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  1. Article ; Online: Is gestational diabetes mellitus associated with developmental defects of enamel in children? A systematic review with meta-analysis.

    Tolomeu, Jéssica Samara Oliveira / Soares, Maria Eliza Consolação / Mourão, Priscila Seixas / Ramos-Jorge, Maria Letícia

    Archives of oral biology

    2022  Volume 141, Page(s) 105488

    Abstract: Objective: The present systematic review aimed to verify the association between Gestational Diabetes Mellitus (GDM) and Developmental Defects of Enamel (DDE) in children. Design A systematic search was conducted in four databases and the grey ... ...

    Abstract Objective: The present systematic review aimed to verify the association between Gestational Diabetes Mellitus (GDM) and Developmental Defects of Enamel (DDE) in children. Design A systematic search was conducted in four databases and the grey literature. The risk of bias of the studies was analyzed with the aid of the Newcastle-Ottawa scale. A quantitative synthesis was performed through meta-analysis. The quality of the evidence was assessed for each result using the Grading of Recommendations: Assessment, Development and Evaluation approach.
    Results: Thirteen studies (seven cross-sectional, two cohort and four case-control studies) were included in the qualitative analysis and eleven were included in the meta-analyses. Meta-analyses were conducted considering general DDE (regardless of the type of defect), hypoplasia, molar incisor hypomineralization (MIH) and hypomineralized primary second molars (HPSM). Subgroups based on the type of dentition were also analyzed. Children of mothers who had GDM presented a greater likelihood of general DDE (OR = 2.72; 95% CI: 1.66-4.44), MIH (OR = 3.14; 95% CI: 1.20-8.25) and hypoplasia (OR = 2.17; 95% CI: 1.36-3.46). No association was found between HPSM and GDM (OR = 0.60; 95% CI: 0.17-2.20). An association was found between GDM and DDE in the permanent dentition. Therefore, children whose mothers had GDM were more likely to present DDE compared to those whose mothers did not have this metabolic disorder.
    Conclusions: The results should be interpreted with caution due to the low evidence of the primary studies.
    MeSH term(s) Child ; Cross-Sectional Studies ; Dental Enamel ; Dental Enamel Hypoplasia ; Diabetes, Gestational ; Dichlorodiphenyl Dichloroethylene ; Female ; Humans ; Pregnancy ; Prevalence
    Chemical Substances Dichlorodiphenyl Dichloroethylene (4M7FS82U08)
    Language English
    Publishing date 2022-06-27
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Review ; Systematic Review
    ZDB-ID 80227-x
    ISSN 1879-1506 ; 0003-9969
    ISSN (online) 1879-1506
    ISSN 0003-9969
    DOI 10.1016/j.archoralbio.2022.105488
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Association between asthma and oral conditions in children and adolescents: a systematic review with meta-analysis.

    Moreira, Luana Viviam / Galvão, Endi Lanza / Mourão, Priscila Seixas / Ramos-Jorge, Maria Letícia / Fernandes, Izabella Barbosa

    Clinical oral investigations

    2022  Volume 27, Issue 1, Page(s) 45–67

    Abstract: Objective: To investigate the association between asthma and oral conditions in children and adolescents.: Material and methods: Observational studies that evaluated the association between asthma and oral conditions in children and/or adolescents ... ...

    Abstract Objective: To investigate the association between asthma and oral conditions in children and adolescents.
    Material and methods: Observational studies that evaluated the association between asthma and oral conditions in children and/or adolescents were retrieved from five databases, grey literature and reference lists up to April 7
    Results: Forty-two studies were eligible, and sixteen were included in the meta-analysis. Mean dmft (MD: 1.11, 95%CI: 0.48-1.73), DMFT (MD: 1.01, 95% CI: 0.45-1.56), dmfs (MD: 3.62, 95%CI: 2.60-4.63) and DMFS (MD: 4.47, 95%CI: 0.98-7.96) indices were significantly higher in asthmatic children and adolescents compared to those without asthma. In the analysis of biofilm, asthmatic children and adolescents had a higher Plaque Index compared to those without asthma (MD: 0.18, 95%CI: 0.03-0.33).
    Conclusion: Asthmatic children and adolescents may be more likely to develop tooth decay and build up biofilm compared to those without asthma. It is suggested that there are no differences between asthmatic and non-asthmatic children and adolescents regarding gingivitis, developmental defects of enamel or erosive tooth wear. The certainty of the evidence was classified as 'very low'.
    Clinical relevance: Knowledge of the risks that asthma and asthma medications for oral health can assist in counselling families of children and adolescents with this condition in terms of control and prevention measures for oral problems.
    MeSH term(s) Adolescent ; Child ; Humans ; Dental Caries/etiology ; Doxorubicin ; Fluorouracil ; Gingivitis/etiology ; Oral Health ; Asthma/complications
    Chemical Substances Doxorubicin (80168379AG) ; Fluorouracil (U3P01618RT)
    Language English
    Publishing date 2022-12-02
    Publishing country Germany
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 1364490-7
    ISSN 1436-3771 ; 1432-6981
    ISSN (online) 1436-3771
    ISSN 1432-6981
    DOI 10.1007/s00784-022-04803-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Impact of Socio-Environmental, Individual, and Biological Factors on Oral Health-Related Quality of Life among Preschool Children: A Cohort Study with 3-Year Follow-Up.

