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Specialists' Perspectives on Social Stories in Managing Individuals With Autism in the Dental Care Setting.

Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry2025

Zafar Sobia, Griffiths Mim, Hartfiel Emily, Malawkin Andie, Lopez-Silva Claudia

What this study means for families

Queensland dental specialists who treat children and people with special needs were surveyed about using social stories to help autistic patients during dental visits. Most (72%) found social stories helpful, especially for autistic people who need less support. While more dentists currently use paper versions, most would prefer using apps. The stories seem most helpful for autistic people with lower support needs.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This Queensland-based survey study examined dental specialists' perspectives on using social stories for autism management during dental care. With a 62% response rate, 72% of participating pediatric and special care dentistry specialists found social stories useful for treating autistic patients. While 44% currently used paper-based social stories compared to 33% using app-based versions, 61% indicated preference for app-based formats when given the choice. Perceived effectiveness varied significantly by autism support level, with 94% finding social stories beneficial for ASD level 1 versus only 44% for ASD level 3.

No significant differences were found between specialty types in their perceptions of social story usefulness.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    72% of dental specialists agreed that social stories are useful when treating autistic patients

    Confidence: moderateRelevance: Indicates professional acceptance of social stories as a dental management tool for autism
  • 2

    Social story effectiveness decreased with higher autism support levels (94% effectiveness for level 1 vs 44% for level 3)

    Confidence: moderateRelevance: Suggests social stories may be most appropriate for autistic individuals with lower support needs
  • 3

    61% of specialists preferred app-based social stories when given the choice, despite current higher use of paper versions

    Confidence: moderateRelevance: Indicates potential for digital tool adoption in dental autism management

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Social stories show promise as dental management tools for autistic patients, particularly those with lower support needs. Digital formats may enhance implementation. Further research needed to establish effectiveness across different autism presentations and geographical contexts.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Single state survey with unspecified sample size. No comparison group or outcome measures reported. Study design not clearly described. Limited generalizability beyond Queensland dental specialists.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

To investigate and compare the experiences of specialists in pediatric and special care dentistry (SCD) using social stories as a management tool in the dental treatment of individuals on the autism spectrum METHODS: A 34-item online questionnaire was designed and distributed to specialists in Queensland. Univariate data were analyzed and graphed. A response rate of 62% was achieved. Results showed that 72% of participants agreed with the statement that "social stories are useful when treating patients with autism." More respondents reported using paper-based social stories (44%) than app-based (33%); however, 61% of participants responded they were more likely to use an app-based social story when given the choice.

There was no statistically significant association between perception of social story usefulness and type of specialty (p = 0.627). As autism level of support increased, there was a decrease in perceived benefits of social stories (94% for ASD level 1 vs. 44% for ASD level 3). This study showed that both Queensland specialists in pediatric dentistry and SCD find social stories to be a useful tool in the management of patients with autism. Further research would enable greater insights into the perception of social stories among dental specialists across Australia.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
Year
2025
PMID
40855651
DOI
10.1111/scd.70085

MeSH Terms

HumansQueenslandSurveys and QuestionnairesMaleFemaleAttitude of Health PersonnelDental Care for Persons with DisabilitiesAdultAutistic DisorderAutism Spectrum DisorderMiddle AgedChildPediatric Dentistry