Dental caries in primary and permanent teeth in children’s worldwide, 1995 to 2019: a systematic review and meta-analysis (original) (raw)

The global prevalence of early childhood caries: A systematic review with meta- analysis using the WHO diagnostic criteria

Zenodo (CERN European Organization for Nuclear Research), 2022

Aim: To estimate the global prevalence of early childhood caries using the WHO criteria. Design: Systematic review of studies published from 1960 to 2019. Data sources: PubMed, Google Scholar, SciELO, and LILACS. Eligibility criteria were articles using: dmft-WHO diagnostic criteria with calibrated examiners, probability sampling, and sample sizes. Study selection: Two reviewers searched, screened, and extracted information from the selected articles. All pooled analyses were based on random-effects models. The protocol is available on PROSPERO 2014 registration code CRD42014009578. Results: From 472 reports, 214 used WHO criteria and 125 fit the inclusion criteria. Sixty-four reports of 67 countries (published 1992-2019) had adequate data to be summarised in the meta-analysis. They covered 29 countries/59018 children. Global random-effects pooled prevalence was (percentage[95% CI]) 48[43, 53]. The prevalence by continent was Africa: 30[19, 45]; Americas: 48 [42, 54]; Asia: 52[43, 61]; Europe: 43[24, 66]; and Oceania: 82[73, 89]. Differences across countries explain 21.2% of the observed variance. Conclusions: Early childhood caries is a global health problem, affecting almost half of preschool children. Results are reported from 29 of 195 countries. ECC prevalence varied widely, and there was more variance attributable to between-country differences rather than continent or change over time. K E Y W O R D S early childhood caries, epidemiology, oral health, preschool children, systematic review 2 | URIBE Et al. How to cite this article: Uribe SE, Innes N, Maldupa I. The global prevalence of early childhood caries: A systematic review with meta-analysis using the WHO diagnostic criteria.

Incidence of early childhood caries: A systematic review and meta-analysis

Journal of Investigative and Clinical Dentistry, 2016

The aim was to systemically review the incidence of early childhood caries (ECC). The addressed focused question was "What is the reported incidence of ECC?" Indexed databases were searched using various key words. Five studies were included and processed for data extraction. All studies were prospective and two studies were randomized clinical trials. The number of participants ranged between 96 and 1275 children. Two studies reported the mean age of children, that ranged between 1.8 and 2.5 years (range 0.5 to 5 years). In three studies, the follow-up duration was 2 years, and in two studies the participants were followed-up till 3 and 5 years, respectively. Results from all studies reported that the incidence of ECC was significantly higher among children with caries at baseline compared with caries-free children. In conclusion, the incidence of ECC is significantly higher in children with a previous history of dental caries.

Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic Review and Meta-Analysis

International Journal of Environmental Research and Public Health

The aim of this paper is to systematically review the literature to determine whether early childhood caries (ECC) is significantly associated with caries development in permanent teeth among school children and adolescents, and to identify the association of other risk factors over 24 months. A systematic literature search was performed in four electronic databases and via a manual search from inception to 28 July 2022. Independent study selection and screening, data extraction, evaluation of risk of bias using ROBINS-I tool and certainty of evidence with GRADE were performed. Ten cohort studies were included, all of which identified that ECC significantly increased the risk of caries in permanent teeth. Meta-analysis suggested children with ECC were three times more likely to develop caries in their permanent teeth (OR, 3.22; 95% CI 2.80, 3.71; p < 0.001), especially when the lesions were in primary molars and progressed to dentine. However, the certainty of evidence was substa...

Risk factors for dental caries in young children: a systematic review of the literature

2004

Objective To conduct a systematic review of the literature on risk factors for dental caries in deciduous teeth of children aged six years and under, to give a scientific framework for the international collaborative studies on inequalities in childhood caries. Method Accepted guidelines were followed. Studies were identified by electronic searching and reviewed on the basis of key words, title and abstract by two reviewers to assess whether inclusion criteria were met. Copies of all articles were obtained and assessed for quality according to the study design. Results 1029 papers were identified from the electronic search, 260 met the prima facie inclusion criteria. 183 were excluded once full copies of these papers were obtained. Of the 77 studies included, 43 were cross sectional, 19 cohort studies, 8 case control studies and 7 interventional studies. Few obtained the highest quality scores. 106 risk factors were significantly related to the prevalence or incidence of caries. Conclusion There is a shortage of high quality studies using the optimum study design, i.e. a longitudinal study. The evidence suggests that children are most likely to develop caries if Streptococcus Mutans is acquired at an early age, although this may be partly compensated by other factors such as good oral hygiene and a non-cariogenic diet. Diet and oral hygiene may interact so that if there is a balance of 'good' habits by way of maintaining good plaque control and 'bad' habits by way of having a cariogenic diet, the development of caries may be controlled.

Caries Risk Assessment in Pediatric Dental Care: A Systematic Review

2020

Caries risk assessment is essential for the prevention, diagnosis, and treatment of the disease to improve children’s oral health. In this systematic review, we aim to summarize previously published studies about the effects of risk assessment of dental caries in pediatric patients and the different risk factors for developing them. For that, a systematic electronic database search was conducted for relevant studies published, from inception till 26th June 2020, in seven databases. Finally, we included eight papers for this systematic review. The sample size of the included studies ranged from 128 to 3,810 individuals. The mean male percentage was 55%, ranging from 38% to 100%. All of the included studies had a cross-sectional study design. In this study, we reviewed the different risk factors for dental caries in pediatric patients. Despite all studies agreed that most risk factors include oral hygiene, dietary habits, proper parenting, and dental medical history, the socio-economi...