    Fernandes, Izabella Barbosa / Ramos Jorge, Joana / Mourão, Priscila Seixas / Rodrigues, Angélica Beatriz / Coelho, Valéria Silveira / Vettore, Mario Vianna / Ramos-Jorge, Maria Letícia

    Caries research

    2023  Volume 57, Issue 4, Page(s) 470–484

    Abstract: This study assessed impact of socio-environmental, individual, and biological factors on the worsening and severe worsening of oral health-related quality of life (OHRQoL) among preschoolers and their families. A cohort study was conducted in Diamantina, ...

    Abstract This study assessed impact of socio-environmental, individual, and biological factors on the worsening and severe worsening of oral health-related quality of life (OHRQoL) among preschoolers and their families. A cohort study was conducted in Diamantina, Brazil, with 151 children between 1 and 3 years of age and their mothers, who were evaluated at baseline (2014) and re-evaluated after 3 years (2017). The children were clinically examined to assess the presence of dental caries, malocclusion, dental trauma, and enamel defects. The mothers answered the Early Childhood Oral Health Impact Scale (B-ECOHIS) and a questionnaire addressing individual characteristics of the child and socio-environmental factors. Extensive caries found in the follow-up (relative risk [RR] = 1.91; 95% confidence interval [CI] = 1.26-2.91) and failure to undergo the dental treatment recommended at baseline (RR = 2.49; 95% CI = 1.62-3.81) were associated with worsening of OHRQoL over 3 years. An increase in the number of children in the household (RR = 2.95; 95% CI = 1.06-8.25), occurrence of extensive caries in the follow-up (RR = 2.06; 95% CI = 1.05-4.07), and failure to undergo the dental treatment recommended at baseline (RR = 3.68; 95% CI = 1.96-6.89) were associated with a severe worsening of OHRQoL. In conclusion, the risk of worsening and severe worsening of OHRQoL was higher in preschoolers with extensive caries at follow-up and among those who did not undergo dental treatment. Furthermore, severe worsening of OHRQoL was also impacted by an increase in the number of children in the household.
    MeSH term(s) Child, Preschool ; Female ; Humans ; Biological Factors ; Brazil/epidemiology ; Cohort Studies ; Dental Caries/epidemiology ; Follow-Up Studies ; Oral Health ; Quality of Life ; Surveys and Questionnaires
    Chemical Substances Biological Factors
    Language English
    Publishing date 2023-03-08
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 390575-5
    ISSN 1421-976X ; 0008-6568
    ISSN (online) 1421-976X
    ISSN 0008-6568
    DOI 10.1159/000529908
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Association between child's behaviour during first dental appointment and effectiveness of dental plaque removal by caregivers.

    Mourão, Priscila Seixas / Coelho, Valéria Silveira / Souto-Souza, Débora / Machado, Gabrielly Fernandes / Moreira, Luana Viviam / Duarte-Rodrigues, Lucas / Ramos-Jorge, Joana / Ramos-Jorge, Maria Letícia

    International journal of dental hygiene

    2023  Volume 21, Issue 3, Page(s) 569–574

    Abstract: Objective: To evaluate the association between the behaviour of children aged 1 to 4 years during their dental appointment and the effectiveness of dental plaque removal by caregivers.: Methods: This longitudinal study with intervention had the ... ...

    Abstract Objective: To evaluate the association between the behaviour of children aged 1 to 4 years during their dental appointment and the effectiveness of dental plaque removal by caregivers.
    Methods: This longitudinal study with intervention had the participation of 146 children (mean age = 34.89 months), 75 of whom (51.4%) showed positive behaviour (+ and ++) and 71 (48.6%), negative behaviour (- and - -). The children were evaluated at the first dental appointment, according to the Frankl scale. They were subjected to an assessment of oral conditions, and their plaque level was recorded (Quigley-Hein Index modified by Turesky) using the Evince® device. Caregivers received oral hygiene guidance. The dental plaque assessment was performed before giving the oral hygiene guidance and 14 days later. The statistical analysis included a descriptive assessment and the Wilcoxon test (p < 0.05).
    Results: Mean dental plaque levels dropped significantly from the first to the second assessment (p < 0.001). The sample was divided according to the child's behaviour, observing that only the group of children with positive behaviour showed significantly less dental plaque in the second assessment (p < 0.001).
    Conclusion: The positive behaviour of children aged 1 to 4 years during the first dental appointments is associated with more effective dental plaque removal by caregivers.
    MeSH term(s) Humans ; Child ; Child, Preschool ; Longitudinal Studies ; Dental Plaque/prevention & control ; Caregivers ; Oral Hygiene ; Dental Plaque Index
    Language English
    Publishing date 2023-01-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2252118-5
    ISSN 1601-5037 ; 1601-5029
    ISSN (online) 1601-5037
    ISSN 1601-5029
    DOI 10.1111/idh.12653
    Database MEDical Literature Analysis and Retrieval System OnLINE

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