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唾液的物理和化学性质及其在幼儿龋齿中的作用——一项系统综述和荟萃分析

Physical and chemical properties of saliva and its role in Early Childhood caries - A systematic review and meta-analysis.

作者信息

Ravikumar Dhanalakshmi, Ramani Pratibha, Gayathri R, Hemashree K, Prabhakaran Pranitha

机构信息

Department of Pediatric Dentistry, Saveetha Dental College, Saveetha University, Chennai, India.

Department of Oral and Maxillofacial Pathology, Saveetha Dental College, Saveetha University, Chennai, India.

出版信息

J Oral Biol Craniofac Res. 2023 Sep-Oct;13(5):527-538. doi: 10.1016/j.jobcr.2023.05.011. Epub 2023 Jun 17.

Abstract

BACKGROUND

Early Childhood Caries is a chronic disease of childhood and salivary parameters are considered as one of the prime etiological factors of Early Childhood Caries.

AIM

To develop a systematic review based on the relation between physical and chemical properties of saliva and Early childhood caries by comparing children with and without Early childhood caries.

METHODS

PubMed, Cochrane, Lilacs, Embase, Scopus, and additional manual search was done up to April 2021 to identify the original cross-sectional observational studies published in English. The risk of bias and quality of the included papers were assessed based on New castle Ottawa guidelines.

RESULTS

From a total of 1709 identified studies, only 22 articles were included in this systematic review and 10 studies were qualified for meta-analysis. Eight studies were classified as ''moderate risk of bias'' and fourteen studies were classified as ''high risk of bias''.

CONCLUSION

There was a significant difference in physical and chemical properties of saliva in children with and without Early childhood caries. Since wide disparity were evident in available studies, further studies are needed to arrive to a definitive conclusion.

摘要

背景

幼儿龋是一种儿童期慢性疾病,唾液参数被认为是幼儿龋的主要病因之一。

目的

通过比较患幼儿龋和未患幼儿龋的儿童,基于唾液的物理和化学性质与幼儿龋之间的关系进行一项系统评价。

方法

截至2021年4月,在PubMed、Cochrane、Lilacs、Embase、Scopus数据库进行检索,并辅以手工检索,以识别用英文发表的原始横断面观察性研究。根据纽卡斯尔渥太华指南评估纳入论文的偏倚风险和质量。

结果

在总共1709项识别出的研究中,本系统评价仅纳入22篇文章,10项研究符合荟萃分析的条件。8项研究被归类为“中度偏倚风险”,14项研究被归类为“高度偏倚风险”。

结论

患幼儿龋和未患幼儿龋的儿童唾液的物理和化学性质存在显著差异。由于现有研究存在明显差异,需要进一步研究才能得出明确结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b361/10282172/fe03fa6274fe/gr1.jpg

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