Background/Objectives: Children with autism spectrum disorder (ASD) often face challenges in maintaining oral hygiene due to sensory sensitivities, behavioral difficulties, and limited access to specialized dental care. This study aimed to assess the oral hygiene status of children with ASD and compare it with neurotypical peers. Methods: A cross-sectional study was conducted with 74 children with ASD and 74 neurotypical children. Dental exams measured oral hygiene and caries prevalence using the DMFT/dmft, Oral Hygiene Index (OHI), and Sulcus Bleeding Index (SBI). Tooth brushing frequency and dental visits were also recorded. Statistical analysis was performed using the Mann–Whitney U test and Fisher’s exact test. Results: Children with ASD had significantly poorer oral hygiene and higher caries rates compared to controls. Boys with ASD had higher DMFT scores, indicating more caries. Additionally, ASD children brushed their teeth less often and had fewer dental visits. Preventive treatments were underutilized in this group despite a higher need. Conclusions: Children with ASD face notable oral health challenges, including poor hygiene, higher caries prevalence, and limited preventive care. These findings highlight the need for tailored interventions, improved parental education, and specialized dental care strategies for this population.

People with autism spectrum disorder (ASD) often face many difficulties when trying to get dental care. These challenges are caused by their unique health needs, behavior differences, and trouble with communication. Many individuals with ASD need help from caregivers to keep up with daily routines like brushing and flossing, which may not always be done regularly. They may also have picky eating habits that increase the risk of tooth decay. In some cases, they may not be able to tell others when they are in pain or need help with a dental problem. Going to the dentist can be very stressful for people with ASD. The loud sounds, bright lights, and unfamiliar tools in dental offices can cause fear or anxiety. Some dental clinics are not set up to support patients with special needs, which makes the visit even harder. Also, many dentists and staff members do not have enough training to care for patients with autism. This paper aims to look at the problems people with ASD face in getting dental care and to suggest ways to make dental visits easier and better for them. Improving access and comfort can help people with ASD have healthier teeth and a better quality of life.

Background/Objectives: Autism spectrum disorder (ASD) is associated with a higher prevalence of oral health problems, including parafunctional habits and malocclusions, which may lead to increased orthodontic treatment needs. The objective of this study was to evaluate orthodontic disorders and treatment requirements in children with ASD compared to their neurotypical peers. Methods: A cross-sectional study was conducted on 148 children aged 3–12 years, including 74 children with ASD and 74 controls matched for age and sex. Data were collected via caregiver questionnaires and clinical dental examinations. Malocclusions and orthodontic treatment requirements were assessed using the Index of Orthodontic Treatment Need (IOTN), including both the Dental Health Component (DHC) and Aesthetic Component (AC). Statistical analyses included Mann–Whitney U tests, Student’s t-tests, and effect size calculations, with significance set at p ≤ 0.05. Results: Children with ASD exhibited significantly higher orthodontic treatment needs compared to controls, with elevated scores in both IOTN-DHC (p < 0.001) and IOTN-AC (p < 0.001). No significant differences were observed for the mean overjet or overbite between groups. Gender analysis revealed that boys with ASD had significantly higher scores in both IOTN-DHC and IOTN-AC, while girls with ASD differed from controls only in IOTN-AC. Conclusions: Children with ASD are at increased risk for orthodontic treatment, particularly for both health and aesthetic needs, with boys showing the most pronounced disparities. These findings highlight the importance of early orthodontic assessment and tailored preventive strategies in this population.