南非幼儿龋齿的风险指标：系统评价方案

Risk Indicators for Early Childhood Caries in South Africa: Protocol for a Systematic Review.

作者信息

Kimmie-Dhansay Faheema, Barrie Robert, Roberts Tina, Naidoo Sudeshni

机构信息

Research and Higher Degrees, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa.

出版信息

JMIR Res Protoc. 2021 Jun 25;10(6):e26701. doi: 10.2196/26701.

DOI:10.2196/26701

PMID:34170258

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8386354/

Abstract

BACKGROUND

Early childhood caries (ECC) is a common disorder characterized by the presence of one or more decayed (non-cavitated or cavitated lesions), missing (due to caries), or filled tooth surfaces of primary teeth in children 71 months old or younger. South Africa has a diverse population in terms of culture, education, income, and occupation. This diversity is due to the consequences of historical racial discrimination, poverty, unemployment, lack of accessibility to health services, and quality of education. These factors make South Africa unique, and the disease and risk profiles for this country differ from those of other countries at similar stages of development. For these reasons, it is important to identify the unique maternal and infant risk factors for ECC in the South African context.

OBJECTIVE

The purpose of this study is to determine the risk factors associated with the incidence and prevalence of ECC in South Africa in children under the age of 6 years.

METHODS

All cross-sectional and cohort studies documenting risk factors associated with the prevalence and incidence of dental disease and severity (decayed, missing, and filled scores) will be included. We will search 7 databases for eligible studies, and those included will be based on prespecified inclusion criteria. Only studies conducted with South African children who are aged 6 years and younger in which dental caries risk factors are documented will be included. There is no restriction on the time or language of publication. Included articles will be scrutinized for quality by using a risk of bias tool developed by the Joanna Briggs Institute. The results will be presented narratively, and if possible, a meta-analysis will be performed.

RESULTS

The literature search was conducted in November 2020.

CONCLUSIONS

The results of this study will provide a framework to inform medical and dental personnel to highlight mothers and infants at risk of developing ECC.

TRIAL REGISTRATION

PROSPERO International Prospective Register of Systematic Reviews CRD42020216455; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=216455.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/26701.

摘要

背景

幼儿龋齿（ECC）是一种常见疾病，其特征为71个月及以下儿童的乳牙存在一个或多个龋坏（非龋洞或龋洞病变）、缺失（因龋齿）或充填的牙面。南非在文化、教育、收入和职业方面具有多样化的人口。这种多样性是历史种族歧视、贫困、失业、缺乏获得医疗服务的机会以及教育质量等因素造成的后果。这些因素使南非具有独特性，该国的疾病和风险状况与处于类似发展阶段的其他国家不同。出于这些原因，在南非背景下确定ECC独特的母婴风险因素很重要。

目的

本研究的目的是确定南非6岁以下儿童ECC发病率和患病率相关的风险因素。

方法

将纳入所有记录与牙科疾病患病率、发病率及严重程度（龋坏、缺失和充填分数）相关风险因素的横断面研究和队列研究。我们将在7个数据库中搜索符合条件的研究，纳入的研究将基于预先设定的纳入标准。仅纳入对6岁及以下南非儿童进行的、记录了龋齿风险因素的研究。对发表时间或语言没有限制。将使用乔安娜·布里格斯研究所开发的偏倚风险工具对纳入的文章进行质量审查。结果将以叙述形式呈现，如有可能，将进行荟萃分析。