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. 2025 Sep;59(3):276-289.
doi: 10.15644/asc59/3/5.

The Impact of ADHD Symptoms on Children's Oral Health

Vlatka Njari Galić  1 , Darko Vlahović  2   3 , Dalibor Karlović  2   3 , Željko Verzak  4   5 , Ivana Čuković-Bagić  4   5
Affiliations

The Impact of ADHD Symptoms on Children's Oral Health

Vlatka Njari Galić et al. Acta Stomatol Croat. 2025 Sep.

Abstract

Objectives: This study aimed to evaluate the relationship between attention-deficit/hyperactivity disorder (ADHD) symptoms and various oral health outcomes in children, including dental trauma, plaque accumulation, gingivitis, endodontic treatment, and molar incisor hypomineralization (MIH).

Materials and methods: Eighty children (42 boys and 38 girls) aged 3 to 17 years participated in the study. Caregivers completed a standardized ADHD diagnostic tool (ADHDT) assessing inattention, hyperactivity, and impulsivity. Each child underwent a comprehensive oral examination to assess the presence of plaque, gingivitis, dental trauma, endodontically treated teeth, and MIH.

Results: No statistically significant associations were observed between ADHD symptoms and the presence of plaque, gingivitis, endodontic treatment, or MIH. However, a significant association was found between higher hyperactivity and impulsivity scores and increased incidence of dental trauma. Inattention symptoms did not demonstrate a significant relationship with any of the oral health indicators.

Conclusions: Children exhibiting higher levels of hyperactivity and impulsivity may be at increased risk for dental trauma. These findings highlight the importance of integrating behavioral assessments into pediatric dental care to better identify and manage children who may be more vulnerable to oral injuries.

Keywords: ADHD, attention-deficit/hyperactivity disorder; Dental trauma; Oral health; Pediatric dentistry.

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Conflict of interest statement

Conflict of interest None

References

    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington (DC): American Psychiatric Publishing; 2013. p. 59-66.
    1. Salkičević S, Tadinac M. Neuropsihološki aspekti istraživanja ADHD-a kod djece. Jastrebarsko: Naklada Slap; 2017.
    1. Velki T. Priručnik za rad s hiperaktivnom djecom u školi. Jastrebarsko: Naklada Slap; 2018.
    1. Jukić V, Arbanas G. Dijagnostički i statistički priručnik za duševne poremećaje. 5. izd. Jastrebarsko: Naklada Slap; 2013.
    1. Douglas VI. Attention and cognitive problems. In: Rutter M, ed. Developmental neuropsychiatry. New York: Guilford Press;1983. p. 280-329.

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