Oral hygiene indices and chronic kidney disease in children: Systematic review and meta-analysis of case-control studies

IF 2.3 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Saudi Dental Journal Pub Date : 2024-12-01 DOI:10.1016/j.sdentj.2024.11.009

Narjes Amrollahi , Mohammad javad Tarrahi , Zahra Abbasi

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引用次数: 0

Abstract

Background

Chronic kidney disease (CKD) is a disorder that causes numerous problems for children and affects many organs, as oral hard and soft tissues. The purpose of this study was to summarize the relationship between oral and dental health status and CKD in children.

Materials and Methods

A systematic search of texts from 2000 to 2023 was conducted to gather all case control studies published in the English language related to the subject of this study in PubMed, Web of Science, Scopus and Cochrane electronic databases. The title, abstract and full text of the articles were examined according to inclusion criteria until relevant studies were selected. This process was carried out independently by two researchers. The quality of the selected studies was assessed by the National Institutes of Health (NIH) checklist.

Results

A total of 768 articles were identified in electronic databases during the search process. Articles inconsistent with inclusion criteria and duplicate articles were removed and 8 studies were selected for meta-analysis. The results found no statistically significant difference in mean of decayed, missing and filled teeth in permanent (DMFT index) and primary teeth (dmft index) in CKD and healthy children with a mean difference of −0.433 (95 % CI: −1.689 to 0.823; p-value = 0.500) and-0.095 (95 % CI: −2.240 to 2.051; p-value = 0.931) respectively. However, CKD had a significant effect on the developmental defects of enamel (DDE) index in children with an effect size of 4.916 (95 % CI: 1.752 to 13.799; p-value = 0.002).

Conclusion

The presence of CKD can increase the incidence of DDE by 4.9 times, but it has no significant effect on the prevalence of dental caries in primary and permanent teeth.

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儿童口腔卫生指数与慢性肾脏疾病：病例对照研究的系统回顾和荟萃分析

慢性肾脏疾病（CKD）是一种给儿童带来许多问题的疾病，影响许多器官，如口腔硬组织和软组织。本研究的目的是总结口腔和牙齿健康状况与儿童慢性肾病的关系。材料与方法系统检索2000 - 2023年的文献，收集PubMed、Web of Science、Scopus和Cochrane电子数据库中与本研究主题相关的所有英文病例对照研究。按照纳入标准对文章的标题、摘要和全文进行审查，直到选择相关研究。这一过程是由两位研究人员独立完成的。所选研究的质量通过美国国立卫生研究院（NIH）检查表进行评估。结果在检索过程中，共检索到文献768篇。剔除不符合纳入标准的文献和重复文献，选取8篇研究进行meta分析。结果发现，CKD患儿恒牙（DMFT指数）和乳牙（DMFT指数）的龋齿、缺牙和补牙的平均值与健康儿童无统计学差异，平均差异为- 0.433 (95% CI: - 1.689 ~ 0.823；p值= 0.500)和0.095 (95% CI:−2.240 ~ 2.051；p值= 0.931)。然而，CKD对儿童牙釉质发育缺陷（DDE）指数有显著影响，效应值为4.916 (95% CI: 1.752 ~ 13.799；p值= 0.002)。结论CKD的存在可使DDE的发生率增加4.9倍，但对乳牙和恒牙的龋患病率无显著影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Saudi Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： Saudi Dental Journal is an English language, peer-reviewed scholarly publication in the area of dentistry. Saudi Dental Journal publishes original research and reviews on, but not limited to: • dental disease • clinical trials • dental equipment • new and experimental techniques • epidemiology and oral health • restorative dentistry • periodontology • endodontology • prosthodontics • paediatric dentistry • orthodontics and dental education Saudi Dental Journal is the official publication of the Saudi Dental Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.