Repositorio
Institucional

Zaror, Carlos

Jose Martinez-Zapata, Maria#Abarca, Jaime#Diaz, Jaime#Pardo, Yolanda#Pont, Angels#Ferrer, Montse

Impact of traumatic dental injuries on quality of life in preschoolers and schoolchildren: A systematic review and meta-analysis

WILEY

COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY

en

Objectives: Traumatic dental injuries (TDIs) in childhood and adolescence are a potential public health problem given their prevalence and consequences. The aim of this study was to assess the impact of TDIs on the oral health-related quality of life (OHRQoL) of preschoolers and schoolchildren, by synthesizing the available evidence. Methods: A systematic search was conducted in MEDLINE, EMBASE, Cochrane, ScieLo and Lilacs databases since January 1966 until March 2016. The included studies compared OHRQoL between groups with and without TDIs, using validated instruments. The selection process and data extraction were carried out by two researchers independently. A third reviewer resolved discrepancies. Methodological quality was assessed with the Effective Public Health Practice Project's Quality Assessment Tool. Meta-analyses were performed using random effect models, separately for preschoolers and schoolchildren. Results: Of 213 identified articles, 26 studies (involving a total of 4582 patients and 13 601 controls between the ages of 1 and 15 years) met the inclusion criteria. Most of the studies had been published in the last 5 years, and their methodological quality was judged to be moderate. The TDIs group had a significantly higher chance of reporting any impact on OHRQoL than controls for both preschoolers (OR = 1.44, 95% confidence interval [CI]: 1.28-1.63, I-2 = 0%) and schoolchildren (OR = 1.31, 95% CI: 1.04-1.66, I-2 = 70%). In preschoolers, the OR for OHRQoL impact for complicated vs uncomplicated TDIs was 1.53 (95% CI: 1.04-2.26, I-2 = 0%). The social domain was the most affected one in schoolchildren (standard mean difference = 0.34, 95% CI: 0.13, 0.55, I-2 = 68%). Conclusion: Traumatic dental injuries have a negative impact on OHRQoL of both preschoolers and schoolchildren. Outcome standardization to measure OHRQoL impact, such as mean score differences and cut-off points, is needed. Prospective cohort studies are recommended to confirm these findings and to understand how TDIs' impact changes with time.

Artículo de revisión

Comision Nacional de Investigacion Cientifica y Tecnologica, Grant/Award Number: MEC 800140042, Miguel Servet research contract from the Instituto de Salud Carlos III, European Social Fund, Grant/Award Number: CP15/00116, Departament d'Innovacio, Universitats i Empresa, Generalitat de Catalunya, Grant/Award Number: 2014 SGR 748.

Comisión Nacional de Investigación Científica y Tecnológica, Número de subvención/premio: MEC 800140042, Contrato de investigación Miguel Servet del Instituto de Salud Carlos III, Fondo Social Europeo, Número de subvención/premio: CP15/00116, Departamento de Innovación, Universitats i Empresa, Generalitat de Catalunya, Número de subvención/premio: 2014 SGR 748.

10.1111/cdoe.12333

pdf

adolescent# child# preschool# quality of life# tooth injury

http://dx.doi.org/10.1111/cdoe.12333

Dentistry, Oral Surgery & Medicine# Public, Environmental & Occupational Health

adolescente# niño# preescolar# calidad de vida# lesión dental

Odontología, Cirugía y Medicina Oral

Pediatría

Salud Pública y Ambiental

WOS:000428759900012

Impact of traumatic dental injuries on quality of life in preschoolers and schoolchildren: A systematic review and meta-analysis

Artículo de revisión

version publicada

WILEY

COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY

Odontología, Cirugía Bucal y Medicina# Salud pública, ambiental y ocupacional

0301-5661

en

ANID MEC 800140042#European Social Fund CP15/00116#ISCIII#Generalitat de Catalunya 2014 SGR 748

ANID CONICYT MEC 800140042

ISCIII

European Social Fund CP15/00116

Departament d'Innovacio

Universitats i Empresa

Generalitat de Catalunya 2014 SGR 748

Comision Nacional de Investigacion Cientifica y Tecnologica, Grant/Award Number: MEC 800140042, Miguel Servet research contract from the Instituto de Salud Carlos III, European Social Fund, Grant/Award Number: CP15/00116, Departament d'Innovacio, Universitats i Empresa, Generalitat de Catalunya, Grant/Award Number: 2014 SGR 748.

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