Obesity and dental caries in early childhood: A systematic review and meta‐analyses

Manohar, Narendar; Hayen, Andrew; Fahey, Paul; Arora, Amit

doi:10.1111/obr.12960

Cited by 89 publications

(119 citation statements)

References 60 publications

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“…Similar trends were seen in periodontal diseases, although the results were not fully consistent at all follow-up appointments. However, these results are in keeping with 2 longitudinal studies in adolescents and young adults ( Li et al 2017 ; Oreskovic et al 2017 ) and meta-analyses ( Martens et al 2017 ; Manohar et al 2019 ). Key determinants of these associations are dietary risk factors, especially carbohydrate intake, but the mechanisms seem to differ between caries and periodontitis ( Chapple et al 2017 ).…”

Section: Discussionsupporting

confidence: 84%

Childhood Oral Infections Associate with Adulthood Metabolic Syndrome: A Longitudinal Cohort Study

et al. 2020

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Chronic oral infection/inflammation is cross-sectionally associated with metabolic syndrome (MetS) in adults, but there are few longitudinal studies and studies on childhood oral infections and adult MetS risk. We investigated whether childhood clinical parameters indicative of oral infection/inflammation were associated with adulthood MetS and its components. A total of 755 children aged 6, 9, and 12 y underwent a clinical oral examination in 1980 as part of the Cardiovascular Risk in Young Finns Study. Oral health measures included bleeding on probing (BOP), periodontal probing pocket depth, caries, fillings, and visible plaque. Metabolic parameters were determined at baseline and during follow-up. MetS was diagnosed ( n = 588, 77.9%) in the adulthood at 21 y (in 2001), 27 y (in 2007), and 31 y (in 2011) after the oral assessment, when the participants were 27 to 43 y old. Regression analyses were adjusted for childhood age, sex, body mass index, and family income, as well as adulthood smoking and education level. In adulthood, MetS was diagnosed in 11.9% (2001), 18.7% (2007), and 20.7% (2011) of participants at the 3 follow-ups. Childhood caries and fillings were associated with increased risk of adult MetS (risk ratio [95% CI], 1.25 [0.90 to 2.45] and 1.27 [1.02 to 1.99]) and with increased systolic blood pressure (1.78 [1.01 to 4.26] and 2.48 [1.11 to 4.12]) and waist circumference (2.25 [1.02 to 4.99] and 1.56 [1.01 to 3.25]), whereas BOP and visible plaque were associated with plasma glucose (1.97 [1.08 to 3.60] and 1.88 [1.00 to 3.53]). Severity of BOP ( P = 0.015) and caries ( P = 0.005) and teeth with plaque ( P = 0.027) were associated with number of MetS components. No such trends were seen with probing pocket depth. Childhood oral infection/inflammation was associated with adverse metabolic parameters and MetS in adulthood.

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Section: Discussionsupporting

confidence: 84%

Childhood Oral Infections Associate with Adulthood Metabolic Syndrome: A Longitudinal Cohort Study

et al. 2020

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“…3 Perinatal factors may also play a role, and studies have examined possible associations between early childhood caries and preterm birth, low birth weight, childhood body mass index and the metabolic syndrome, all with conflicting results. [4][5][6][7] Preterm birth occurs before 37 completed weeks of gestation and the global incidence is 11%. 8 A systematic review and meta-analysis published in 2019 has addressed the association between preterm birth and low birth weight and early childhood caries.…”

Section: Introductionmentioning

confidence: 99%

“…A systematic review has reported more than 100 unique biological, genetic, social and behavioural risk factors for early childhood caries in a complex interplay 3 . Perinatal factors may also play a role, and studies have examined possible associations between early childhood caries and preterm birth, low birth weight, childhood body mass index and the metabolic syndrome, all with conflicting results 4‐7 . Preterm birth occurs before 37 completed weeks of gestation and the global incidence is 11% 8…”

Section: Introductionmentioning

confidence: 99%

Systematic review suggests a relationship between moderate to late preterm birth and early childhood caries

