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儿童生长发育迟缓与口腔健康有关联吗?一项系统评价

Does Growth Stunting Correlate with Oral Health in Children?: A Systematic Review.

作者信息

Sadida Zayyana Jasmine, Indriyanti Ratna, Setiawan Arlette Suzy

机构信息

Faculty of Dentistry, Universitas Padjadjaran, Jl. Sekeloa Selatan 1, Bandung, Indonesia.

Department of Pediatric Dentistry, Faculty of Dentistry, Universitas Padjadjaran, Jl. Sekeloa Selatan 1, Bandung, Indonesia.

出版信息

Eur J Dent. 2022 Feb;16(1):32-40. doi: 10.1055/s-0041-1731887. Epub 2021 Oct 1.

DOI:10.1055/s-0041-1731887
PMID:34598296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8890921/
Abstract

Growth stunting is when children tend to be shorter than their peers through the World Health Organization child growth standard measurement. The condition may affect the development of the brain and other parts of the body, including the oral cavity, which manifests in oral hygiene and overall oral health. This systematic approach literature study aimed to evaluate the correlation between growth stunting and oral health in children. This study was conducted by using a literature review method with a systematic approach by searching for articles related to research topics on PubMed and Google Scholar. The search was adjusted to the inclusion category, which is research that discusses malnutrition and oral health published between 2010 and 2020-research conducted on boys and girls-from birth to 18 years. The exclusion categories used were articles that did not discuss growth stunting and oral health, and grey literature was excluded. The selection of articles was carried out by using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach and resulted in 10 selected articles with details as follows: the correlation between growth stunting and oral health in three articles. A high plaque index in growth stunting children was found in two articles, and a decrease in saliva composition in growth stunting children was also found in two articles. Four articles showed a relationship between growth stunting and salivary flow rate. Lastly, one article showed the relationship between growth stunting and the incidence of dental caries. Despite the limitation of the review, the correlation between growth stunting and overall oral health in children can be seen through the oral hygiene index as moderate to low, high plaque index, decreased salivary flow rate, salivary composition, and dental caries in children with growth stunting.

摘要

生长发育迟缓是指通过世界卫生组织儿童生长标准测量,儿童身高往往低于同龄人。这种情况可能会影响大脑和身体其他部位的发育,包括口腔,具体表现为口腔卫生和整体口腔健康方面的问题。这项系统性文献研究旨在评估儿童生长发育迟缓与口腔健康之间的相关性。本研究采用文献综述方法,通过在PubMed和谷歌学术上搜索与研究主题相关的文章,采用系统性方法进行。搜索根据纳入类别进行调整,纳入类别为2010年至2020年期间发表的、针对从出生到18岁的男孩和女孩进行的、讨论营养不良与口腔健康的研究。使用的排除类别是未讨论生长发育迟缓和口腔健康的文章,灰色文献也被排除。文章的筛选采用系统评价和Meta分析的首选报告项目(PRISMA)方法,最终选定10篇文章,具体如下:3篇文章研究了生长发育迟缓与口腔健康的相关性;2篇文章发现生长发育迟缓儿童的菌斑指数较高;2篇文章还发现生长发育迟缓儿童的唾液成分减少;4篇文章显示生长发育迟缓与唾液流速之间存在关联;最后,1篇文章显示了生长发育迟缓与龋齿发病率之间的关系。尽管本综述存在局限性,但通过口腔卫生指数可看出,生长发育迟缓儿童的整体口腔健康与口腔卫生指数呈中度至低度相关,菌斑指数较高,唾液流速降低,唾液成分改变,且患龋齿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b0/8890921/7585c72506de/10_1055_s-0041-1731887_32_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b0/8890921/7585c72506de/10_1055_s-0041-1731887_32_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b0/8890921/7585c72506de/10_1055_s-0041-1731887_32_01.jpg

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