The relationship between term pre-eclampsia and the risk of early childhood caries

Sayyed, Tarek; Kandil, Mohamed; Bashir, Othman; Alnaser, Haytham

doi:10.3109/14767058.2013.804048

Cited by 5 publications

(10 citation statements)

References 6 publications

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“…The majority of studies (28 out of 36) found no association between dental caries and premature birth, but four studies found that caries experience was more common among preterm children and another four studies found that caries experience was more common among full‐term children . Moreover, seven out of 50 studies found that caries experience was more common among children with LBW and only one study found that caries experience was more common among children with NBW . In other words, the findings of studies included in this review are not consistent, which led us to lower the certainty of evidence by one level.…”

Section: Discussionmentioning

confidence: 87%

See 1 more Smart Citation

Prevalence of dental caries in preschool children born preterm and/or with low birth weight: A systematic review with meta‐analysis of prevalence data

Occhi-Alexandre

Cruz

Bendo

et al. 2020

Int J Paed Dentistry

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The aim of the present systematic review and meta‐analysis was to evaluate the prevalence of dental caries among preschool children who had been born preterm and/or with low birth weight (LBW) compared with those who had been born full term and/or with normal birth weight (NBW). Eight electronic databases were searched from interception up to November 2018 with no restrictions imposed regarding the date of publication or language. Two independent reviewers screened studies, extracted data, and assessed the risk of bias. A random‐effects meta‐analysis was run to pool the crude prevalence of dental caries according to gestational age and birth weight. We performed a narrative synthesis and assessed the certainty of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Fifty‐nine observational studies were included (55 in the meta‐analysis). The prevalence of dental caries was 39% among preterm children, 30% among full‐term children, 40% among LBW children, and 33% among NBW children (I2:97%‐99%). The majority of studies reported that dental caries was not associated with gestational age or birth weight, with very low certainty of evidence. Preschool children born preterm or with LBW have similar dental caries experience as those born full term or with NBW, with very low certainty of evidence (PROSPERO #CDR42018118086).

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Section: Discussionmentioning

confidence: 87%

“…LBW may also be associated with enamel defects . Moreover, infants born with LBW may have a weak immune system, which could result in earlier colonisation by cariogenic micro‐organisms …”

Section: Introductionmentioning

confidence: 99%

Prevalence of dental caries in preschool children born preterm and/or with low birth weight: A systematic review with meta‐analysis of prevalence data

Occhi-Alexandre

Cruz

Bendo

et al. 2020

Int J Paed Dentistry

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“…Four studies presented results on caries prevalence by mode of delivery [19, 24, 26, 29]. The prevalence of caries varied across studies, ranging from 8.1 [19] to 67.0% [24].…”

Section: Resultsmentioning

confidence: 99%

“…A study that scored weak [24] reported significant differences in prevalence of dental caries by mode of delivery among children aged 3–5 years such that children born by cesarean section presented lower odds of dental caries than those vaginally delivered. Three studies that scored moderate [26, 29] to strong [19] reported no differences in dental caries prevalence between groups by mode of delivery (Table 4). …”

Section: Resultsmentioning

confidence: 99%

Effect of Mode of Delivery on Early Oral Colonization and Childhood Dental Caries: A Systematic Review

Antão

Teixeira

Gomes

2018

Port J Public Health

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This review investigated whether mode of delivery influences the colonization of infant’s oral cavity and the risk of early childhood caries (ECC). The search strategy included systematic searching of electronic databases (Web of Science and PubMed) for articles published (1995–2015) and hand searching of references lists. Outcomes of interest were the presence of oral caries-related microorganisms, oral species considered protective against caries, and dental caries. Other outcomes included severity of dental caries, dental claims, and age at first dental visit. Study quality was assessed using the EPHPP tool. For each study, we present odds ratios and respective 95% confidence intervals for the association between these outcomes and the mode of delivery. Fourteen studies were identified. In 5 out of 8 studies addressing oral colonization, children born by cesarean section were less likely to harbor caries-related microorganisms as well as protective bacteria against caries and acquired caries-related microorganisms earlier, when compared with vaginally delivered children. No consistent results were obtained for the association between mode of delivery and dental caries. Although there were differences in oral colonization by mode of delivery, it seems that other determinants rather than mode of delivery could be major contributors to the development of ECC.

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“…As with several other studies, we did not find being small for gestational age, spontaneous preterm birth or pre-eclampsia to be associated with dental caries in children. 19,21,22,37 However, Nirunsittirat et al found an inverse association between spontaneous preterm birth and childhood caries. 19 This study involved 544 four-year-old children from Thailand.…”

Section: Ta B L E 1 Hurdle Models Of the Relationship Between Pregnancy Complications And The Dmft Index In Six-year-old Childrenmentioning

confidence: 98%

Caries experience among children born after a complicated pregnancy

Tas

Wolvius

Kragt

et al. 2020

Comm Dent Oral Epid

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Objectives Behavioural and lifestyle factors, as oral hygiene and diet, are well‐established risk factors in the pathogenesis of dental caries, though displaying large differences in susceptibility across individuals. Since enamel formation already starts in utero, pregnancy course and outcome may eventually play a role in enamel strength and caries susceptibility. Therefore, we studied the association between history of pregnancy complications and the caries experience in their six‐year‐old children. The pregnancy complications included small for gestational age (SGA), spontaneous preterm birth (sPTB), gestational hypertension (GH), pre‐eclampsia (PE), individually, and a combination of those, designated as placental syndrome. Methods This study was embedded in Generation R, a prospective longitudinal Dutch multiethnic pregnancy cohort study. Information about pregnancy complications was obtained from questionnaires completed by midwives and obstetricians with cross‐validation in medical records. These included SGA, sPTB, GH and PE. Caries experience was assessed with the decayed, missing and filled teeth (dmft) index at a mean age of six years. The association between dental caries experience and a history of pregnancy complications was studied by using hurdle negative binomial (HNB) models. Results We were able to assess the dmft index in 5323 six‐year‐old children (mean age 6.2 years, SD 0.5). We did not find an association between the different pregnancy complications and dental caries experience in childhood, whether for SGA, sPTB, GH, PE, or for the combined outcome placental syndrome (HNB estimates: OR 1.02, 95%CI 0.87 ‐ 1.19; RR 0.90, 95%CI 0.78 ‐ 1.04). Further adjustment of the models with different confounders did not alter the outcome. Conclusions Although it is expected that prenatal stress can be a risk factor for caries development later in life, our findings do not support this hypothesis. Therefore, we believe disparities in caries experience between children are probably not explained by early life events during a critical intrauterine period of development.

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The relationship between term pre-eclampsia and the risk of early childhood caries

Abstract: Pre-ecalampsia may not be associated with early childhood caries. A larger study and/or a study addressing the relation between pre-eclampsia and caries inducing lesions may provide more significant results.

Cited by 5 publications

References 6 publications

Prevalence of dental caries in preschool children born preterm and/or with low birth weight: A systematic review with meta‐analysis of prevalence data

Prevalence of dental caries in preschool children born preterm and/or with low birth weight: A systematic review with meta‐analysis of prevalence data

Effect of Mode of Delivery on Early Oral Colonization and Childhood Dental Caries: A Systematic Review

Caries experience among children born after a complicated pregnancy

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