青少年人群龋病与错(牙合)畸形关系的Meta分析
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摘要
目的:分析青少年人群错■畸形发生与龋病间的关系。方法:2位研究者自六大英文文献检索数据库中独立进行11～20岁恒牙列青少年错■畸形与龋病发生相关性文献选择、数据提取和文献偏倚分析。对龋失补牙数(DMFT)与牙列美观指数(DAI)的关系进行Meta分析。结果:共检索文献2 908篇,剔除重复及不符合纳入标准文献,获得16篇全文文献,其中4篇横断面研究符合系统评价标准。对所纳入的错■畸形与龋病存在关联的3篇文献进行Meta分析发现,DAI<26青少年人群的DMFT低于DAI为26～30、 31～35、≥36的人群;DAI为26～30与DAI为31～35的青少年人群相比,DMFT无显著差异(P>0.05),但二者均低于DAI≥36的人群(P<0.05)。结论:现有文献提示青少年错■畸形与龋病存在相关性。
Objective: To analyse the relationship between malocclusion and caries in adolescents. Methods: Published articles were searched from 6 electrical databases. 2 reviewers screened the articles, extracted the data and analyzed the bias of each data independently. Meta analysis was performed for the reported mean decayed, missing and filled teeth(DMFT), dental aesthetic index(DAI) and prevalence of malocclusion. Results: A total of 2 908 articles were found and 16 of them were qualified for the study. Among them, 4 cross sectional studies were included for systematic review. Only 1 of the 4 articles reported there was no statistical significance between the malocclusion and caries. Further Meta analysis indicated that except for the subjects with DAI=26-30 vs. DAI=31-35, lower DAI meant lower DMFT index. Conclusions: Present studies indicate that malocclusion is related with caries in adolescents.
Objective: To analyse the relationship between malocclusion and caries in adolescents. Methods: Published articles were searched from 6 electrical databases. 2 reviewers screened the articles, extracted the data and analyzed the bias of each data independently. Meta analysis was performed for the reported mean decayed, missing and filled teeth(DMFT), dental aesthetic index(DAI) and prevalence of malocclusion. Results: A total of 2 908 articles were found and 16 of them were qualified for the study. Among them, 4 cross sectional studies were included for systematic review. Only 1 of the 4 articles reported there was no statistical significance between the malocclusion and caries. Further Meta analysis indicated that except for the subjects with DAI=26-30 vs. DAI=31-35, lower DAI meant lower DMFT index. Conclusions: Present studies indicate that malocclusion is related with caries in adolescents.
引文
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[22] Pinto- Sarmento TC,Abreu MH,Gomes MC,et al.Determinant factors of untreated dental caries and lesion activity in preschool children using ICDAS[J].PLoS One,2016,11(2):e0150116.
[23] Badran SA,Sabrah AH,Hadidi SA,et al.Effect of socioeconomic status on normative and perceived orthodontic treatment need[J].Angle Orthod,2014,84(4):588-593.
[2] da Rosa AR,Abegg C,Ely HC.Sense of coherence and toothache of adolescents from Southern Brazil[J].J Oral Facial Pain Headache,2015,29(3):250-256.
[3] Chukwumah NM,Folayan MO,Oziegbe EO,et al.Impact of dental caries and its treatment on the quality of life of 12- to 15- year- old adolescents in Benin,Nigeria[J].Int J Paediatr Dent,2016,26(1):66-76.
[4] Peres MA,Sheiham A,Liu P,et al.Sugar consumption and changes in dental caries from childhood to adolescence[J].J Dent Res,2016,95(4):388-394.
[5] Dusseldorp E,Kamphuis M,Schuller A.Impact of lifestyle factors on caries experience on three different age groups:9,15,and 21- year olds[J].Community Dent Oral Epidemiol,2015,43(1):9-16.
[6] Warren JJ,Van Buren JM,Levy SM,et al.Dental caries clusters among adolescents[J].Community Dent Oral Epidemiol,2017,45(6):538-544.
[7] Allison PJ,Schwartz S.Interproximal contact points and proximal caries in posterior primary teeth[J].Pediatr Dent,2003,25(4):334-340.
[8] Stahl F,Grabowski R.Malocclusion and caries prevalence:Is there a connection in the primary and mixed dentitions?[J].Clin Oral Investig,2004,8(2):86-90.
[9] Gabris K,Marton S,Madlena M.Prevalence of malocclusions in Hungarian adolescents[J].Eur J Orthod,2006,28(5):467-470.
[10] Hafez HS,Shaarawy SM,Al- Sakiti AA,et al.Dental crowding as caries risk factors:A systematic review[J].Am J Orthod Dentofacial Orthop,2012,142(4):443-450.
[11] Giugliano D,d'Apuzzo F,Majorana A,et al.Influence of occlusal characteristics,food intake and oral hygiene habits on dental caries in adolescents:A cross- sectional study[J].Eur J Paediatr Dent,2018,19(2):95-100.
[12] Mtaya M,Brudvik P,Astr?m A.Prevalence of malocclusion and its relationship with socio- demographic factors,dental caries,and oral hygiene in 12- to 14- year- old Tanzanian schoolchildren[J].Eur J Orthod,2009,31(5):467-476.
[13] Sa- Pinto AC,Rego TM,Marques LS,et al.Association between malocclusion and dental caries in adolescents:A systematic review and meta- analysis[J].Eur Arch Paediatr Dent,2018,19(2):73-82.
[14] Page MJ,Moher D.Evaluations of the uptake and impact of the preferred reporting items for systematic reviews and Meta- Analyses (PRISMA) statement and extensions:A scoping review[J].Syst Rev,2017,6(1):263.
[15] Borzabadi- Farahani A,Eslamipour F,Asgari I.Association between orthodontic treatment need and caries experience[J].Acta Odontol Scand,2011,69(1):2-11.
[16] Singh A,Purohit B,Sequeira P,et al.Malocclusion and orthodontic treatment need measured by the dental aesthetic index and its association with dental caries in Indian schoolchildren[J].Community Dent Health,2011,28(4):313-316.
[17] Baskaradoss JK,Geevarghese A,Roger C,et al.Prevalence of malocclusion and its relationship with caries among school children aged 11- 15 years in southern India[J].Korean J Orthod,2013,43(1):35-41.
[18] Feldens CA,Dos Santos Dullius AI,Kramer PF,et al.Impact of malocclusion and dentofacial anomalies on the prevalence and severity of dental caries among adolescents[J].Angle Orthod,2015,85(6):1027-1034.
[19] Fejerskov O.Changing paradigms in concepts on dental caries:Consequences for oral health care[J].Caries Res,2004,38(3):182-191.
[20] Frazao P,Narvai PC.Socio- environmental factors associated with dental occlusion in adolescents[J].Am J Orthod Dent Orthop,2006,129(6):809-816.
[21] Piovesan C,Antunes JL,Guedes RS,et al.Impact of socioeconomic and clinical factors on child oral health related quality of life (COHRQoL)[J].Qual Life Res,2010,19(9):1359-1366.
[22] Pinto- Sarmento TC,Abreu MH,Gomes MC,et al.Determinant factors of untreated dental caries and lesion activity in preschool children using ICDAS[J].PLoS One,2016,11(2):e0150116.
[23] Badran SA,Sabrah AH,Hadidi SA,et al.Effect of socioeconomic status on normative and perceived orthodontic treatment need[J].Angle Orthod,2014,84(4):588-593.