Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

19 questions · 21 findings · 5 reviews

No studies found 0 · 0%GRADE not reported 18 · 85.7%Very low 0 · 0%Low 3 · 14.3%Moderate 0 · 0%High 0 · 0%

Severe early childhood caries vs Caries-free controls

Relative abundance of Veillonella spp. · Children under 6 years with severe early childhood caries and caries-free controls

Veillonella spp. mean relative abundance was lower in the S-ECC group; no comparative effect estimate or CI was reported.

1 finding from 1 review

Severe early childhood caries vs Caries-free controls

Relative abundance of S. mutans in saliva · Children under 6 years with severe early childhood caries and caries-free controls

S. mutans median relative abundance was higher in the S-ECC group, without a comparative effect estimate or CI.

1 finding from 1 review

Severe early childhood caries vs Caries-free controls

Streptococcus relative abundance · Children under 6 years with severe early childhood caries and caries-free controls

Streptococcus mean relative abundance was slightly higher in the S-ECC group; no comparative effect estimate or CI was reported.

1 finding from 1 review

Severe early childhood caries vs Caries-free controls

Veillonella spp. and Streptococcus mutans interaction · Children under 6 years with severe early childhood caries and caries-free controls

The study reported a possible role for Veillonella spp. in supporting cariogenic species, without a quantitative effect estimate.

1 finding from 1 review

Severe early childhood caries vs Caries-free controls

Veillonella dispar relative abundance · Children under 6 years with severe early childhood caries and caries-free controls

Veillonella dispar median relative abundance was higher in the S-ECC group, without a comparative effect estimate or CI.

1 finding from 1 review

Early childhood caries / severe early childhood caries vs Caries-free controls

Change in height-for-age z score · Children aged ≤6 years (early childhood)

The association between baseline caries and declining height-for-age persisted after adjustment (coefficient -0.02); ungraded.

1 finding from 1 review

Early childhood caries / severe early childhood caries vs Caries-free controls

Stunting · Children aged ≤6 years (early childhood)

One Nepalese cross-sectional study found caries severity significantly correlated with chronic malnutrition/stunting (HAZ; p<0.0001), especially in rural children; ungraded, no effect size reported.

3 findings from 1 review

Early childhood caries / severe early childhood caries vs Caries-free controls

Risk of malnutrition (younger children, 6 months to 6 years) · Children aged ≤6 years (early childhood)

One Nepalese cross-sectional study found no significant association between severe ECC and malnutrition risk in children under 6 (mean difference 0.13, p=0.609); ungraded.

1 finding from 1 review

Dental caries (ECC/severe ECC) as exposure/grouping vs Caries-free controls

Relative abundance of S. mutans in saliva · Individuals assessed for dental caries, predominantly children with early childhood caries (ECC) or severe ECC (age about 1 to 4 years)

A few small studies report Streptococcus mutans relative abundance in caries versus caries-free children without pooling; the evidence is ungraded and not meta-analyzed.

1 finding from 1 review

Dental caries (ECC/severe ECC) as exposure/grouping vs Caries-free controls

Relative abundance of Veillonella spp. · Individuals assessed for dental caries, predominantly children with early childhood caries (ECC) or severe ECC (age about 1 to 4 years)

Evidence on whether Veillonella spp. relative abundance is higher or lower in children with dental caries than caries-free controls is inconsistent across 7 small observational studies; no pooled estimate was produced and the evidence is ungraded.

1 finding from 1 review

DCC with immediate neonatal care with cord intact vs ECC

Severe intraventricular haemorrhage · babies born preterm, and their mothers

DCC with immediate neonatal care with cord intact showed no clear difference in severe intraventricular haemorrhage (IVH grades 3, 4) compared with ECC (low certainty).

1 finding from 1 review

DCC with immediate neonatal care after cord clamping vs ECC (subgroup analysis by gestation)

Severe intraventricular haemorrhage · babies born preterm, and their mothers

DCC with immediate neonatal care after cord clamping showed no clear difference in severe intraventricular haemorrhage (IVH grades 3, 4) compared with ECC (subgroup analysis by gestation) (low certainty).

1 finding from 1 review