关于基牙腐蚀性牙齿磨损的流行率和异常危险因素的系统回顾和荟萃分析。

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of paediatric dentistry Pub Date : 2024-07-26 DOI:10.1111/ipd.13250
Felix Marschner, Philipp Kanzow, Annette Wiegand
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引用次数: 0

摘要

背景:目的:本系统综述和荟萃分析旨在确定 7 岁以下儿童基牙腐蚀性牙齿磨损的患病率和主要风险因素:设计:2023 年 2 月,我们在电子数据库(PubMed、Embase、Scopus 和 Web of Science)中搜索了报告患病率和致病风险因素的观察性研究。此外,还进行了人工检索。对已识别风险因素的患病率和几率进行了元分析。采用针对横断面研究修改的纽卡斯尔-渥太华量表对偏倚风险进行了评估:系统综述共纳入了 26 个资料来源,报告了 23 项研究。据估计,儿童乳牙侵蚀性磨损的总体患病率为 35.6%(95% CI:24.8-48.1)。厌食因素按领域划分。元分析表明,胃食管反流病(GERD;padj. = .008;OR = 1.98,95% CI:1.37-2.87)、食用酸性食物(padj. adj. adj. = .035;OR = 1.82,95% CI:1.26-2.63)和经常吃零食(padj. = .041;OR = 1.58,95% CI:1.18-2.10)与腐蚀性牙齿磨损显著相关:结论:未来的研究应使用标准化问卷来评估腐蚀性牙齿磨损及其潜在风险因素(PROSPERO: CRD4202339776)。
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Systematic review and meta-analysis on prevalence and anamnestic risk factors for erosive tooth wear in the primary dentition.

Background: Erosive tooth wear is a multifactorial and common condition in children.

Aim: This systematic review and meta-analysis aimed to determine the prevalence and key risk factors for erosive tooth wear in the primary dentition of children up to 7 years of age.

Design: Electronic databases (PubMed, Embase, Scopus, and Web of Science) were searched in February 2023 for observational studies reporting prevalence and anamnestic risk factors. Additionally, a manual hand search was performed. Meta-analyses were conducted for the prevalence and odds ratios of identified risk factors. Risk of bias was assessed using the Newcastle-Ottawa scale modified for cross-sectional studies.

Results: A total of 26 sources, reporting on 23 studies, were included in the systematic review. The overall estimated prevalence of children with erosive tooth wear in the primary dentition amounted to 35.6% (95% CI: 24.8-48.1). Anamnestic factors were structured into domains. Meta-analyses revealed gastroesophageal reflux disease (GERD; padj. = .008; OR = 1.98, 95% CI: 1.37-2.87), consumption of acidic food (padj. < .001; OR = 5.14, 95% CI: 3.56-7.42) and acidic drinks (padj. < .001; OR = 6.90, 95% CI: 4.64-10.25), holding beverages in the mouth while drinking (padj. = .035; OR = 1.82, 95% CI: 1.26-2.63), and snacking regularly (padj. = .041; OR = 1.58, 95% CI: 1.18-2.10) to be significantly associated with erosive tooth wear.

Conclusion: Future research should use standardized questionnaires to assess erosive tooth wear and its underlying risk factors (PROSPERO: CRD4202339776).

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来源期刊
CiteScore
5.50
自引率
2.60%
发文量
82
审稿时长
6-12 weeks
期刊介绍: The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.
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