Special Care Patients and Caries Prevalence in Permanent Dentition: A Systematic Review
Abstract
:1. Introduction
2. Material and Methods
2.1. Inclusion Criteria
2.2. Search Strategy
2.2.1. Databases
2.2.2. Search Terms
2.2.3. Study Selection
2.2.4. Data Extraction
2.3. Quality Evaluation
3. Results
3.1. Study Selection and Flow Diagram
3.2. Study Characteristics
3.2.1. Bibliometric Analysis
3.2.2. Study Types
3.2.3. Sample and Groups
3.2.4. Type of Patients with Special Needs
3.2.5. Caries Diagnosis
3.2.6. Caries Prevalence
Author and Year | Type of Special Patient | Study Type | Sample and Groups | Gender and Relation with Caries | Age (Mean Age) and Relation with DMFT | Caries Evaluation | DMFT and Decayed Teeth | Caries Prevalence | More Caries than HP |
---|---|---|---|---|---|---|---|---|---|
Agarwal et al., 2021 [24] | Schizophrenia | CS | 111 | M: 74.4% F: 25.3% N.I. | 34.73 y DMFT increase with age | OE | M: 3.0 F: 3.1 All: 3.09 Decayed N.I. | N.I. | N.I. |
Arora et al., 2019 [27] | Drug addicts | Case- Control | Case: 100 Control: 100 | Case: 100 male Control: 100 male N.I. | Case: 30.8 y Control: 29.8 y N.I. | OE | Case: 5.71 Control 2.45 Decayed N.I. | N.I. | Yes |
Blomqvist et al., 2015 [31] | Autism spectrum disorder | CS | Autism: 47 Control: 69 | M: 53.2% F: 46.8% N.I. | 33 y N.I. | OE, RE | Autism: 14.9 Control: 15.9 Decayed: Autism: 4.9 Control: 10.3 | N.I. | No |
Cao et al., 2018 [28] | Adult heart transplant (AHT) | CS | AHT: 81 Control: 63 | AHT M: 69.1% F: 30.9% Control M: 63.5% F: 36.5% N.I. | AHT: 47.7 Control: 49.6 N.I. | OE | AHT: 3 Control: 3 | AHT: 80.2% Control: 79.4% | No |
Diab et al., 2017 [15] | Intellectual disabilities | CS | Case: 510 Survey: 1877 | N.I. | Age brackets from 12 to 44 DMFT increase with age | ID: OE Survey: SR | 12 y: 4.27 15 y: 4.80 35–44 y: 12.71 Decayed: ID 12: 3.90 15: 4.01 35–44: 3.17 Survey: 12: 5.14 15: 6.80 35–44: 7.20 | N.I. | No |
Fernandez et al., 2016 [14] | Intellectual disabilities | CS | Poland: 1549 Romania: 1683 Slovenia: 293 | Poland: M: 69% F: 31% Romania: M: 60% F: 40% Slovenia: M: 64% F: 36% N.I. | Poland: 23.2 y Romania 22.9 y Slovenia 27.8 y N.I. | OE | N.I. | Poland: 41% Romania: 19% Slovenia 61% | N.I. |
Goud et al., 2021 [32] | Psychiatric patients | CS | 150 | M: 60% F: 40% | 33.79 y N.I. | OE | 4.06 Decayed: 3.4 | 87.3% | N.I. |
Kapellas et al., 2021 [29] | Kidney disease | CS | Case: 102 Control: 312 Survey: 4775 | Case M: 39.2% F: 60.8% Control M: 55.8% F: 44.2% Survey: M: 49.7% F: 50.3% N.I. | Case: 48.1 Control: 40.01 Survey: 44.84 N.I. | Case and control: OE Survey: SR | Case: 0.86 Control: 9.72 Survey: 14.01 Decayed Case: 3.17 Control: 3.02 Survey: 0.59 | N.I. | No |
Liberali et al., 2013 [21] | HIV | CS | 92–93: 54 9–10: 60 | 92–93 M: 90.7% F: 9.3% 9–10 M: 96.7% F: 3.3% N.I. | 92–93 Age brackets from 25 to 50+ 9–10 Age brackets from 25 to 50+ N.I. | OE RE | 92–93: 15.6 9–10: 8.7 AM: 15.3 Decayed 1992: 2.4 2009: 0.6 AM: 0.6 | 92–93: 51.9% 9–10: 35% Control: 24.2% | No |
Lima et al., 2019 [30] | Diabetic | CS | Diabetics from Fortaleza: 60 Diabetics from Rouen: 60 | FOR: M: 50% F: 50% Rouen: M: 50% F: 50% N.I. | Fortaleza Age brackets from 25 to 85+ Rouen: Age brackets from 25 to 85+ N.I. | OE | Fortaleza 27.1 Rouen: 25.8 Decayed Fortaleza 0.5 Rouen 1.7 | FOR 50% Rouen 38.9% | N.I. |
