Non-Cochrane · aetiology · PM36815304

Associations of the activity and concentration of carbonic anhydrase VI with susceptibility to dental caries: A systematic review and meta-analysis.

Al-Mahdi Rania, Al-Sharani Hesham, Al-Haroni Mohammed, et al. · Clinical and experimental dental research · 2023 · PubMed · doi:10.1002/cre2.723

Oral HealthDental cariesAMSTAR 2: not applicable
Full textEvery question was extracted from the full text, figures and supplements by two independent LLM extractors, disagreements adjudicated. Rows cite where in the review the value comes from.
Questions
4
current version
GRADE rated
0
No studies
0
Included studies
10
linked below
No studies 0 · 0%Ungraded 4 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Review question

ElementPlanned (methods)Found (results)
PopulationIndividuals with dental caries and caries-free controls (any age), with quantitative salivary/plaque CA VI mean and SD477 participants across 9 studies (234 caries-active, 243 caries-free); mainly children aged 2-9 years, plus one study of adults aged 18-24 years (n=209)
InterventionDental caries (cases; dmft/DMFT > 0)Dental caries (n=234)
ComparisonCaries-free controls (dmft/DMFT = 0)Caries-free (n=243)
OutcomesSalivary or plaque CA VI activity and/or concentration (reported as mean and SD)CA VI activity (8 studies assessed, 7 pooled; 411 participants) and CA VI concentration (2 studies pooled; 141 participants)
Study designsCross-sectional and observational studies with a control group and quantitative CA VI data (case series, case reports, in vitro studies, and reviews excluded)9 cross-sectional/observational studies (7 low risk of bias, 2 moderate risk of bias by Newcastle-Ottawa Scale)
TimingNot specifiedCross-sectional

Search date: Inception to August 2022. Databases: PubMed, Scopus, Web of Science, China National Knowledge Infrastructure (CNKI), Cochrane Library

Questions and results

Dental caries (caries-active; dmft/DMFT > 0) vs Caries-free individuals (dmft/DMFT = 0)

Population: Children (age about 2-9 years) across the 7 meta-analyzed activity samples; excludes Kivela 1999 adults (18-24 years), qualitative only and not in the meta-analysis
4 questions
OutcomeEffectEvidenceStatus / GRADE
Salivary/biofilm CA VI (carbonic anhydrase VI) activity
Cross-sectional (single time point)
Salivary/biofilm CA VI activity is significantly higher in individuals with dental caries than in caries-free individuals (SMD 0.894, 95% CI 0.386 to 1.392; not GRADE-rated).
Source: Figure 2 (forest plot); Results - Meta-analysis results; Abstract; Table 2 · same question in other reviews
SMD 0.894 [0.386, 1.392]7 studies · 411 participantsUngraded
CA VI activity
Population: Participants with dental caries and caries-free participants
CA VI activity was higher in participants with caries (SMD 0.87, 95% CI 0.39 to 1.36; 7 studies, 411 participants); GRADE was not reported.
Source: Figure 2; Results: Meta-analysis results · same question in other reviews
SMD 0.87 [0.39, 1.36]7 studies · 411 participantsUngraded
Salivary/biofilm CA VI (carbonic anhydrase VI) concentration
Cross-sectional (single time point)
Population: Individuals assessed for dental caries (mainly children aged 2-9 years; one study in adults aged 18-24 years)
Salivary CA VI concentration is significantly lower in individuals with dental caries than in caries-free individuals (SMD -0.672, 95% CI -1.011 to -0.332; not GRADE-rated).
Source: Figure 3 (forest plot); Results - Meta-analysis results; Abstract; Table 2 · same question in other reviews
SMD -0.672 [-1.011, -0.332]2 studies · 141 participantsUngraded
CA VI concentration
Population: Participants with dental caries and caries-free participants
CA VI concentration was lower in participants with caries (SMD -0.66, 95% CI -1.00 to -0.32; 2 studies, 141 participants); GRADE was not reported.
Source: Figure 3; Results: Meta-analysis results · same question in other reviews
SMD -0.66 [-1.00, -0.32]2 studies · 141 participantsUngraded

Included primary studies 10

Open as a trial list
StudyAlso included byOutcomes it informs hereTrial PICOResults
Borghi et al., 2017
Relationship among α amylase and carbonic anhydrase VI in saliva, visible biofilm, and early childhood caries: a longitudinal study.
PMID:27430359
this review onlynot statednot extracted yetnot extracted yet
Cardoso et al., 2017
Influence of salivary parameters in the caries development in orthodontic patients-an observational clinical study.
PMID:28247450
this review onlynot statednot extracted yetnot extracted yet
de Sousa et al., 2021a
Carbonic anhydrase VI activity in saliva and biofilm can predict early childhood caries: A preliminary study.
PMID:32815217
this review onlynot statednot extracted yetnot extracted yet
de Sousa et al., 2021b
Combined effect of starch and sucrose on carbonic anhydrase VI activity in saliva and biofilm of children with early childhood caries.…
PMID:32918121
this review onlynot statednot extracted yetnot extracted yet
Frasseto et al., 2012
Relationship among salivary carbonic anhydrase VI activity and flow rate, biofilm pH and caries in primary dentition.
PMID:22508543
this review onlynot statednot extracted yetnot extracted yet
Kivelä et al., 1999
A low concentration of carbonic anhydrase isoenzyme VI in whole saliva is associated with caries prevalence.
PMID:10207192
this review onlynot statednot extracted yetnot extracted yet
Kormi et al. 2020
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Kormi et al., 2020 (unpublished data)
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Picco et al., 2017
Children with a Higher Activity of Carbonic Anhydrase VI in Saliva Are More Likely to Develop Dental Caries.
PMID:28633135
this review onlynot statednot extracted yetnot extracted yet
Picco et al., 2019
Activity of Carbonic Anhydrase VI is Higher in Dental Biofilm of Children with Caries.
PMID:31151296
this review onlynot statednot extracted yetnot extracted yet