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1.
Korean J Orthod ; 53(6): 374-392, 2023 Nov 25.
Article in English | MEDLINE | ID: mdl-37989575

ABSTRACT

Objective: : Assess and evaluate the different indicators of oral health-related quality of life (OHRQoL) among patients treated with clear aligners (CAs) versus those treated with conventional fixed orthodontics (FAs). Methods: : An electronic search was performed on the database is Web of Science, Scopus, and Embase databases. Randomized and non-randomized control trials, cross-sectional, prospective cohort and retrospective trials were included. Quality was assessed with risk of bias tool and risk of bias in non-randomised studies. Meta-analyses were performed with random effects models, estimating the standardized and non-standardized mean differences, odds ratio and risk ratio as the measure of effect. The effect on time was determined using a meta-regression model. Results: : Thirty one articles were included in the qualitative synthesis and 17 in the meta-analysis. CAs had a significantly lower negative impact on QoL, with an "important" effect size, while the influence of time was not significant. Periodontal indicators plaque index (PI), gingival index (GI), probing depth (PD), and bleeding on probing show significantly better values in patients treated with CAs, with moderate to large effect sizes. PI and GI have a significant tendency to improve over time. In microbiological indicators, CAs present a lower biofilm mass without differences in the percentage of patients with high counts of Streptococcus mutans and Lactobacilli bacteria. The risk of white spot lesion onset is ten times lower in carriers of CAs. Conclusions: : Patients wearing CAs show better periodontal indicators, less risk of white spot development, less biofilm mass and a better QoL than patients with FAs.

2.
Article in English | MEDLINE | ID: mdl-35457578

ABSTRACT

Translucency is one of the most important parameters to be considered by digital systems when predicting the matching appearance and hence the quality of prosthodontic restoration work. Our objective has been to improve the effectiveness of the algorithmic decision systems employed by these devices by (a) determining whether Kubelka-Munk theory can be used as an algorithm for predicting restoration suitability, and (b) evaluating the correlation between the visual evaluation of prosthodontic materials and the predicted translucency based on the use of the ΔE*, OP, CR, and K/S algorithms. In this regard, three zirconia systems and one lithium disilicate have been spectrophotometrically and visually characterized. Based on the results of this study, it has been proven that zirconia systems and lithium disilicate systems exhibit different optical behaviors. The psychophysical experience suggests that none of the existing mathematical methods can adequately estimate translucency, spectrophotometric, and colorimetric techniques, and that which is perceived by an experienced observer. However, translucency evaluation through the K/S algorithmic decision system should not be disregarded. New methods to measure translucency should be developed to improve digital systems for prosthodontic applications.


Subject(s)
Ceramics , Prosthodontics , Color , Materials Testing , Surface Properties
3.
Article in English | MEDLINE | ID: mdl-35329271

ABSTRACT

The purpose of this study was to assess the accuracy and reliability of tooth width measurements and Bolton Indices delivered by the Clin-Check Pro 6.0 software (Align Technology, San José, CA, USA). Fifty-four plaster casts were selected and measured with a manual calliper by a trained and calibrated observer. The data gathered were compared with those delivered by the software on the corresponding fifty-four virtual casts. The method reliability of the software was assessed by comparing the measurements performed by the software on 201 pairs of clin-checks corresponding to two consecutive treatment phases. Accuracy and reliability were statistically assessed using a mixed model. The software tends to provide larger widths compared with the manual method. Statistically significant differences were found in 23 teeth. At a global level, the mean difference between the methods was -0.19 mm, with a Dahlberg error of 0.24 mm and an intraclass correlation coefficient of 0.98. The Bolton Indices delivered by the two methods had a moderate correlation (ICC = 0.59; 0.69). The within method reliability of the software was extremely high. Tooth width measurements delivered by the software, despite the positive bias, can be considered accurate and clinically acceptable for all teeth except molars. The Bolton Indices made available by the software are not accurate and clinically acceptable, especially in the case of mandibular excess.


