Question · asked by 1 review

Presence of oral Candida albicans vs Absence of oral Candida albicans: Early childhood caries (ECC)

Population
Children aged ≤6 years (early childhood)
Intervention
Presence of oral Candida albicans
Comparison
Absence of oral Candida albicans
Outcome
Early childhood caries (ECC)

RETRACTED. Among studies before 2017, oral C. albicans presence was associated with higher odds of ECC (OR 4.89, 95% CI 2.79-8.58); ungraded subgroup from a retracted review.

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 16 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Time period: before 2017
RETRACTED. Among studies before 2017, oral C. albicans presence was associated with higher odds of ECC (OR 4.89, 95% CI 2.79-8.58); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 4.89 [2.79, 8.58]10 studiesGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Sample collection: dental plaque
RETRACTED. Among dental plaque samples, oral C. albicans presence was associated with higher odds of ECC (OR 4.08, 95% CI 2.65-6.27); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 4.08 [2.65, 6.27]13 studiesGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Region: Europe
RETRACTED. Among European studies, oral C. albicans presence was associated with higher odds of ECC (OR 10.13, 95% CI 6.01-17.09); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 10.13 [6.01, 17.09]5 studies · 635 participantsGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Study quality (NOS): good
RETRACTED. Among good-quality studies, oral C. albicans presence was associated with higher odds of ECC (OR 5.32, 95% CI 2.89-9.80); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 5.32 [2.89, 9.80]7 studiesGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Sample collection: saliva
RETRACTED. Among saliva samples, oral C. albicans presence was associated with higher odds of ECC (OR 4.70, 95% CI 2.44-9.09); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 4.70 [2.44, 9.09]7 studiesGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Overall (all 22 studies, random-effects)
RETRACTED. Oral C. albicans presence was associated with about 4-fold higher odds of early childhood caries (pooled OR 4.42, 95% CI 3.14-6.24), but this systematic review has been retracted and the evidence was not GRADE-rated (ungraded).
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 4.42 [3.14, 6.24]22 studies · 3301 participantsGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Sample size: >=100 (Table 6; abstract text erroneously states '>=1000')
RETRACTED. Among larger studies (n>=100), oral C. albicans presence was associated with higher odds of ECC (OR 4.65, 95% CI 2.57-8.42); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 4.65 [2.57, 8.42]6 studiesGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Sample collection: oral swab
RETRACTED. Among oral swab samples, oral C. albicans presence was associated with higher odds of ECC (OR 9.55, 95% CI 2.17-42.01); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 9.55 [2.17, 42.01]2 studiesGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Study design: case-control
RETRACTED. Among case-control studies, oral C. albicans presence was associated with higher odds of ECC (OR 5.30, 95% CI 1.72-16.31); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 5.30 [1.72, 16.31]2 studies · 708 participantsGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Region: Asia
RETRACTED. Among Asian studies, oral C. albicans presence was associated with higher odds of ECC (OR 3.62, 95% CI 2.53-5.20); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 3.62 [2.53, 5.20]12 studies · 2347 participantsGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Sample size: <100 (Table 6; abstract text erroneously states '<1000')
RETRACTED. Among smaller studies (n<100), oral C. albicans presence was associated with higher odds of ECC (OR 4.35, 95% CI 2.75-6.89); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 4.35 [2.75, 6.89]16 studiesGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Time period: 2018 and later
RETRACTED. Among studies from 2018 onward, oral C. albicans presence was associated with higher odds of ECC (OR 4.17, 95% CI 2.62-6.64); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 4.17 [2.62, 6.64]12 studiesGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Study design: cross-sectional
RETRACTED. Among cross-sectional studies, oral C. albicans presence was associated with higher odds of ECC (OR 4.30, 95% CI 2.92-6.33); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 4.30 [2.92, 6.33]20 studies · 2593 participantsGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Study quality (NOS): moderate
RETRACTED. Among moderate-quality studies, oral C. albicans presence was associated with higher odds of ECC (OR 3.84, 95% CI 2.24-6.57); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 3.84 [2.24, 6.57]11 studiesGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Region: America/Canada/Brazil/Chile
RETRACTED. Among studies from the Americas, oral C. albicans presence was associated with higher odds of ECC (OR 3.98, 95% CI 1.14-13.87); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 3.98 [1.14, 13.87]5 studies · 319 participantsGRADE not reported
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Study quality (NOS): low
RETRACTED. Among low-quality studies, oral C. albicans presence was associated with higher odds of ECC (OR 5.14, 95% CI 2.12-12.48); ungraded subgroup from a retracted review.
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) All outcomes
OR 5.14 [2.12, 12.48]4 studiesGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A comprehensive systematic review and…
2024 All outcomes
30 May 2024 (databases searched from inception to 30 May 2024)24Not applicable

Studies behind the findings

The primary studies the full-text reviews tie to this outcome. Reviews with headline outcomes only do not list them here.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.