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Impact of traumatic dental injuries on oral health-related quality of life of preschool children: A systematic review and meta-analysis.
PLoS One 2017; 12(2):e0172235Plos

Abstract

BACKGROUND

Observational studies have suggested that traumatic dental injuries (TDI) can lead to pain, loss of function and esthetic problems, with physical, emotional and social consequences for children and their families. However, population-based studies that investigate the impact of TDI on oral health-related quality of life (OHRQoL) among preschool children are scarce and offer conflicting results. The aim of the systematic review and meta-analysis was to evaluate the impact of TDI on OHRQoL among preschool children (PROSPERO-CRD42015032513).

METHODS

An electronic search of six databases was performed in PubMed (MEDLINE), ISI Web of Science, Scopus, Science Direct, EMBASE and Google Scholar, with no language or publication date restrictions. The eligibility criteria were TDI as the exposure variable, OHRQoL as the outcome and a population of children up to six years of age. RevMan software was used for data analysis. Results are expressed as odds ratios with 95% confidence intervals for the total score of the Early Childhood Oral Health Impact Scale (ECOHIS) as well as the scores of the Child Impact Section (CIS) and Family Impact Section (FIS). The random effect model was chosen and heterogeneity was evaluated using the I2 test.

RESULTS

2,013 articles were initially retrieved; 1,993 articles were excluded based on title and abstracts; 10 articles excluded after full-text analysis. Ten studies comprising a population of 7,461 preschool children were included in the systematic review and nine studies were included in the meta-analysis. TDI caused a negative impact on OHRQoL based on the overall ECOHIS (OR: 1.24; 95% CI: 1.08-1.43) and CIS (OR: 1.23; 95% CI: 1.07-1.41), but not the FIS (OR: 1.09; 95% CI: 0.90-1.32).

CONCLUSIONS

TDI negatively impacted on OHRQoL of preschool children. The present findings indicate the need for TDI prevention and treatment programs in early childhood.

Authors+Show Affiliations

Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

28245226

Citation

Borges, Tássia Silvana, et al. "Impact of Traumatic Dental Injuries On Oral Health-related Quality of Life of Preschool Children: a Systematic Review and Meta-analysis." PloS One, vol. 12, no. 2, 2017, pp. e0172235.
Borges TS, Vargas-Ferreira F, Kramer PF, et al. Impact of traumatic dental injuries on oral health-related quality of life of preschool children: A systematic review and meta-analysis. PLoS ONE. 2017;12(2):e0172235.
Borges, T. S., Vargas-Ferreira, F., Kramer, P. F., & Feldens, C. A. (2017). Impact of traumatic dental injuries on oral health-related quality of life of preschool children: A systematic review and meta-analysis. PloS One, 12(2), pp. e0172235. doi:10.1371/journal.pone.0172235.
Borges TS, et al. Impact of Traumatic Dental Injuries On Oral Health-related Quality of Life of Preschool Children: a Systematic Review and Meta-analysis. PLoS ONE. 2017;12(2):e0172235. PubMed PMID: 28245226.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of traumatic dental injuries on oral health-related quality of life of preschool children: A systematic review and meta-analysis. AU - Borges,Tássia Silvana, AU - Vargas-Ferreira,Fabiana, AU - Kramer,Paulo Floriani, AU - Feldens,Carlos Alberto, Y1 - 2017/02/28/ PY - 2016/08/05/received PY - 2017/02/01/accepted PY - 2017/3/1/entrez PY - 2017/3/1/pubmed PY - 2017/9/7/medline SP - e0172235 EP - e0172235 JF - PloS one JO - PLoS ONE VL - 12 IS - 2 N2 - BACKGROUND: Observational studies have suggested that traumatic dental injuries (TDI) can lead to pain, loss of function and esthetic problems, with physical, emotional and social consequences for children and their families. However, population-based studies that investigate the impact of TDI on oral health-related quality of life (OHRQoL) among preschool children are scarce and offer conflicting results. The aim of the systematic review and meta-analysis was to evaluate the impact of TDI on OHRQoL among preschool children (PROSPERO-CRD42015032513). METHODS: An electronic search of six databases was performed in PubMed (MEDLINE), ISI Web of Science, Scopus, Science Direct, EMBASE and Google Scholar, with no language or publication date restrictions. The eligibility criteria were TDI as the exposure variable, OHRQoL as the outcome and a population of children up to six years of age. RevMan software was used for data analysis. Results are expressed as odds ratios with 95% confidence intervals for the total score of the Early Childhood Oral Health Impact Scale (ECOHIS) as well as the scores of the Child Impact Section (CIS) and Family Impact Section (FIS). The random effect model was chosen and heterogeneity was evaluated using the I2 test. RESULTS: 2,013 articles were initially retrieved; 1,993 articles were excluded based on title and abstracts; 10 articles excluded after full-text analysis. Ten studies comprising a population of 7,461 preschool children were included in the systematic review and nine studies were included in the meta-analysis. TDI caused a negative impact on OHRQoL based on the overall ECOHIS (OR: 1.24; 95% CI: 1.08-1.43) and CIS (OR: 1.23; 95% CI: 1.07-1.41), but not the FIS (OR: 1.09; 95% CI: 0.90-1.32). CONCLUSIONS: TDI negatively impacted on OHRQoL of preschool children. The present findings indicate the need for TDI prevention and treatment programs in early childhood. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/28245226/Impact_of_traumatic_dental_injuries_on_oral_health_related_quality_of_life_of_preschool_children:_A_systematic_review_and_meta_analysis_ L2 - http://dx.plos.org/10.1371/journal.pone.0172235 DB - PRIME DP - Unbound Medicine ER -