Subject(s)
Models, Dental , Tooth , Cross-Sectional Studies , Reproducibility of Results , Software
4.
Int J Legal Med ; 136(1): 319-328, 2022 Jan.
Article in English | MEDLINE | ID: mdl-34693478

ABSTRACT

Sex estimates is a key step of biological profile assessment in a forensic or anthropologic context. In this study, the sexual dimorphism of the frontal bone was analyzed to assess the accuracy of sex estimates using a geometric morphometric approach in a pre-pubertal and post-pubertal sample. The shape of the frontal bone was digitized on the lateral cephalograms of 87 pre-pubertal subjects (42 males, mean age 10.14, SD ± 1.48 years; 45 females mean age 10.02, SD ± 1.11 years) and 103 post-pubertal ones (53 males, mean age 29.33 SD ± 11.88 years; 50 females, mean age 26.77 SD ± 11.07 years). A generalized Procrustes analysis (GPA) was performed for shape analyses, filtering the effects of position, rotation, translation, and size. A principal component analysis (PCA) was performed on the GPA transformed variables, and a multiple logistic regression model was used to assess the accuracy of sex estimates. In both age groups, the average size of the centroid was significantly larger in males. The females presented shapes with a shorter distance between P2 (glabella) and P1 (supratoral) and a general narrowing of the structure on the sagittal plane. In the pre-pubertal group, the shape difference was not statistically significant. In the post-pubertal group, the mean shape was significantly different between the sexes. The method displayed a high accuracy for sex estimates (88.7% males, 90.3% females) also when applied in a validation sample (82.6% males and 94.1% females). The described morphometric analysis of the frontal bone is based on a limited number of landmarks, which allows sex estimates with high accuracy in post-pubertal subjects, while it is not applicable in pre-pubertal ones.


Subject(s)
Frontal Bone , Sex Determination by Skeleton , Adult , Child , Discriminant Analysis , Female , Forensic Anthropology/methods , Frontal Bone/anatomy & histology , Humans , Male , Principal Component Analysis , Sex Characteristics , Sex Determination by Skeleton/methods
5.
Head Face Med ; 17(1): 24, 2021 Jul 07.
Article in English | MEDLINE | ID: mdl-34233698

ABSTRACT

BACKGROUND: Determine the exact slot dimension of a sample of a MBT prescription stainless steel conventional brackets from different manufacturers to compare the actual values with the nominal ones declared by the manufacturers and to verify the compliance with tolerance limits given by the ISO 27020:2019. Different batches from each manufacturer were evaluated to determine whether or not they are different in size. In addition, the geometry of the slot walls was assessed. METHODS: 360 stainless steel preadjusted orthodontic brackets of 12 different manufacturers were assessed. All brackets had a nominal slot size of 0.022 by 0.028 inches, belonged to the right upper central incisor, and were fabricated with the metal injection molding technique (MIM). For each manufacturer, three different manufacturing batches were evaluated. Brackets were coded using a single-blind design. RESULTS: All bracket systems in the study group except one displayed a statistically significant difference with the nominal declared value, although only four of the systems did not comply with the tolerance limits established by the ISO 27020:2019. In most of the systems, the slot height was oversized when compared to the nominal one. A significant interbatch variability was found in most of the evaluated systems. Most of the brackets walls were divergent. CONCLUSIONS: The dimensional accuracy of commercially available metal brackets is not guaranteed. The respect for the norm should be enforced as well as the quality controls along the manufacturing process since orthodontic brackets are a precision medical device.