A systematic review of population-based dental caries studies among children in Saudi Arabia

The Saudi Dental Journal, 2013

Objective: Dental caries critically impacts the health and development of children. Understanding caries experience is an important task for Saudi Arabian policymakers to identify intervention targets and improve oral health. The purpose of this review is to analyze current data to assess the nationwide prevalence and severity of caries in children, to identify gaps in baseline information, and to determine areas for future research. Methods: A search of published and unpublished studies in PubMed, Google, and local Saudi medical and dental journals was conducted for the three keywords ''dental,'' ''caries,'' and ''Saudi Arabia.'' The inclusion criteria required that the articles were population-based studies that assessed the prevalence of dental caries in healthy children attending regular schools using a cross-sectional study design of a random sample. Results/discussion: The review was comprised of one unpublished thesis and 27 published surveys of childhood caries in Saudi Arabia. The earliest study was published in 1988 and the most recent was published in 2010. There is a lack of representative data on the prevalence of dental caries among the whole Saudi Arabian population. The national prevalence of dental caries and its severity in children in Saudi Arabia was estimated to be approximately 80% for the primary dentition with a mean dmft of 5.0 and approximately 70% for children's permanent dentition with a mean DMFT score of 3.5. The current estimates indicate that the World Health Organization (WHO) 2000 goals are still unmet for Saudi Arabian children.

Global Burden of Untreated Caries: A Systematic Review and Metaregression

Journal of dental research, 2015

We aimed to consolidate all epidemiologic data about untreated caries and subsequently generate internally consistent prevalence and incidence estimates for all countries, 20 age groups, and both sexes for 1990 and 2010. The systematic search of the literature yielded 18,311 unique citations. After screening titles and abstracts, we excluded 10,461 citations as clearly irrelevant to this systematic review, leaving 1,682 for full-text review. Furthermore, 1,373 publications were excluded following the validity assessment. Overall, 192 studies of 1,502,260 children aged 1 to 14 y in 74 countries and 186 studies of 3,265,546 individuals aged 5 y or older in 67 countries were included in separate metaregressions for untreated caries in deciduous and permanent teeth, respectively, using modeling resources from the Global Burden of Disease 2010 study. In 2010, untreated caries in permanent teeth was the most prevalent condition worldwide, affecting 2.4 billion people, and untreated caries...

Nine years’ trend of dental caries and severe early childhood caries among 3-6-year-old children in Babol, Northern Iran

Electronic Physician

Background and objective: Malnutrition, pain, and insomnia are common adverse effects of early dental caries among 3-6-year-old children. To increase our understanding of the dental caries status which will help in the control and prevention of it, this study aimed to assess the trend of dental caries, Severe Early Childhood Caries (S-ECC) and its related factors among 3-6-year-old children during a 9-year period in Babol, Northern Iran. Methods: This was a cross-sectional study among 2,080 children aged 3-6 years old in Babol, Northern Iran. The studied samples were examined from May 2007 to June 2015. Oral examinations were performed with visualtouch technique. S-ECC was measured as number of decayed, missing, and filled teeth surface (dmfs). Data were evaluated by SPSS software for Windows version 23 and were analyzed using the one-way ANOVA, chi-square test and independent-samples t-test. Level of significance was set at ≤ 0.05. Results: The trend of dental caries and S-ECC rose among 3-6-year-old children over a 9-year period. Of the children, 26.3% were caries free. The mean dmft was increased significantly among boys (p<0.001), among 3-4year-old children (p=0.01), and those children with both employed parents (p=0.01) and low educated parents (p<0.001) from 2007 to 2015. Conclusion: Dental caries status showed an increasing trend over the study period in Babol preschool children, therefore effective preventive strategies are required to decrease the prevalence of dental caries in children.

Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review and meta-analysis

BMC Oral Health

Background Dental caries (DC) is highly prevalent condition affecting mostly young children. There has been no systematic review done on the prevalence of DC amongst 12-year -olds in Africa. Although some African countries have reported a decrease in DC prevalence, others have shown an increase and it is essential to measure current trends in order to identify strategies and programmes that could assist in reducing DC in Africa. The aim of this systematic review was to determine the prevalence of DC (condition) amongst the permanent dentition of 12-year-old children (population) in Africa (context). Methods A systematic review and meta-analysis was performed. Peer reviewed cross-sectional articles from January 2000 until December 2021 was searched and this included the following databases: Pubmed (Medline); SCOPUS; CINAHL (via EBSCOhost); Academic Search Complete (via EBSCOhost); Dentistry and Oral Sciences Sources (via EBSCOhost); and Science Direct. The search was last updated on ...

Prevalence and Associated Factors of Dental Caries in Primary Schoolchildren: An Iranian Setting

International Journal of Dentistry, 2020

Introduction. Dental caries is the most common oral health disease of school-aged children around the world. In this study, we aimed to assess the prevalence and associated factors of dental caries in primary schoolchildren in Yasuj township, Iran. Methods. In this cross-sectional study, a total of 460 children aged 7–12 years were investigated. Dental examination was performed at school according to the World Health Organization criteria. Sociodemographic data were collected using a structured questionnaire, and caries statuses of children’s teeth were recorded through a dental chart. Data were analyzed using summary statistics, chi-square test, and logistic regression model with odds ratio. Results. The prevalence of dental caries in primary, permanent, and whole dentition among children was 75.3%, 41.1%, and 89.8%, respectively. Among all considered factors, the caries presence in primary teeth was inversely (p<0.001) and in permanent teeth was positively (p<0.001) associat...