Alshammari Falah R, Alsayed Arwa A, Albakry Mohammad, Aljohani Marwan, Kabbi Hassan, Alamri Hamdan
Dental Public Health and Community Dentistry, College of Dentistry, University of Ha'il, Ha'il City, Saudi Arabia.
Department of Periodontics and Dental Implant, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Saudi Dent J. 2022 Sep;34(6):431-444. doi: 10.1016/j.sdentj.2022.06.003. Epub 2022 Jun 18.
Identify the existing evidence base with regards to interventions that address high levels of dental caries. A discussion of the applicability of the evidence to possible replication in Saudi Arabia is presented, alongside recommendations to help reduce dental caries rates in children in Saudi Arabia.
A comprehensive systematic review following PRISMA methods was conducted using three databases: MEDLINE via OVID; EMBASE via OVID and Cochrane Library. Studies were included according to inclusion criteria. AMSTAR2 was used to assess the quality of the included studies, while GRADE was used to assess the quality of evidence.
Ten studies were included in this review. The quality of these were 'high' (in two review), moderate (in two studies), low (in one study) and to 'critically low' (5 reviews). The quality of the evidence presented by the reviews ranged from 'moderate' to 'very low'. The interventions methods included MI, one-to-one nutrition advice, educational interventions and dental screening. The applicability of the findings in relation to dental care in Saudi Arabia is discussed and summarized in a narrative.
No strong evidence that supported interventions to improve the child oral health in Saudi Arabia was found. None of the included reviews included studies conducted in Saudi Arabia or evaluated interventions among the local community. As for different culture values, norms, beliefs and attitude to those demographics explored in the reviews, it is unclear if interventions with improve oral health among Saudi children. Further research is needed to explore the efficacy of these interventions in a Saudi context.
确定关于解决高水平龋齿问题干预措施的现有证据基础。本文讨论了这些证据在沙特阿拉伯可能进行复制的适用性，并提出了有助于降低沙特阿拉伯儿童龋齿率的建议。
按照PRISMA方法进行了全面的系统评价，使用了三个数据库：通过OVID检索的MEDLINE；通过OVID检索的EMBASE和Cochrane图书馆。根据纳入标准纳入研究。使用AMSTAR2评估纳入研究的质量，同时使用GRADE评估证据质量。
本评价纳入了10项研究。这些研究的质量为 “高”（2项综述）、“中等”（2项研究）、“低”（1项研究）和 “极低”（5项综述）。综述所呈现的证据质量从 “中等” 到 “极低” 不等。干预方法包括MI、一对一营养建议、教育干预和牙科筛查。对研究结果与沙特阿拉伯牙科护理的相关性适用性进行了讨论，并以叙述形式进行了总结。
未发现支持改善沙特阿拉伯儿童口腔健康干预措施的有力证据。纳入的综述均未包括在沙特阿拉伯进行的研究，也未评估当地社区的干预措施。至于综述中探讨的不同文化价值观、规范、信仰和对这些人群的态度，尚不清楚这些干预措施是否能改善沙特儿童的口腔健康。需要进一步研究以探索这些干预措施在沙特背景下的疗效。