Subject(s)
Orthodontic Brackets , Dental Stress Analysis , Humans , Materials Testing , Orthodontic Appliance Design , Orthodontic Wires , Single-Blind Method , Stainless Steel
6.
J Clin Exp Dent ; 13(4): e376-e382, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33841737

ABSTRACT

BACKGROUND: Understanding patient perspective is a key factor in improving treatment satisfaction. The aim of the present study is to qualitatively describe the content of Twitter posts related to the treatment with Invisalign in order to get a better understanding of patient experience. MATERIAL AND METHODS: Tweets were prospectively collected during a period of four weeks from public available posts on Twitter using Awario™ a bespoke social media monitoring tool. After applying the pertinent inclusion and exclusion criteria the selected posts were analysed by three investigators using thematic analysis. Specific themes and subthemes were developed. RESULTS: A total of 1564 tweets were analysed; three mayor themes were identified: Pre-treatment related, Treatment related and Patient/clinician relationship. Pre-treatment posts were mainly positive and underlined patients' expectations, while in the treatment phase an almost equal number of positive and negative posts were found. The positive post were about the satisfaction with treatment and the improvement of self-esteem. The negative ones were related to pain, compliance, the impact on diet and pronunciation. CONCLUSIONS: The present study provides a better understanding of patients' experience during clear aligners treatment. Increasing the awareness of the clinicians can improve their ability to face problems related to the orthodontic treatment and to provide to their patients better professional advices and counselling. Key words:Social media, twitter, clear aligners, Invisalign, orthodontics.

7.
BMC Med Res Methodol ; 21(1): 33, 2021 02 11.
Article in English | MEDLINE | ID: mdl-33573591

ABSTRACT

BACKGROUND: To evaluate the completeness of reporting abstracts of systematic reviews (SRs) before and after the publication of the PRISMA-A checklist in 2013 and to assess if an association exists between abstract characteristics and the completeness of reporting. METHODS: A systematic search of the literature was conducted in the PubMed and Scopus databases in March 2020. The search focused on the SRs of evaluations of interventions published since 2002 in the field of periodontology. The abstracts of the selected SRs were divided into two groups before and after publication of the PRISMA-A checklist in 2013, and compliance with the 12 items reported in the checklist was evaluated by three calibrated evaluators. RESULTS: A set of 265 abstracts was included in the study. The total score before (mean score, 53.78%; 95% CI, 51.56-55.90%) and after (mean score, 56.88%; 95% CI, 55.39-58.44%) the publication of the PRISMA-A statement exhibited a statistically significant improvement (P = 0.012*). Nevertheless, only the checklist items included studies and synthesis of the results displayed a statistically significant change after guideline publication. The total PRISMA-A score was higher in the meta-analysis group and in articles authored by more than four authors. CONCLUSIONS: The impact of the PRISMA-A was statistically significant, but the majority of the items did not improve after its introduction. The editors and referees of periodontal journals should promote adherence to the checklist to improve the quality of the reports and provide readers with better insight into the characteristics of published studies.


Subject(s)
Checklist , Research Report , Bibliometrics , Cross-Sectional Studies , Humans , PubMed , Systematic Reviews as Topic
8.
Rev. bioét. derecho ; (52): 185-219, 2021. tab, graf
Article in Spanish | IBECS | ID: ibc-228078

ABSTRACT

Introducción: Conocer los aspectos fundamentales del consentimiento informado es imprescindible para una correcta práctica clínica odontológica. Objetivo: Valorar el conocimiento de los odontólogos sobre el Consentimiento Informado y relacionarlo con género, edad y especialidad del odontólogo. Analizar la relación entre apreciación sobre la formación ética del odontólogo y el manejo de situaciones éticas en la consulta con género, edad y especialidad del odontólogo. Material y método: se aplicó un cuestionario online a los odontólogos que prestan servicio en la Clínica odontológica de la Universidad Europea de Valencia. Resultados: se analizaron 62 cuestionarios. Se obtuvo una nota ponderada de 4,27 ± 0,55 en conocimiento objetivo. Conclusiones: los odontólogos suelen tener un nivel de conocimiento entre medio y bajo. No se ha encontrado ninguna diferencia estadísticamente significativa entre el nivel de conocimientos sobre consentimiento informado en Odontología y las variables edad, género y especialidad. La percepción que el odontólogo tiene sobre su formación ética no guarda ninguna diferencia estadísticamente significativa con edad, género y especialidad. El manejo de la situación clínica guarda una relación estadísticamente significativa con la especialidad de Ortodoncia con independencia de la edad y género del odontólogo. En relación a la segunda situación clínica no se ha encontrado ninguna diferencia estadísticamente significativa con respecto a edad, género y especialidad del odontólogo (AU)


