Abstract
BackgroundObservational studies have suggested that traumatic dental injuries (TDI) can lead to pain, loss of function and esthetic problems, with physical, emotional and social consequences for children and their families. However, population-based studies that investigate the impact of TDI on oral health-related quality of life (OHRQoL) among preschool children are scarce and offer conflicting results. The aim of the systematic review and meta-analysis was to evaluate the impact of TDI on OHRQoL among preschool children (PROSPERO-CRD42015032513).MethodsAn electronic search of six databases was performed in PubMed (MEDLINE), ISI Web of Science, Scopus, Science Direct, EMBASE and Google Scholar, with no language or publication date restrictions. The eligibility criteria were TDI as the exposure variable, OHRQoL as the outcome and a population of children up to six years of age. RevMan software was used for data analysis. Results are expressed as odds ratios with 95% confidence intervals for the total score of the Early Childhood Oral Health Impact Scale (ECOHIS) as well as the scores of the Child Impact Section (CIS) and Family Impact Section (FIS). The random effect model was chosen and heterogeneity was evaluated using the I2 test.Results2,013 articles were initially retrieved; 1,993 articles were excluded based on title and abstracts; 10 articles excluded after full-text analysis. Ten studies comprising a population of 7,461 preschool children were included in the systematic review and nine studies were included in the meta-analysis. TDI caused a negative impact on OHRQoL based on the overall ECOHIS (OR: 1.24; 95% CI: 1.08–1.43) and CIS (OR: 1.23; 95% CI: 1.07–1.41), but not the FIS (OR: 1.09; 95% CI: 0.90–1.32).ConclusionsTDI negatively impacted on OHRQoL of preschool children. The present findings indicate the need for TDI prevention and treatment programs in early childhood.
Highlights
Traumatic dental injuries (TDI) in the primary dentition affects approximately one third of preschool children in different countries throughout the world and represents one of the most prevalent outcomes in early childhood [1]
TDI caused a negative impact on oral health-related quality of life (OHRQoL) based on the overall Early Childhood Oral Health Impact Scale (ECOHIS) (OR: 1.24; 95% confidence intervals (CIs): 1.08–1.43) and Child Impact Section (CIS) (OR: 1.23; 95% CI: 1.07–1.41), but not the Family Impact Section (FIS) (OR: 1.09; 95% CI: 0.90–1.32)
TDI negatively impacted on OHRQoL of preschool children
Summary
Traumatic dental injuries (TDI) in the primary dentition affects approximately one third of preschool children in different countries throughout the world and represents one of the most prevalent outcomes in early childhood [1]. No previous systematic review has investigated the impact of TDI on the OHRQoL of preschool children and their families The clarification of this issue could contribute to the identification of oral problems that should be prioritized in the planning and definition of cost-effective prevention and treatment strategies on both the individual and collective levels [9,16]. Such information should be considered in the education and training of healthcare professionals, who should focus primarily on outcomes identified as clinically relevant. Observational studies have suggested that traumatic dental injuries (TDI) can lead to pain, loss of function and esthetic problems, with physical, emotional and social consequences for children and their families. The aim of the systematic review and meta-analysis was to evaluate the impact of TDI on OHRQoL among preschool children (PROSPEROCRD42015032513)
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