Paisi M, Plessas A, Pampaka D, Burns L, Witton R
University of Plymouth.
Cyprus University of Technology.
Community Dent Health. 2020 Feb 27;37(1):32-38. doi: 10.1922/CDH_4611Paisi07.
To examine the impact of treating carious teeth on children's and adolescents' anthropometric outcomes.
Four electronic databases and four electronic clinical trials registries were searched. Two reviewers independently conducted the screening, data extraction and critical appraisal. The Cochrane Risk of Bias Tool for Randomised Controlled Trials was used to assess the risk of bias in the included studies.
The searches yielded 399 potential studies. Following deduplication and screening of the papers, four were considered eligible for inclusion of which two referred to the same study. None of the included studies was found to have a high risk of bias in any of the domains. However, performance bias was deemed of unclear risk in all studies. One of the studies found that following extraction of pulpally involved teeth, underweight children exhibited a statistically significant improvement in their weight-for-age (change in mean=0.26; p⟨0.001) and BMI-for-age z scores (change in mean=0.52, p⟨0.001) and had a significant weight gain (change in mean=1.2; p⟨0.001). Two studies showed that dental intervention did not have a significant effect on anthropometric outcomes. Treatment of caries significantly improved children's oral health-related quality of life in two studies.
The evidence into the impact of treating carious teeth on children's growth is mixed and inconclusive. However, there is consistent evidence that treatment of severely carious teeth can significantly improve children's oral health-related quality of life. Oral health promotion and strategies to screen for oral health problems and widen dental access should be considered as part of integrated public health programs targeting children.
探讨治疗龋齿对儿童和青少年人体测量结果的影响。
检索了四个电子数据库和四个电子临床试验注册库。两名评审员独立进行筛选、数据提取和批判性评价。使用Cochrane随机对照试验偏倚风险工具评估纳入研究中的偏倚风险。
检索得到399项潜在研究。在对论文进行重复数据删除和筛选后，有四项被认为符合纳入标准，其中两项涉及同一研究。在所纳入的研究中，没有一项在任何领域被发现有高偏倚风险。然而，所有研究中的表现偏倚风险被认为不明确。其中一项研究发现，在拔除牙髓受累的牙齿后，体重不足的儿童在年龄别体重（平均变化=0.26；p<0.001）和年龄别BMI z评分（平均变化=0.52，p<0.001）方面有统计学上的显著改善，并且体重有显著增加（平均变化=1.2；p<0.001）。两项研究表明，牙科干预对人体测量结果没有显著影响。在两项研究中，龋齿治疗显著改善了儿童与口腔健康相关的生活质量。
关于治疗龋齿对儿童生长影响的证据不一且尚无定论。然而，有一致的证据表明，治疗严重龋齿可显著改善儿童与口腔健康相关的生活质量。口腔健康促进以及筛查口腔健康问题和扩大牙科服务可及性的策略应被视为针对儿童的综合公共卫生项目的一部分。