Ningrum et al., 2020 [16] | Intellectual disability | CS | 65 | M: 48% F: 52% Male | 22 y N.I. | OE | N.I. Decayed F: 3.00 M: 7.55 | N.I. | N.I. |
Oliveira et al., 2013 [17] | Intellectual disability | CS | ID: 103 Siblings: 103 | ID: M: 60% F: 40% Siblings M: 40% F: 60% N.I. | Age brackets from 12 to 36 N.I. | OE | ID: 6.36 Siblings: 5.06 Decayed: ID: 3.52 Siblings: 2.03 | ID: 55.3% Siblings: 40.1% | Yes |
Petrovic et al., 2016 [18] | Intellectual disability | CS | 726 | M: 62.75% F: 37.25%
| Age bracets from 12 to 20+ No differences between age | OE | 12–20: 3.89 +20: 4.83 M: 4.73 F: 3.90 Decayed: 4.37 | N.I. | N.I. |
Pini et al., 2016 [1] | Down syndrome Cerebral palsy Intellectual disability | CS | DS: 17 CP: 13 ID: 17 | DS M: 41% F: 59% CP M: 69% F: 31% ID M: 59% F: 41% N.I. | Age brackets from 12 to 55 N.I. | OE | DS: <10:47% >10: 52% CP: <10: 69% >10: 30% ID: <10 53% >10: 47% Decayed: N.I. | N.I. | N.I. |
Porovic et al., 2016 [13] | Down syndrome | CS | 33 | M: 63.6% F: 36.4% N.I. | From 19 to 45 N.I. | OE | 15.96 Decayed: 3.57 | N.I. | N.I. |
Rezaei-Soufi et al., 2014 [22] | HIV | CS | HIV T 50 HIV WT 50 | Treatment M: 71.4% F: 28.6% Control M: 81.8% F: 18.2% N.I. | Case: 36 y Control: 38 y N.I. | OE | Case: 15.14 Control: 14.45 Decayed Case: 6.86 Control: 5.36 | Treatment: 34.52% Control: 27.42% | N.I. |
Rungsiyanont et al., 2012 [23] | HIV | CS | 299 | M: 28.6% F: 71% N.I. | 36.7 y N.I. | SR | N.I. | 65.9% | N.I. |
Schmidt et al., 2021 [19] | Intellectual disability | CS | 132 | M: 49.2% F: 51.8% No differences between gender | 35.2 y DMFT increased with age | OE | All: 9.5 M:9.9 F: 9.2 Decayed All: 0.5 M: 0.5 F: 0.6 | All: 89.4% M: 87.1% F: 91% | N.I. |
Schulte et al., 2013 [20] | Intellectual disability | CS | 428 | M: 51.4% F: 48.6% No differences between gender | All: 35.5 y M: 36.7 y F: 34.3 y DMFT increased with age | OE | All:12.25 M: 12.42 F: 12.09 Decayed M: 2.14 F: 1.83 | All: 95.5% Caries free: 4.4% M: 95.7% F: 95.4% | N.I. |
Wey et al., 2016 [25] | Schizophrenia | CS | Case: 543 Survey: 8332 | M: 66.7% F: 33.3% N.I. | 54.8 y DMFT increased with age | Case: OE Survey: SR | Case: 20.5 Survey: 11.6 Decayed Case: 3.48 Survey: 1.70 | Case: 82.2% Survey: 89.3% | No |
Zaliunienne et al., 2014 [26] | Haemophilia | Case-Control | Case: 75 Control: 72 | M: 100% N.I. | Age bracets from 11 to 60 N.I. | OE, RE | Case: 9.4 Control: 9.3 Decayed: Case: 3.1 Control: 2.7 | N.I. | No |
3.3. Quality Assessment
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Search Strategy | #1 | Caries |
#2 | (Special Needs) OR (Patient Special Needs) OR (Mentally Special Needs) OR (Physical Special Needs) | |
#1 AND #2 | (Caries) AND ((Special Needs) OR (Patient Special Needs) OR (Mentally Special Needs) OR (Physical Special Needs)) | |
Database | Search Strategy | Findings |
MEDLINE | #1 | 66,103 |
#2 | 431,625 | |
#1 AND #2 | 1212 | |
SciELO | #1 | 2469 |
#2 | 1091 | |
#1 AND #2 | 16 | |
Cochrane Library | #1 | 7792 |
#2 | 4145 | |
#1 AND #2 | 49 |
Methods | ||
---|---|---|
Configuration | 1 | Describes the setting, participating locations, relevant dates (period of recruitment, exposure, follow-up, data collection). |
Participants | 2 | Gives the inclusion and exclusion criteria (including paired or control groups) |
3 | Describes the disease studied. | |