et al. 2020

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Aim: The aim was to examine the association between moderate to late preterm birth and the prevalence of early childhood caries. Methods: We searched the PubMed, Scopus, Cochrane Trials Register databases up to February 28, 2020. Two independent reviewers screened the papers for relevance, extracted data and assessed the risk of bias. A random-effects meta-analysis was performed to pool the prevalence of early childhood caries by gestational age. Results: The authors identified 14 studies covering 210,691 children. They were published from 2007-2020 and included birth cohorts, cross-sectional, register-based and case-control studies. We assessed eight of them as having low or moderate risk of bias. The median caries prevalence was 48.8% among children born moderate to late preterm compared to 20.5% for those born full term. The pooled overall odds ratio was 1.48 (95% confidence interval 1.16-1.89; P < .001). The certainty of this finding was low due to heterogeneity and inconsistencies across the studies. Conclusion: This systematic review and meta-analysis displayed a significantly higher prevalence of early childhood caries in children born moderate to late preterm compared to full term children. The finding suggests that the gestational age should be collected as a risk factor in the paediatric dental records. K E Y W O R D S caries, meta-analysis, preterm birth, risk factor, teeth This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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“…Також у 95,01 % дітей із хворобами ГБС виявлено ознаки гінгівіту. Науковці Manohar N, Hayen A, Fahey P, Arora A [18] установили, що діти з надмірною вагою й ожирінням мали значно більше уражених карієсом зубів, ніж діти з нормальною вагою, а також виявили низький рівень санітарної освіти батьків щодо харчування дітей і догляду за зубами.…”

Section: результати дослідженняunclassified

Assessment of Caries in Deciduous Teeth in Children With Somatic Pathology (Literature Review)

et al. 2020

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The purpose of the research is to analyze the data of scientific literature on the correlation of caries in deciduous teeth with various somatic diseases in children. Research materials and methods. The bibliosemantic method was used to analyze the results of previous research based on literature sources and electronic resources. Results of the research. Worldwide rates of general and dental morbidity, namely the incidence of caries, are constantly growing among the pediatric population, Ukraine being no exception. According to the results of research by leading domestic scientists, caries in children is 5 times more common than asthma, 4 times more common than obesity, and 20 times more common than diabetes. The caries of deciduous teeth deserves particular attention as its incidence increases with age. It is established that at the age of 1 caries is diagnosed in 12-15% of infants; after a year this figure doubles, in 3-year-olds it is diagnosed in every second child and increases to 85-95% in 6-7-year-old patients. The high incidence of dental caries is facilitated by the fact that caries is a multifactorial disease and one of the main causes of caries is the presence of somatic pathology in a child. According to the state statistics, the age dynamics in relation to disease accumulation index is as follows: among children 0-6 years, the index is 1,15; among children aged 7–14 - 1,46 and among adolescents - 1,7. Numerous scientific studies of domestic and foreign scientists reveal the relationship between the development of dental caries and somatic pathology. Since the body is a holistic system, this problem needs to be considered using a comprehensive approach of pediatricians and dentists. Kuzmina DA and co-authors identified four groups at risk of developing carious disease. The first group included children with diseases associated with impaired bone metabolism, the second – with dysbiotic disorders, the third – with trophic and the fourth group included children with chemical injuries of the oral cavity. At the same time, Murlanova TP found that the highest prevalence of caries of deciduous teeth is observed in children with diseases of the respiratory system (97.60%) and gastrointestinal tract (86.70%), the highest intensity (6.52 teeth) being observed in children with musculoskeletal system disorders. The dental status of children with type 1 diabetes was studied by Wang Y, Xing L, Yu H, Zhao L. The researchers analyzed 358 world publications and found that the prevalence of caries is on average 67%, with the highest rates (84%) in South America. Significantly more caries-affected teeth compared with somatically healthy children were found in the hepatobiliary system pathology. Systemic enamel hypoplasia is often diagnosed in children with hereditary and congenital diseases along with multiple caries lesions. The negative impact on children’s dental system has been established in adenoid hypertrophy. There have been conducted many studies on the dental status of children with disabilities associated with CNS diseases and different levels of anxiety, as well as children with mental retardation and severe speech disorders. The mass incidence of caries of deciduous teeth among 5-6 year old children according to WHO criteria was recorded in children with autism. The results of our research suggest a significantly higher incidence of caries of temporary teeth in children with pathology of the musculoskeletal system (MSS) than in somatically healthy children. The analysis of dental caries considering the nature of MSS disorders showed more caries-affected teeth in children with combined pathology than in children with flat feet and posture disorders. The results of the study confirm the correlation between dental caries and somatic pathology and will be aimed at addressing the development of a differentiated program for the prevention of dental caries in children with somatic status in the future.

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Obesity and dental caries in early childhood: A systematic review and meta‐analyses

Cited by 89 publications

References 60 publications

Childhood Oral Infections Associate with Adulthood Metabolic Syndrome: A Longitudinal Cohort Study

Childhood Oral Infections Associate with Adulthood Metabolic Syndrome: A Longitudinal Cohort Study

Systematic review suggests a relationship between moderate to late preterm birth and early childhood caries

Assessment of Caries in Deciduous Teeth in Children With Somatic Pathology (Literature Review)

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