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Absence of an association between socioeconomic indicators and traumatic dental injury: a systematic review and meta‐analysis
Author(s) -
CorrêaFaria Patrícia,
Martins Carolina C.,
Bönecker Marcelo,
Paiva Saul M.,
RamosJorge Maria Letícia,
Pordeus Isabela A.
Publication year - 2015
Publication title -
dental traumatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.82
H-Index - 81
eISSN - 1600-9657
pISSN - 1600-4469
DOI - 10.1111/edt.12178
Subject(s) - socioeconomic status , confidence interval , medicine , odds ratio , meta analysis , cochrane library , demography , salary , environmental health , population , political science , law , sociology
Objective The aim of this study was to perform a systematic review and search for scientific evidence on the association between socioeconomic indicators and traumatic dental injury ( TDI ) in the primary dentition. Methodology The PubMed, ISI , LILACS , Cochrane Library, and Embase databases were searched for articles addressing possible associations between socioeconomic indicators and TDI in the primary teeth in journals dating from the inception of the databases through to December 2013. Two independent reviewers performed data extraction and analyzed the quality of the studies. Meta‐analysis was undertaken. Pooled estimates were calculated with a 95% confidence interval ( CI ) and odds ratios ( OR ). Results Sixteen articles were included in the systematic review. Children from families with household income less than two times average salary (U$ 592) ( OR : 0.77; 95% CI : 0.66–0.90) or more than three times the average salary (U$ 888) ( OR : 0.76; 95% CI : 0.65–0.89) had a significantly lower chance of having TDI in the primary dentition. TDI was not associated with socioeconomic status (high vs low – OR : 0.77; 95% CI : 0.43–1.36; high vs medium – OR : 1.03; 95% CI : 0.72–1.48; medium vs low – OR : 0.70; 95% CI : 0.42–1.19), house ownership (owned vs rented – OR : 1.28; 95% CI : 0.98–1.66), mother's schooling ( OR : 0.89; 95% CI : 0.74–1.08), or father's schooling ( OR : 1.01; 95% CI : 0.62–2.74). Conclusion The scientific evidence demonstrates that socioeconomic indicators are not associated with TDI in the primary dentition. The evidence of an association between a low income and TDI is weak. In general, studies had low risk of bias. Further prospective cohort studies are needed to confirm this association.