Non-Cochrane · aetiology · PM38528487
Caries in orphan children: prevalence and determinants-a systematic review and meta-analysis.
Gamal-AbdelNaser Ayat, A Elsabour Mennat Allah Ashraf, Khattab Nagwa Mohamed Ali · BMC oral health · 2024 · PubMed · doi:10.1186/s12903-024-04125-9
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
5
current version
GRADE rated
5
No studies
0
Included studies
23
linked below
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 100%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
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Institutionalized orphan children aged 6 months to 18 years, medically free from systemic or genetic disorders | 21 cross-sectional studies of institutionalized orphan children (n=21; India, Iran, China, Yemen, Egypt, Lithuania, Malaysia) |
| Intervention | Institutionalization (being an orphan living in an institution) and caries determinants | Institutionalization; determinants meta-analyzed were dentition type/age and gender (5 meta-analyses total) |
| Comparison | Outcome 1: parented children living with their families (comparator required); Outcome 2: no comparator required | Parented children (outcome 1: n=9 studies with a comparator); within-institution comparisons for determinants |
| Outcomes | Caries experience assessed by caries index (DMFT/deft/dmft, total scores per WHO); and caries determinants | Caries prevalence (RR 1.19), permanent-teeth DMF (MD 0.09), primary-teeth dmf (MD 0.64); caries risk by dentition (RR 1.31) and by sex (RR 1.02) |
| Study designs | Observational study designs | All 21 included studies were cross-sectional (n=21) |
| Timing | Not specified (no time restriction) | Cross-sectional (single time point) |
Search date: Not specified (no time or language restriction). Databases: MedLine via PubMed, Cochrane Library, LILACS, Egyptian Knowledge Bank (EKB), Google Scholar; grey literature (OpenGrey); hand searching of reference lists
Questions and results
Institutionalization (living in an orphanage/institution) vs Parented children living with their families
Population: Institutionalized orphan children (roughly 3 to 18 years)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Permanent-teeth caries experience (DMF/DMFT, mean score) Overall (pooled) Permanent-teeth caries experience (DMF) was marginally higher in institutionalized children but essentially similar to parented children (pooled MD 0.09, not significant; very low certainty). Source: Results 'Results of syntheses' (Fig. 4); Abstract; Discussion · same question in other reviews | MD 0.09 [-0.36, 0.55] | 7 studies · 2676 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Dental caries prevalence (DMF/dmf score > 0) Overall (pooled) Institutionalized orphan children may be at higher risk of dental caries than parented children (pooled RR 1.19), but the estimate is imprecise and not statistically significant (very low certainty). Source: Results 'Results of syntheses' (Fig. 3); Abstract; Certainty of evidence section · same question in other reviews | RR 1.19 [0.89, 1.59] | 4 studies · 1420 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Primary-teeth caries experience (dmf/dmft, mean score) Overall (pooled) Primary-teeth caries experience (dmf) was higher in institutionalized children than parented children but not significantly so (pooled MD 0.64; very low certainty). Source: Results 'Results of syntheses' (Fig. 5); Abstract; Discussion · same question in other reviews | MD 0.64 [-0.74, 2.01] | 4 studies · 1028 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Primary teeth / primary dentition (younger children) vs Permanent teeth / permanent dentition (older children)
Population: Institutionalized orphan children
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dental caries risk Overall (pooled) Primary teeth may carry a higher caries risk than permanent teeth in institutionalized children (RR 1.31), but the difference is not statistically significant (very low certainty). Source: Results 'Age (according to the type of dentition)' (Fig. 6); Abstract · same question in other reviews | RR 1.31 [0.91, 1.89] | 5 studies · 1892 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Male sex vs Female sex
Population: Institutionalized orphan children
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dental caries risk Overall (pooled) Male institutionalized children had a marginally higher caries risk than females (RR 1.02), a non-significant difference (very low certainty). Source: Results 'Gender' (Fig. 7); Abstract · same question in other reviews | RR 1.02 [0.96, 1.08] | 5 studies · 2750 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Included primary studies 23
