A combined approach: Point-of-view video modeling and systematic desensitization for preparing children with autism spectrum disorders for dental examinations


PEKER İ., BAĞCI N., AKDAĞ F., Demirtaş Ş., Bülbül I. A., ATABEK D.

Research in Autism, vol.131, 2026 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 131
  • Publication Date: 2026
  • Doi Number: 10.1016/j.reia.2026.202808
  • Journal Name: Research in Autism
  • Journal Indexes: Scopus
  • Keywords: Autism, Dental examination, Desensitization, Point-of-view video modeling
  • Hacettepe University Affiliated: Yes

Abstract

Objectives: The purpose of this study was to evaluate the effectiveness of systematic desensitization supported by point-of-view modeling (PVM) in improving the acceptance of dental examinations by children with autism spectrum disorder (ASD) without the need for any invasive or interventional procedures. Method: Twelve children with ASD (females n = 1 8.3 %; males n = 11 91.7 %) were included in the study. The pre-test was evaluated two phases: pulse rate and oral examination steps in the dental clinic. The pulse rate using a pulse oximeter and the response to oral examination steps using the Frankl Scale were measured. A special room simulating a dental clinic was prepared in the special education center. In the room, systematic desensitization supported by PVM was applied by showing a video of oral examination steps by the children's own educators. After, post-test was applied as in the pre-test. The pre-test and post-test data were statistically compared. Results: The mean age of participants was 9.5 ± 2.3 years. The mean pulse values in the pre-test (98.16 ± 16.06) were statistically higher than the post-test (80.33 ± 11.15) (p = 0.013). A statistically difference was observed between the Frankl Scale values in the pre-test and post-test stage (p < 0.05). Frankl Scale values in the post-test were higher than in the pre-test stage. Conclusion: The systematic desensitization supported by PVM has been shown effective in accustoming children with ASD to oral examinations. Lay Summary: Dentists, parents, and special educators can use desensitization supported by PVM to facilitate dental procedures of children with ASD.