Introduction: Knowing the fundamental aspects of informed consent is essential for a correct dental clinical practice. Objective: Assess the knowledge of the dentists on the Informed Consent and relate it to the gender, age and specialty of the dentist. Analyze the relationship between the appreciation about the ethic training of the dentist and the management of clinical ethical situations with gender, age and specialty of the dentist. Material and methods: An online survey about informed consent was sent to the dentists practising in the dental clinic of Universidad Europea of Valencia. Results: 62 questionnaires were analysed. A grade of 4.27 ± 0.55 was obtained in objective knowledge. Conclusions: Dentists usually have a medium to low level of knowledge. There was no statistically significant difference between the level of knowledge on informed consent in dentistry and the age, gender and specialty. There was no statistically significant difference between the dentist's perception of his ethical training and age, gender and specialty. A statistically significant difference was found between the management of the clinical situation and thee specialty of Orthodontics regardless of the age and gender of the dentist. Regarding the second clinical situation, no statistically significant difference was found regarding the age, gender and specialty of the dentist (AU)


Introducció: Conèixer els aspectes fonamentals del consentiment informat és imprescindible per a una correcta práctica clínica odontològica. Objectiu: Valorar el coneixement dels odontòlegs sobre el Consentiment Informat i relacionar-lo amb gènere, edat i especialitat de l'odontòleg. Analitzar la relació entre apreciació sobre la formació ètica de l'odontòleg i el maneig de situacions ètiques en la consulta amb gènere, edat i especialitat de l'odontòleg. Material i mètode: es va aplicar un qüestionari online als odontòlegs que presten servei en la Clínica odontològica de la Universitat Europea de València. Resultats: es van analitzar 62 qüestionaris. Es va obtenir una nota ponderada de 4,27 ± 0,55 en coneixement objectiu. Conclusions: Els odontòlegs solen tenir un nivell de coneixement entre mitjà i baix. No s'ha trobat cap diferència estadísticament significativa entre el nivell de coneixements sobre consentiment informat en Odontologia i les variables edat, gènere i especialitat. La percepció que l'odontòleg té sobre la seva formació ètica no guarda cap diferència estadísticament significativa amb edat, gènere i especialitat. El maneig de la situació clínica guarda una relació estadísticament significativa amb l'especialitat d'Ortodòncia amb independència de l'edat i gènere de l'odontòleg. En relació a la segona situació clínica no s'ha trobat cap diferència estadísticament significativa respecte a edat, gènere i especialitat de l'odontòleg (AU)


Subject(s)
Humans , Informed Consent , Dentistry , Dentists , Health Knowledge, Attitudes, Practice , Surveys and Questionnaires , Spain
9.
Prog Orthod ; 21(1): 31, 2020 Sep 21.
Article in English | MEDLINE | ID: mdl-32954449

ABSTRACT

BACKGROUND: To describe the impact of research, beyond the limits of the academic environment, Altmetric, a new social and traditional media metric was proposed. The aims of this study were to analyze the online activity related to orthodontic research via Altmetric and to assess if a correlation exists among citations, Mendeley reader count, and the AAS (Altmetric Attention Score). METHOD: The Dimensions App was searched for articles published in the orthodontic journals listed in the Journal Citation Reports (JCR) throughout the years 2014 to 2018. The articles with a positive AAS were collected and screened for data related to publication and authorship. The articles with an AAS higher than 5 were screened for research topic and study design. Citation counts were harvested from Web of Science (WOS) and Scopus. RESULTS: The best performing journals were Progress in Orthodontics and the European Journal of Orthodontics with a mean AAS per published item of 1.455 and 1.351, respectively and the most prevalent sources were Tweets and Facebook mentions. The most prevalent topic was Oral Health-Related Quality of Life (OHRQOL) and the study design was systematic reviews. The correlation between the AAS and the citations in both WOS and Scopus was poor (r = 0.1463 and r = 0.1508, p < .05). The correlation between citations count and Mendeley reader (r = 0.6879 and r = 0.697, p < .05) was moderate. CONCLUSIONS: Few journals displayed a high level of web activity. Journals and editors should enhance online dissemination of the scientific outputs. The authors should report the impact of the findings to the general public in a convenient way to facilitate online dissemination but to avoid an opportunistic use of the research outputs. Despite the lack of correlation, a combination of the citation count and the AAS can give a more comprehensive assessment of research impact.


