Systematic review suggests a relationship between moderate to late preterm birth and early childhood caries
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Systematic review suggests a relationship between moderate to late preterm birth and early childhood caries. / Twetman, Svante; Boustedt, Katarina; Roswall, Josefine; Dahlgren, Jovanna.
In: Acta Paediatrica, Vol. 109, No. 12, 2020, p. 2472-2478.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Systematic review suggests a relationship between moderate to late preterm birth and early childhood caries
AU - Twetman, Svante
AU - Boustedt, Katarina
AU - Roswall, Josefine
AU - Dahlgren, Jovanna
N1 - This article is protected by copyright. All rights reserved.
PY - 2020
Y1 - 2020
N2 - 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<0.001). 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.
AB - 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<0.001). 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.
U2 - 10.1111/apa.15424
DO - 10.1111/apa.15424
M3 - Review
C2 - 32559323
VL - 109
SP - 2472
EP - 2478
JO - Acta Paediatrica
JF - Acta Paediatrica
SN - 0803-5253
IS - 12
ER -
ID: 244321643