, 473 - 474 (2005)
Published online: 23 April 2005 | doi:10.1038/sj.bdj.4812250

Autoextraction in a child with autistic spectrum disorder

M Ross-Russell1 & P Sloan2

  • Dentists treating patients with autistic spectrum disorder (ASD) should be aware of the high levels of self-injurious behaviour within this group.
  • Exfoliation of a deciduous tooth with an intact root warrants further investigation.
  • Unexplained dental pain in a child with autism may be due to self-injury.


Many children with mild/moderate autistic spectrum disorder (ASD) receive care in general dental practice. We report a seven year old boy with ASD presenting with dental pain who auto-extracted one of his deciduous canines. Children with ASD may have hyposensitivity to pain and can exhibit unusual forms of self-injurious behaviour.

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  1. Clinical Head of Community Dental Service, Community Dental Department, Princess of Wales Hospital, Lynn Road, Ely, CB6 1DN
  2. Professor of Oral Pathology, University Dental Hospital of Manchester, Higher Cambridge Street, Manchester M15 6FH.

Correspondence to: M Ross-Russell1 e-mail: maria.ross-russell@southcambs-pct.nhs.uk


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