Subject(s)
Journal Impact Factor , Periodicals as Topic , Attention , Bibliometrics , Quality of Life
10.
Orthod Craniofac Res ; 23(4): 462-470, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32449978

ABSTRACT

OBJECTIVE: To perform a bibliometric analysis on the top-cited articles over the last three decades from 1989 to 2018, using a longitudinal set-up, in order to analyse how articles' features have evolved over time. SETTING AND SAMPLE POPULATION: A sample of 312 articles divided into three subgroups of 104 top-cited articles for each decade were included. The h-index value was used to determine the sample size. MATERIALS AND METHODS: The articles were identified through a search in the category "dentistry oral surgery and medicine" of the Web of Science database. The information relative to the articles was collected. Descriptive statistics was used to describe the articles and the journals; selected parameters were analysed with the Kruskal-Wallis and the Mann-Whitney U test at the 0.05 level of significance. RESULTS: The top-cited articles were published mainly by orthodontic journals. Along the last two decades, the scientific contribution of Asian and South American countries rose significantly. The trending topics varied in each decade. Skeletal anchorage-related articles dominated the production of the decade 1999-2008 while new technologies as CBCT displayed a higher prevalence in the last decade, where new topics such as corticotomy-assisted orthodontics started to appear. The number of multi-authored articles increased while the articles from no university institutions decreased. CONCLUSION: The publications in the three studied decades were significantly different in terms of numbers and characteristics. A longitudinal set-up allows to study the evolution of the scientific production and how the area of interest has developed over time.


Subject(s)
Orthodontics , Publications , Bibliometrics , Data Management , Longitudinal Studies
11.
Int J Paediatr Dent ; 30(1): 66-74, 2020 Jan.
Article in English | MEDLINE | ID: mdl-31519054

ABSTRACT

BACKGROUND: Traditional metrics have been extensively used to evaluate the scientific performance. Despite being widespread accepted, citation-based metrics are not able to describe the social impact of research. A diverse metric, Altmetric, was proposed to overcome those limitations. AIM: This study aims to analyse the social impact of research in the field of paediatric dentistry and to assess if a correlation exists between the JCR citations, the AAS score, and the recently released Dimensions citation count. DESIGN: A bibliometric study was conducted on the four journals related to Paediatric Dentistry listed in the JCR from 2014 to 2017. Descriptive statistics was used to describe the articles and the journals. Pearson's correlation analysis was used to explore the relationship among JCR citations, AAS, and Dimensions. RESULTS: The percentage of articles with an AAS presents a huge variability and was significantly higher in the International Journal of Paediatric Dentistry. In our sample, the correlation between the JCR citation count and the AAS was poor in the years 2014, 2015, and 2016 and low in 2017. The correlation between JCR citation and Dimensions citation count was strong. CONCLUSIONS: The social impact of research in paediatric dentistry can be increased. Dimensions could be an alternative to the JCR. Both the editors and the researcher should change their vision and facilitate the access to research information to scholar and non-scholar audiences.