Variables | 4 | Clearly defines the diagnostic criteria (ICDAS, light, Rx…). |
Data/measurement sources | 5 | Measure of caries by itself. |
Study size | 6 | Explains how the study sample size was arrived at. |
Statistical methods | 7 | Describes statistical methods, including those used to control for confounders. |
8 | Describes any methods used to examine subgroups and interactions. | |
Results | ||
Descriptive data | 9 | Provides characteristics of study participants (e.g., demographic, clinical, social) and reports on exposures and potential confounders. |
Result data | 10 | Measures and presents exposure data. |
Items | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | Total Score | Risk of Bias |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Agarwal et al., 2021 [24] | ✓ | ✓ | ✓ | ✕ | ✕ | ✕ | ✓ | ✓ | ✓ | ✓ | 7 | Moderate |
Arora et al., 2019 [27] | ✕ | ✓ | ✓ | ✕ | ✕ | ✕ | ✓ | ✕ | ✓ | ✓ | 5 | High |
Blomqvist et al., 2015 [31] | ✕ | ✓ | ✓ | ✓ | ✓ | ✕ | ✓ | ✕ | ✓ | ✓ | 7 | Moderate |
Cao et al., 2018 [28] | ✓ | ✓ | ✓ | ✕ | ✕ | ✕ | ✓ | ✕ | ✓ | ✓ | 6 | Moderate |
Diab et al., 2017 [15] | ✓ | ✓ | ✓ | ✕ | ✓ | ✕ | ✓ | ✓ | ✓ | ✓ | 8 | Low |
Fernández et al., 2016 [14] | ✓ | ✓ | ✓ | ✕ | ✕ | ✕ | ✕ | ✕ | ✕ | ✓ | 4 | High |
Goud et al., 2021 [32] | ✕ | ✕ | ✓ | ✓ | ✓ | ✓ | ✓ | ✕ | ✓ | ✓ | 7 | Moderate |
Kapellas et al., 2021 [29] | ✕ | ✓ | ✓ | ✕ | ✓ | ✕ | ✓ | ✕ | ✓ | ✓ | 6 | Moderate |
Liberali et al., 2013 [21] | ✓ | ✓ | ✓ | ✓ | ✓ | ✕ | ✓ | ✕ | ✓ | ✓ | 8 | Low |
Lima et al., 2019 [30] | ✕ | ✓ | ✓ | ✕ | ✓ | ✕ | ✓ | ✕ | ✓ | ✓ | 6 | Moderate |
Ningrum et al., 2020 [16] | ✓ | ✓ | ✓ | ✕ | ✕ | ✕ | ✓ | ✓ | ✓ | ✓ | 7 | Moderate |
Oliveira et al., 2013 [17] | ✓ | ✓ | ✓ | ✓ | ✓ | ✕ | ✓ | ✓ | ✓ | ✓ | 9 | Low |
Petrovic et al., 2016 [18] | ✕ | ✕ | ✕ | ✓ | ✕ | ✕ | ✓ | ✓ | ✓ | ✓ | 5 | High |
Pini et al., 2016 [1] | ✓ | ✕ | ✓ | ✓ | ✕ | ✕ | ✓ | ✓ | ✓ | ✓ | 7 | Moderate |
Porovic et al., 2016 [13] | ✓ | ✕ | ✓ | ✓ | ✓ | ✕ | ✓ | ✕ | ✓ | ✓ | 7 | Moderate |
Rezaei-Soufi et al., 2013 [22] | ✕ | ✓ | ✓ | ✕ | ✓ | ✕ | ✓ | ✕ | ✓ | ✓ | 6 | Moderate |
Rungsiyanont et al., 2012 [23] | ✓ | ✓ | ✓ | ✕ | ✓ | ✓ | ✕ | ✕ | ✓ | ✓ | 7 | Moderate |
Schmidt et al., 2021 [19] | ✓ | ✓ | ✓ | ✕ | ✓ | ✕ | ✓ | ✓ | ✓ | ✓ | 8 | Low |
Schulte et al., 2013 [20] | ✓ | ✓ | ✓ | ✕ | ✓ | ✕ | ✓ | ✓ | ✓ | ✓ | 8 | Low |
Wey et al., 2016 [25] | ✓ | ✓ | ✓ | ✕ | ✓ | ✕ | ✓ | ✓ | ✓ | ✓ | 8 | Low |
Zalumienne et al., 2014 [26] | ✓ | ✓ | ✓ | ✓ | ✓ | ✕ | ✓ | ✓ | ✓ | ✓ | 9 | Low |
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Pecci-Lloret, M.R.; Pecci-Lloret, M.P.; Rodríguez-Lozano, F.J. Special Care Patients and Caries Prevalence in Permanent Dentition: A Systematic Review. Int. J. Environ. Res. Public Health 2022, 19, 15194. https://doi.org/10.3390/ijerph192215194
Pecci-Lloret MR, Pecci-Lloret MP, Rodríguez-Lozano FJ. Special Care Patients and Caries Prevalence in Permanent Dentition: A Systematic Review. International Journal of Environmental Research and Public Health. 2022; 19(22):15194. https://doi.org/10.3390/ijerph192215194
Chicago/Turabian StylePecci-Lloret, Miguel Ramón, María Pilar Pecci-Lloret, and Francisco Javier Rodríguez-Lozano. 2022. "Special Care Patients and Caries Prevalence in Permanent Dentition: A Systematic Review" International Journal of Environmental Research and Public Health 19, no. 22: 15194. https://doi.org/10.3390/ijerph192215194