Efficacy and Safety of Probiotics for Dental Caries in Preschool Children: A Systematic Review and Meta-analysis.

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Contemporary Clinical Dentistry Pub Date : 2024-01-01 Epub Date: 2024-03-23 DOI:10.4103/ccd.ccd_40_23
Aarati S Panchbhai, Mahalaqua Nazli Khatib, Rajiv M Borle, Shravani S Deolia, Vijay M Babar, Anjali H Vasistha, Ritika P Parida
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Abstract

Background: Early childhood caries is one of the most serious and high-priced oral health conditions among young children. With advancing dental sciences, the focus of dental caries treatment is shifted from restorative procedures to preventive measures, and a modality grabbing attention is probiotics. Probiotics exert their effects in many ways as chemical inhibition of pathogenic bacteria and stimulation of the immune response through the production of immunoglobulin A and many more.

Objective: This systematic review aims to explore the efficacy and safety of probiotics in dental caries in preschool children.

Methodology: The study was registered in the PROSPERO International Prospective Register of Systematic Reviews (registration number: CRD42020159058). The search was done for randomized control trials in electronic databases such as Cochrane, PubMed, ClinicalTrials.gov, Medline, and Embase. It has further included manual searches of journals, conference abstracts, and books. Three reviewers done the selection of the study as per the criteria and also did the risk of bias assessment independently and wherever required, a fourth reviewer resolved the discrepancy in case of disagreement.

Results: The nine randomized control trials were included in the study, and the pooled analysis revealed probiotics as an effective intervention in preschool children with dental caries.

Conclusion: The results about the efficacy of probiotics in the prevention of dental caries are very encouraging, though the level of evidence is still inadequate.

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益生菌治疗学龄前儿童龋齿的有效性和安全性:系统回顾与元分析》。
背景:幼儿龋齿是幼儿口腔健康中最严重、最昂贵的疾病之一。随着牙科科学的发展,龋齿治疗的重点正从修复程序转向预防措施,而益生菌就是一种备受关注的方式。益生菌通过化学方法抑制病原菌,通过产生免疫球蛋白 A 刺激免疫反应等多种途径发挥其作用:本系统综述旨在探讨益生菌对学龄前儿童龋齿的有效性和安全性:本研究已在 PROSPERO 国际前瞻性系统综述注册中心注册(注册号:CRD42020159058)。在 Cochrane、PubMed、ClinicalTrials.gov、Medline 和 Embase 等电子数据库中检索了随机对照试验。此外,还对期刊、会议摘要和书籍进行了人工检索。三位审稿人根据标准对研究进行了筛选,并独立进行了偏倚风险评估,如有需要,第四位审稿人将在出现分歧时解决分歧:研究纳入了九项随机对照试验,汇总分析显示益生菌对学龄前儿童龋齿是一种有效的干预措施:结论:益生菌对预防龋齿的疗效非常令人鼓舞,但证据水平仍然不足。
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来源期刊
Contemporary Clinical Dentistry
Contemporary Clinical Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.50
自引率
0.00%
发文量
52
审稿时长
23 weeks
期刊介绍: The journal Contemporary Clinical Dentistry (CCD) (Print ISSN: 0976-237X, E-ISSN:0976- 2361) is peer-reviewed journal published on behalf of Maharishi Markandeshwar University and issues are published quarterly in the last week of March, June, September and December. The Journal publishes Original research papers, clinical studies, case series strictly of clinical interest. Manuscripts are invited from all specialties of Dentistry i.e. Conservative dentistry and Endodontics, Dentofacial orthopedics and Orthodontics, Oral medicine and Radiology, Oral pathology, Oral surgery, Orodental diseases, Pediatric Dentistry, Periodontics, Clinical aspects of Public Health dentistry and Prosthodontics. Review articles are not accepted. Review, if published, will only be by invitation from eminent scholars and academicians of National and International repute in the field of Medical/Dental education.
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