Subject(s)
Journal Impact Factor , Periodicals as Topic , Bibliometrics , Child , Humans , Pediatric Dentistry , Social Change
12.
J Clin Periodontol ; 47(3): 330-342, 2020 03.
Article in English | MEDLINE | ID: mdl-31749229

ABSTRACT

AIM: To assess the online attention to research in the field of Periodontology. To assess the correlation between the Altmetric Attention Score (AAS) and the citations count in Web of Science (WOS), Scopus and Dimensions. MATERIAL AND METHODS: The articles were identified by a search performed through the Dimensions Free App. The search included the six journals related to periodontology listed in the Journal Citation Report (JCR) in the year 2017. The 200 articles with the highest AAS were collected and screened for data related to publication, authorship and research. Citations were harvested from WOS, Scopus and Dimensions. RESULTS: The Journal of Clinical Periodontology was the most prevalent publication accounting for the 51, 5% of the published items followed by the Journal of Periodontology that published the 34, 5% of the 200 articles with the highest AAS. 65% of these articles were published between 2013 and 2018. The mean AAS was 33, 81 being Tweets and news outlets the most frequent Altmetric resources. Systematic reviews were the most prevalent study design. The correlation between the AAS and the citations in WOS, Dimensions and Scopus was poor. A strong correlation exists between the citations in WOS, Dimensions and Scopus. CONCLUSIONS: Online attention to periodontal research is high. Systemic interaction studies had a significantly higher visibility. The classic citations count in combination with the AAS can offer a more comprehensive insight into research by highlighting what is valuable for the researcher and for the lay persons. The online profile of journals should be edited to facilitate spread of research information in non-scholar audiences.


Subject(s)
Attention , Bibliometrics
13.
Nutr Hosp ; 28(5): 1372-83, 2013.
Article in Spanish | MEDLINE | ID: mdl-24160190

ABSTRACT

INTRODUCTION: Obesity and overweight (O/OW) in children have reached epidemic character and both are a risk factor for chronic serious health problems. This study was perfomed in order to research the relationship between O/OW and dental caries. MATERIAL AND METHODS: [corrected] A SR was conducted between 2007-2011 in tertiary information sources (Trip, Cochrane and NGC), secondary (PubMed, IME, MEDES IBECS) and primary (reference checks). INCLUSION CRITERIA: Patients (children 0-18 years), risk factor (O/OW) and outcomes (primary: caries, secondary: other oral pathology). DATA COLLECTED: Author, year, country, type of study, patient age, cases (with O/OW) and controls (body mass index-BMI-normal or low), comorbidities, socioeconomic status, prevalence of caries and other results in oral health. RESULTS: Forty-seven documents were located, 37 of them met the criteria of the RS, temporarily distributed in 2007 (6 articles), 2008 (6), 2009 (5), 2010 (11) and 2011 (9). They presented a very wide degree of heterogeneity (in patients, intervention, primary outcome and type of design), which does not allow to apply quantitative synthesis of data (meta-analysis). Studies are conflicting regarding the relationship between BMI and frequency of dental caries (DMFT, dmft). CONCLUSIONS: Systematic review allows dentists and pediatricians to know the relationship between O/OW and dental caries.


Introducción: Obesidad y el sobrepeso (O/SP) infantil han alcanzado caracteres de epidemia y son un factor de riesgo de enfermedades crónicas graves para la salud. El objetivo es realizar una revisión sistemática (RS) sobre la relación de O/SP con caries en pediatría. Material y métodos: RS de la literatura 2007-2011 en fuentes de información terciaria (Trip, Cochrane y NGC), secundaria (PubMed, IME, IBECS y MEDES) y primarias (revisión de referencias). Criterios de inclusión: Pacientes (niños de 0-18 años), factor de riesgo (O/SP) y variable de interés (primaria: caries; secundarias: resto patología bucodental). Datos recogidos: Autor, año, país, tipo de estudio, edad pacientes, casos (con O/SP) y controles (con índice de masa corporal -IMC- normal o bajo), estado socioeconómico, prevalencia de caries y otros resultados en salud bucodental. Resultados: Se localizaron un total de 48 documentos, de los que 37 cumplieron los criterios de búsqueda de la RS, distribuidos temporalmente: 6 artículos del año 2007, 6 del 2008, 5 del 2009, 11 del 2010 y 9 del 2011. Presentaron un grado de heterogeneidad muy amplio (en pacientes, intervención, variable principal de interés y tipo de diseño), lo que no permite aplicar síntesis cuantitativa (metanálisis) de los datos, pero si cualitativa. Los estudios son discordantes respecto a la relación entre IMC y frecuencia de caries (CAOD, caod). Conclusiones: La RS permite al odontólogo y pediatra conocer la potencial relación entre O/SP y caries dental.


