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Prevalence of dental caries in children and adolescents with type 1 diabetes: a systematic review and meta-analysis.
BMC Oral Health ( IF 2.6 ) Pub Date : 2019-09-14 , DOI: 10.1186/s12903-019-0903-5 Yan Wang 1 , Lin Xing 1 , Hui Yu 1 , LiJuan Zhao 1
BMC Oral Health ( IF 2.6 ) Pub Date : 2019-09-14 , DOI: 10.1186/s12903-019-0903-5 Yan Wang 1 , Lin Xing 1 , Hui Yu 1 , LiJuan Zhao 1
Affiliation
BACKGROUND
Dental caries and type 1 diabetes are responsible for a large burden of global disease; however, the exact prevalence of dental caries among children and adolescents with type 1 diabetes remains controversial, and no quantitative meta-analysis exists. Thus, we performed a meta-analysis to evaluate the prevalence of dental caries among children and adolescents with type 1 diabetes.
METHODS
We performed a systematic search strategy using PubMed, EMBASE and China National Knowledge Infrastructure for relevant studies investigating the prevalence of dental caries in children and adolescents with type 1 diabetes from July 1971 until December 2018. The pooled prevalence with 95% confidence intervals (95%CIs) and subgroup analyses were calculated using a random effects model.
RESULTS
After screening 358 non-duplicated articles, a total of 10 articles involving 538 individuals were included. The overall prevalence of dental caries among children and adolescents with type 1 diabetes was 67% (95% CI: 0.56-0.77%; I2 = 83%). The prevalence was highest in South America (84%) and lowest in diabetic patients with good metabolic control (47%).
CONCLUSIONS
The prevalence of dental caries was high among children and adolescents with type 1 diabetes. Screening and preventive treatment should be included in dental clinical routines for diabetic children and adolescents, especially in those with poor metabolic control.
更新日期:2019-11-28