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
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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<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.
Original language | English |
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Journal | Acta Paediatrica |
Volume | 109 |
Issue number | 12 |
Pages (from-to) | 2472-2478 |
Number of pages | 7 |
ISSN | 0803-5253 |
DOIs | |
Publication status | Published - 2020 |
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