Subject(s)
Dental Caries/etiology , Obesity/complications , Overweight/complications , Adolescent , Child , Humans
14.
Nutr. hosp ; 28(5): 1372-1383, sept.-oct. 2013. ilus, tab
Article in Spanish | IBECS | ID: ibc-120326

ABSTRACT

Introducción: Obesidad y el sobrepeso (O/SP) infantil han alcanzado caracteres de epidemia y son un factor de riesgo de enfermedades crónicas graves para la salud. El objetivo es realizar una revisión sistemática (RS) sobre la relación de O/SP con caries en pediatría. Material y métodos: RS de la literatura 2007-2011 en fuentes de información terciaria (Trip, Cochrane y NGC), secundaria (PubMed, IME, IBECS y MEDES) y primarias (revisión de referencias). Criterios de inclusión: Pacientes (niños de 0-18 años), factor de riesgo (O/SP) y variable de interés (primaria: caries; secundarias: resto patología bucodental). Datos recogidos: Autor, año, país, tipo de estudio, edad pacientes, casos (con O/SP) y controles (con índice de masa corporal -IMC- normal o bajo), estado socioeconómico, prevalencia de caries y otros resultados en salud bucodental. Resultados: Se localizaron un total de 48 documentos, de los que 37 cumplieron los criterios de búsqueda de la RS, distribuidos temporalmente: 6 artículos del año 2007, 6 del 2008, 5 del 2009, 11 del 2010 y 9 del 2011. Presentaron un grado de heterogeneidad muy amplio (en pacientes, intervención, variable principal de interés y tipo de diseño), lo que no permite aplicar síntesis cuantitativa (metanálisis) de los datos, pero si cualitativa. Los estudios son discordantes respecto a la relación entre IMC y frecuencia de caries (CAOD, caod). Conclusiones: La RS permite al odontólogo y pediatra conocer la potencial relación entre O/SP y caries dental (AU)


INTRODUCTION: Obesity and overweight (O/OW) in children have reached epidemic character and both are a risk factor for chronic serious health problems. This study was perfomed in order to research the relationship between O/OW and dental caries. MATHERIAL AND METHODS: A SR was conducted between 2007-2011 in tertiary information sources (Trip, Cochrane and NGC), secondary (PubMed, IME, MEDES IBECS) and primary (reference checks).INCLUSION CRITERIA: Patients (children 0-18 years), risk factor (O/OW) and outcomes (primary: caries, secondary: other oral pathology).DATA COLLECTED: Author, year, country, type of study, patient age, cases (with O/OW) and controls (body mass index-BMI-normal or low), comorbidities, socioeconomic status, prevalence of caries and other results in oral health. RESULTS: Forty-seven documents were located, 37 of them met the criteria of the RS, temporarily distributed in 2007 (6 articles), 2008 (6), 2009 (5), 2010 (11) and 2011 (9). They presented a very wide degree of heterogeneity (in patients, intervention, primary outcome and type of design), which does not allow to apply quantitative synthesis of data (meta-analysis). Studies are conflicting regarding the relationship between BMI and frequency of dental caries (DMFT, dmft).CONCLUSIONS: Systematic review allows dentists and pediatricians to know the relationship between O/OW and dental caries (AU)


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Obesity/complications , Overweight/complications , Dental Caries/epidemiology , Oral Health/statistics & numerical data , Diagnosis, Oral/statistics & numerical data , Risk Factors
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