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Is caries a risk factor for dental trauma? A systematic review and meta‐analysis
Author(s) -
Soares Thais Rodrigues Campos,
Fidalgo Tatiana Kelly da Silva,
Quirino Andrea Soares,
Ferreira Daniele Masterson Tavares Pereira,
Chianca Thomaz Kauark,
Risso Patrícia de Andrade,
Maia Lucianne Cople
Publication year - 2017
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.12295
Subject(s) - medicine , dentistry , cochrane library , dental trauma , meta analysis , odds ratio
Background/aim The association between trauma and caries is still controversial in the literature. The aim of this study was to evaluate the possible association between caries and dental trauma through a systematic review with meta‐analysis. Design A systematic literature search was performed in PubMed, Lilacs, BBO, Scopus, Web of Science, Cochrane Library, and Open Grey databases. The MeSH terms used were ‘Tooth injuries’, ‘Tooth fractures’, ‘Tooth avulsion’, ‘Tooth movement’; ‘Dental caries’; ‘DMF index’; and ‘Tooth demineralization’. MeSH synonyms, related terms, and free terms were included. The inclusion criteria comprised clinical investigations of subjects with and without caries that had suffered dental trauma. Quality assessment and bias control were carried out. Meta‐analysis was performed using the comprehensive meta‐analysis software (version 3.2). Heterogeneity was assessed using the I 2 index, and the odds ratio was also calculated ( P < 0.05). Results From 1290 abstracts, seven met the inclusion criteria. All studies had high methodological quality and five were included in the meta‐analysis. The results demonstrated a positive association ( P < 0.001) between dental trauma and dental caries in permanent teeth [OR: 1.490, 95%, CI: 1.209–1.835]. However, for children with primary teeth, the results showed a negative association ( P = 0.006) between dental trauma and caries [OR: 0.706, 95%, CI: 0.550–0.906]. Conclusions The results demonstrated positive and negative association between the presence of caries and dental trauma in permanent and primary teeth, respectively.