Aurélio de Oliveira Rocha, Michely Cristina Goebel, Karina Cardoso, Lucas Menezes Dos Anjos, Mariane Cardoso, Filipe Colombo Vitali, Pablo Silveira Santos
{"title":"乳牙早期脱落是否会影响儿童口腔健康相关的生活质量？系统回顾和荟萃分析。","authors":"Aurélio de Oliveira Rocha, Michely Cristina Goebel, Karina Cardoso, Lucas Menezes Dos Anjos, Mariane Cardoso, Filipe Colombo Vitali, Pablo Silveira Santos","doi":"10.1007/s00784-025-06291-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review aimed to assess the impact of early loss of primary teeth on children's Oral Health-Related Quality of Life (OHRQoL).</p><p><strong>Materials and methods: </strong>Electronic searches were conducted in eight databases, including grey literature, up to February 2025. The PECOS strategy was employed to identify studies evaluating the impact of early loss of primary teeth on children's OHRQoL. Studies evaluating permanent tooth loss were excluded. The risk of bias in the included studies was evaluated using Joanna Briggs' checklists for observational studies and the Cochrane RoB 2 tool for randomized clinical trials. A random-effect meta-analysis was conducted comparing the mean scores of OHRQoL questionnaires between children with and without early loss of primary teeth. The certainty of evidence was assessed using the GRADE approach.</p><p><strong>Results: </strong>Five studies were included in the systematic review and three in the meta-analysis. Three studies fulfilled all items of the risk of bias checklists. The meta-analysis revealed that children with early loss of primary molars scored an average of 14.38 points higher on the OHRQoL questionnaire (95% CI: 2.13-26.64) compared to those without early primary molar loss, indicating a poorer OHRQoL. The certainty of evidence was considered very low.</p><p><strong>Conclusions: </strong>The early loss of primary molars negatively impacted the OHRQoL of schoolchildren aged 8 to 10 years, as evidenced by higher OHRQoL scores.</p><p><strong>Clinical relevance: </strong>The findings directly affect clinical practice, indicating that early loss of primary molars is associated with poorer OHRQoL in children aged 8 to 10 years. This information is valuable for dentists, pediatricians, and other healthcare professionals involved in children's oral health care.</p><p><strong>Registration: </strong>This systematic review was registered under the protocol registration code CRD42023439971.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 4","pages":"213"},"PeriodicalIF":3.1000,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Does the early loss of primary teeth impact the oral health-related quality of life of children? A systematic review and meta-analysis.\",\"authors\":\"Aurélio de Oliveira Rocha, Michely Cristina Goebel, Karina Cardoso, Lucas Menezes Dos Anjos, Mariane Cardoso, Filipe Colombo Vitali, Pablo Silveira Santos\",\"doi\":\"10.1007/s00784-025-06291-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>This systematic review aimed to assess the impact of early loss of primary teeth on children's Oral Health-Related Quality of Life (OHRQoL).</p><p><strong>Materials and methods: </strong>Electronic searches were conducted in eight databases, including grey literature, up to February 2025. The PECOS strategy was employed to identify studies evaluating the impact of early loss of primary teeth on children's OHRQoL. Studies evaluating permanent tooth loss were excluded. The risk of bias in the included studies was evaluated using Joanna Briggs' checklists for observational studies and the Cochrane RoB 2 tool for randomized clinical trials. A random-effect meta-analysis was conducted comparing the mean scores of OHRQoL questionnaires between children with and without early loss of primary teeth. The certainty of evidence was assessed using the GRADE approach.</p><p><strong>Results: </strong>Five studies were included in the systematic review and three in the meta-analysis. Three studies fulfilled all items of the risk of bias checklists. The meta-analysis revealed that children with early loss of primary molars scored an average of 14.38 points higher on the OHRQoL questionnaire (95% CI: 2.13-26.64) compared to those without early primary molar loss, indicating a poorer OHRQoL. The certainty of evidence was considered very low.</p><p><strong>Conclusions: </strong>The early loss of primary molars negatively impacted the OHRQoL of schoolchildren aged 8 to 10 years, as evidenced by higher OHRQoL scores.</p><p><strong>Clinical relevance: </strong>The findings directly affect clinical practice, indicating that early loss of primary molars is associated with poorer OHRQoL in children aged 8 to 10 years. 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Does the early loss of primary teeth impact the oral health-related quality of life of children? A systematic review and meta-analysis.
Objectives: This systematic review aimed to assess the impact of early loss of primary teeth on children's Oral Health-Related Quality of Life (OHRQoL).
Materials and methods: Electronic searches were conducted in eight databases, including grey literature, up to February 2025. The PECOS strategy was employed to identify studies evaluating the impact of early loss of primary teeth on children's OHRQoL. Studies evaluating permanent tooth loss were excluded. The risk of bias in the included studies was evaluated using Joanna Briggs' checklists for observational studies and the Cochrane RoB 2 tool for randomized clinical trials. A random-effect meta-analysis was conducted comparing the mean scores of OHRQoL questionnaires between children with and without early loss of primary teeth. The certainty of evidence was assessed using the GRADE approach.
Results: Five studies were included in the systematic review and three in the meta-analysis. Three studies fulfilled all items of the risk of bias checklists. The meta-analysis revealed that children with early loss of primary molars scored an average of 14.38 points higher on the OHRQoL questionnaire (95% CI: 2.13-26.64) compared to those without early primary molar loss, indicating a poorer OHRQoL. The certainty of evidence was considered very low.
Conclusions: The early loss of primary molars negatively impacted the OHRQoL of schoolchildren aged 8 to 10 years, as evidenced by higher OHRQoL scores.
Clinical relevance: The findings directly affect clinical practice, indicating that early loss of primary molars is associated with poorer OHRQoL in children aged 8 to 10 years. This information is valuable for dentists, pediatricians, and other healthcare professionals involved in children's oral health care.
Registration: This systematic review was registered under the protocol registration code CRD42023439971.
期刊介绍：
The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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