Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2020 Jun;36(3):218-236.
doi: 10.1111/edt.12527. Epub 2019 Dec 4.

The relationship between special needs and dental trauma. A systematic review and meta-analysis

Anna Luiza Nogueira de Miranda E Silva Silveira  1 , Marcela Baraúna Magno  2 , Thais Rodrigues Campos Soares  1   2
Affiliations
Meta-Analysis

The relationship between special needs and dental trauma. A systematic review and meta-analysis

Anna Luiza Nogueira de Miranda E Silva Silveira et al. Dent Traumatol. 2020 Jun.

Abstract

Background/aims: Understanding the risk factors for dental injuries is essential to develop prevention strategies. The aim of this study was to perform a systematic review and meta-analysis to determine whether people with special needs (SN) have a higher incidence of traumatic dental injury (TDI).

Materials and methods: Electronic searches were performed with no language or date restrictions in the following databases: PubMed, Lilacs, BBO, Scopus, Web of Science, Cochrane Library and Open Gray. According to the PECOS strategy, observational studies that investigated subjects with and without SN and its association with TDI episodes were included. Quality assessment and bias control were carried out according to Fowkes and Fulton guidelines. A meta-analysis was performed by sub-grouping studies according to the type of SN, with the odds ratio (OR) also being calculated (P ≤ .05). The evidence was quality tested using the GRADE approach.

Results: After titles and abstracts were examined, and full texts were read, 28 studies were included in the qualitative synthesis and 27 in the meta-analysis. Three studies were classified with high methodological quality and the others had methodological problems. No associations were determined between TDI and autism spectrum disorder, epilepsy and mental disability (OR 1.12 [0.70, 1.78], OR 1.28 [0.13, 12.27] and OR 1.04 [0.20, 5.35], respectively, P > .05). A positive association (P < .05) was found between TDI and hyperactivity disorder, cerebral palsy, 21 trisomy, various conditions of SN and in pooled results (OR 2.67 [1.22, 5.87], OR 1.89 [1.06, 3.37], OR 6.18 [2.24, 17.05], OR 1.69 [1.18, 2.41], OR 1.61 [1.16; 2.22], respectively).The certainty of evidence ranged from very low to low.

Conclusions: In general, people with SN had a higher chance of having TDI with very low certainty of evidence. People with ADHD and cerebral palsy had a higher chance of TDI.

Keywords: disabled persons; systematic review; tooth injuries.

PubMed Disclaimer

References

REFERENCES

    1. Soares TRC, Risso PA, Maia LC. Traumatic dental injury in permanent teeth of young patients attended at the Federal University of Rio de Janeiro, Brazil. Dent Traumatol. 2014;30:312-6.
    1. Lrf M. Pacientes portadores de necessidades especiais. 1st ed.; 2000: p. 8-20.
    1. Habibe RC, Ortega AO, Guare RO, Diniz MB, Santos MT. Risk factors for anterior traumatic dental injury in children and adolescents with autism spectrum disorders: a case-control study. Eur Arch Paediatr Dent. 2016;17:75-80.
    1. Canizares NJ, Diaz R, Gurris LA, Sanchez JA, Pear I, Quintero R, et al. Microcomputer decision support system for intensive care. Stud Health Technol Inform. 1998;52:534-6.
    1. Acharya BS, Ritwik P, Fenton SJ, Velasquez GM, Hagan J. Dental trauma in children and adolescents with mental and physical disabilities. Tex Dent J. 2010;127:1265-72.