Post-Graduate Student, Centre for Early Childhood Caries Research (CECCRe), Department of Pediatric and Preventive Dentistry, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India.
Head, CECCRe, Department of Pediatric and Preventive Dentistry, SRIHER, and adjunct research associate, Centre of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates.
Pediatr Dent. 2024 May 15;46(3):169-178.
The purpose of this study was to perform a systematic review to assess current evidence for the association between child temperament and early childhood caries (ECC). A systematic search was conducted using MEDLINE® through PubMed®, EMBASE®, Scopus®, LILACS, Web of Science™, and EBSCO up to January 2023. Studies measuring ECC and child temperament for children younger than or equal to six years of age using questionnaires, interviews, and surveys through case-control studies, cohort studies, and cross-sectional studies were included. Literature reviews were excluded. Medical subject heading (MeSH) terms like "temperament" and "dental caries" were used by two authors who independently extracted the data, and a third author resolved disagreements. Risk of bias assessment was done using the Newcastle-Ottawa assessment scale for case-control and cohort studies and the Appraisal tool for Cross-Sectional Studies (AXIS). The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluations approach (GRADE approach). A chi-square test and I-square index were used to evaluate heterogeneity. A total of 5,072 records were screened, resulting in 15 included studies that yielded data for 6,667 participants; sevenstudies were high, and eight were of moderate quality. Seven studies qualified for meta-analysis, which revealed that persistence did not affectthe presence or absence of ECC. However, there was a strong association between difficult temperament and ECC (odds ratio equals 2.63). A positive association between a child's temperament and early childhood caries exists that is supported by quantitative findings, indicating a connection with very low certainty.
本研究旨在进行系统评价，评估儿童气质与幼儿龋（ECC）之间关联的现有证据。使用 MEDLINE® 通过 PubMed®、EMBASE®、Scopus®、LILACS、Web of Science™ 和 EBSCO 进行了系统检索，检索时间截至 2023 年 1 月。纳入了使用问卷、访谈和调查测量年龄不超过 6 岁的儿童 ECC 和儿童气质的研究，这些研究采用病例对照研究、队列研究和横断面研究。排除文献综述。两位作者使用“temperament”和“dental caries”等医学主题词（MeSH）术语独立提取数据，并由第三位作者解决分歧。使用纽卡斯尔-渥太华量表（Newcastle-Ottawa assessment scale）对病例对照和队列研究以及横断面研究评估工具（AXIS）进行风险偏倚评估。使用推荐评估、制定与评估分级（GRADE approach）评估证据质量。使用卡方检验和 I 平方指数评估异质性。共筛选了 5072 条记录，纳入了 15 项研究，这些研究共纳入了 6667 名参与者；其中 7 项研究为高质量，8 项为中质量。有 7 项研究符合荟萃分析条件，结果表明持久性不会影响 ECC 的存在与否。然而，困难气质与 ECC 之间存在很强的关联（比值比等于 2.63）。定量研究结果表明，儿童气质与幼儿龋之间存在正相关，这表明两者之间存在联系，但证据确定性非常低。
