Is dental caries experience increased in HIV-infected children and adolescents? A meta-analysis

Acta Odontologica Scandinavica
Cristiana Aroeira G R OliveiraGloria Fernanda B de A Castro

Abstract

To undertake a systematic review to assess if HIV-infected children and adolescents have an increased dental caries experience. A search of MEDLINE, BIREME, EMBASE, GOOGLE SCHOLAR, SIGLE (Grey Literature) and reference lists of included studies was carried out. To be eligible the studies had to present HIV-infected and non-infected children/adolescents between 0-18 years old. To assess the methodological quality, the studies were categorized in scores from 'A' to 'C'. To perform a meta-analysis a random effect model was used with 95% confidence intervals and two distinct sub-group analyses were carried out in terms of caries progression: data for cavitated and non-cavitated lesions (sub-group 1) and data only for cavitated lesions (sub-group 2). Five studies fulfilled the selection criteria. Four studies (two ranked A and two B in the quality assessment) revealed higher caries scores in primary teeth in the HIV-infected patients with mean dmft/dmfs scores of 3.8-4.1/7.8-11.0 compared to the control group 1.5-2.4/3.4-5.1. No differences in caries index were found for permanent dentition. The meta-analysis excluded caries data of permanent teeth and showed a significant association between caries experience in primary dentition a...Continue Reading

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Citations

Feb 16, 2017·Journal of Applied Oral Science : Revista FOB·Senda CharoneGloria Fernanda Castro
May 19, 2020·International Journal of Paediatric Dentistry·Veerasamy YengopalZorayda Joosab
Feb 25, 2017·Journal of Public Health Dentistry·Noëlla RajonsonElise Arrivé
Mar 26, 2021·Journal of the National Medical Association·Zaid H Khoury, Valli Meeks

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