Open as a trial list| Study | Also included by | Outcomes it informs here | Trial PICO | Results |
|---|---|---|---|---|
| Kong et al. 2017 matched by author and year (probable) | 1 other review | not stated | not extracted yet | not extracted yet |
| Abedassar et al. 2022 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Agarwalla et al. 2022 Impact of Intelligence Quotient (IQ) on Dental Caries amongst Socially Handicapped Orphan Children and Children Living with Their Parents. PMID:35645536 | this review only | not stated | not extracted yet | not extracted yet |
| Al-maweri et al. 2014 Oral lesions and dental status among institutionalized orphans in Yemen: A matched case-control study. PMID:24808701 | this review only | not stated | not extracted yet | not extracted yet |
| Chandran 2017 Association of Self-Concept with Oral Health Status among Children Residing in Orphanages in Bengaluru DOI:10.14260/jemds/2021/570 | this review only | not stated | not extracted yet | not extracted yet |
| Chandran 2017 Biosurfactants, bioemulsifiers and exopolysaccharides from marine microorganisms. PMID:20172021 | this review only | not stated | not extracted yet | not extracted yet |
| Gaytry 2018 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Kavayashree & Babu 2019 Assessment of oral health status of children living in orphanages of Hassan City, India DOI:10.4103/jiaphd.jiaphd_222_18 | this review only | not stated | not extracted yet | not extracted yet |
| Khattab & Abd-ElSabour 2023 Assessment of dental caries among a group of institutionalized orphan children compared to parented school children: case-control study. PMID:37020200 | this review only | not stated | not extracted yet | not extracted yet |
| Khedekar et al. 2015 Implementation of Oral Health Education to Orphan Children. PMID:26691356 | this review only | not stated | not extracted yet | not extracted yet |
| Marasouli et al. 2016 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Mehta et al. 2020 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Meshki et al. 2022 Oral health status among orphan and non-orphan children in Mashhad: a case-control study. PMID:36415523 | this review only | not stated | not extracted yet | not extracted yet |
| Mohan et al. 2014 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Pavithran et al. 2009 [German adaptation of the "Activities-Specific Balance Confidence (ABC) scale" for the assessment of falls-related self-efficacy]. PMID:18327692 | this review only | not stated | not extracted yet | not extracted yet |
| Pavithran et al. 2009 Impact of oral diseases on daily activities among 12- to 15-year-old institutionalized orphan and non-orphan children in Bengaluru city: A… PMID:32769273 | this review only | not stated | not extracted yet | not extracted yet |
| Rimaviciute et al. 2019 Oral health of 12 and 15 year-old adolescents living in the social care homes in south of Lithuania. PMID:32672717 | this review only | not stated | not extracted yet | not extracted yet |
| Shah et al. 2016 Dental Caries Status of Institutionalized Orphan Children from Jammu and Kashmir, India. PMID:28127170 | this review only | not stated | not extracted yet | not extracted yet |
| Shanthi et al. 2017 Risk Factors and Treatment Needs among Orphan School Children. PMID:28989126 | this review only | not stated | not extracted yet | not extracted yet |
| Shuangjiao et al. 2014 [Oral health status of 4-17-year-old orphan children and adolescents of Chongqing]. PMID:25241541 | this review only | not stated | not extracted yet | not extracted yet |
| Suresan et al. 2021 Dental Caries Experience and Oral Hygiene Status among Institutionalized Orphans of Bhubaneswar City, Odisha: A Comprehensive Dental… DOI:10.5005/jp-journals-10015-1810 | this review only | not stated | not extracted yet | not extracted yet |
| Thetakala et al. 2017 Periodontal and Dentition Status among Orphans and Children with Parents in Mysore City, India: A Comparative Study. PMID:28571277 | this review only | not stated | not extracted yet | not extracted yet |
| Xu et al. 2021 The Dental Health of Orphan and Non-orphan Children in Fuyang City, China. PMID:34673843 | this review only | not stated | not extracted yet | not extracted yet |
Overlap with other reviews
Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match).
| Review | Shared studies | Jaccard |
|---|---|---|
| Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021) | 1 | 0.03 |