Pediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, ABCDF Laboratory of Biological, Clinical and Dento-Facial Approach, University of Monastir, Rue Hedi Chekir., 5111, Mahdia, Tunisia.
Pediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, ABCDF Laboratory of Biological, Clinical and Dento-Facial Approach, Faculty of Dental Medicine of Monastir, Monastir, Tunisia.
Eur Arch Paediatr Dent. 2021 Apr;22(2):111-119. doi: 10.1007/s40368-020-00580-4. Epub 2020 Nov 12.
The aim of this study was to systematically review the literature to answer the question: Are parental stress associated with early childhood caries (ECC)?
Electronic databases including MEDLINE (via Pubmed), Scopus and SciELO were searched. Cross-sectional and case-control studies that investigate the association between parental stress and ECC were included. The Newcastle-Ottawa scale was used to assess the risk of bias of the included articles.
Out of 498 articles identified in initial research, 7 articles met the inclusion criteria; five were cross-sectional and two were control-case in design. A statistically significant correlation between ECC and total parental stress as well as a higher level of carious activity associated with total parental stress was reported in four studies. In two studies, no significant relationship between stress and ECC was found (P > 0.05) and in one study, parental stress was inversely associated with children's ECC status with better dental outcomes significantly associated with a higher level of parenting stress.
Despite the fact that the heterogenicity of the following data precluded conclusions to be drawn, it was obvious that parenting stress or some of its domains may influence the development of carious lesions in young children.
本研究旨在系统地回顾文献，以回答以下问题：父母压力与幼儿龋病（ECC）有关吗？
检索了 MEDLINE（通过 Pubmed）、Scopus 和 SciELO 等电子数据库。纳入了调查父母压力与 ECC 之间关联的横断面和病例对照研究。使用纽卡斯尔-渥太华量表评估纳入文章的偏倚风险。
在最初的研究中确定了 498 篇文章，其中 7 篇符合纳入标准；五项为横断面研究，两项为病例对照设计。四项研究报告了 ECC 与总父母压力之间存在统计学显著相关性，以及与总父母压力相关的更高的龋齿活动水平。在两项研究中，未发现压力与 ECC 之间存在显著关系（P>0.05），在一项研究中，父母压力与儿童 ECC 状况呈负相关，更好的牙齿结局与更高水平的育儿压力显著相关。
尽管以下数据的异质性使得无法得出结论，但很明显，育儿压力或其某些领域可能会影响幼儿龋齿的发展。
