Sampathkumar Bhuvaneshwari, Rudraiah Chandrashekar Byalakere, Khanum Nishath, Paramasivam Karthikaa, Gade Vaishnavi
Department of Public Health Dentistry, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
Int J Clin Pediatr Dent. 2025 Apr;18(4):466-472. doi: 10.5005/jp-journals-10005-3100. Epub 2025 May 19.
Dental caries is a common oral disease among children. Children with disabilities, in particular, are at a higher risk of developing dental caries due to a lack of ability to carry out routine oral healthcare procedures and limited access to dental care. This systematic review aimed to investigate the effectiveness of various caries preventive strategies among children with disabilities.
Four electronic databases (PubMed, Cochrane Library, Web of Science, and Scopus) were searched from the commencement of the search to 22nd January 2024. Randomized or nonrandomized clinical trials evaluating the efficacy of different caries preventive strategies in children with disabilities were included in the study. The risk of bias in the studies was determined by using the Cochrane risk of bias tool and risk of bias in nonrandomized studies of interventions (ROBINS-I).
A total of 130 articles were obtained after applying the search strategy with the assigned keywords. Two reviewers extracted the outcome data and independently evaluated the quality of the study. Studies applying the various caries preventive strategies in disabled children were included, and a qualitative analysis was conducted on nine articles with full text.
The study found that preventive strategies, such as fluoride treatments, pit and fissure sealants, and regular dental check-ups, were effective in reducing the incidence of dental caries among children with disabilities.
The study also highlighted the need for improved access to dental care for this population. By providing accessible facilities, effective communication mediums, and individualized preventive strategies, we can ensure that these children receive the best oral health care available.
Sampathkumar B, Byalakere Rudraiah C, Khanum N, . Caries Preventive Strategies in Specially Abled Children: A Systematic Review. Int J Clin Pediatr Dent 2025;18(4):466-472.
龋齿是儿童常见的口腔疾病。尤其是残疾儿童，由于缺乏进行常规口腔保健程序的能力以及获得牙科护理的机会有限，患龋齿的风险更高。本系统评价旨在调查各种龋齿预防策略对残疾儿童的有效性。
从检索开始至2024年1月22日，对四个电子数据库（PubMed、Cochrane图书馆、科学网和Scopus）进行了检索。评估不同龋齿预防策略对残疾儿童疗效的随机或非随机临床试验纳入本研究。采用Cochrane偏倚风险工具和干预性非随机研究的偏倚风险（ROBINS-I）来确定研究中的偏倚风险。
应用指定关键词的检索策略后，共获得130篇文章。两名审稿人提取了结果数据并独立评估了研究质量。纳入了在残疾儿童中应用各种龋齿预防策略的研究，并对9篇全文进行了定性分析。
研究发现，氟化物治疗、窝沟封闭和定期牙科检查等预防策略在降低残疾儿童龋齿发病率方面是有效的。
该研究还强调了改善这一人群获得牙科护理机会的必要性。通过提供无障碍设施、有效的沟通媒介和个性化的预防策略，我们可以确保这些儿童获得现有的最佳口腔保健。
Sampathkumar B, Byalakere Rudraiah C, Khanum N, 等。特殊能力儿童的龋齿预防策略：一项系统评价。《国际临床儿科牙科学杂志》2025；18(4):466 - 472。
