Cárie dentária em crianças e adolescentes com Diabetes tipo 1

uma revisão sistemática e meta-análise

Autores

  • Isabela Queiroz Magnani Universidade Federal de Minas Gerais
  • Yasmin Pissolati Mattos Bretz Universidade Estadual de Campinas
  • Gabriela Luíza Nunes Souza Universidade Federal de Minas Gerais
  • Lucas Guimarães Abreu Universidade Federal de Minas Gerais https://orcid.org/0000-0003-2258-8071

DOI:

https://doi.org/10.35699/2178-1990.2021.27061

Palavras-chave:

Cárie dentária, Diabetes mellitus, Criança, Adolescente, Revisão, Metanálise como assunto

Resumo

Objetivo: O objetivo dessa revisão sistemática e meta-análise foi avaliar estudos que fizeram uma comparação da ocorrência de cárie dentária entre crianças/adolescentes com Diabetes tipo 1 (DM1) e crianças/adolescentes sem essa condição.

Métodos: Buscas computadorizadas no Web of Science, Scopus, Lilacs, PubMed, OpenGrey e Google Scholar foram realizadas até dezembro de 2020. A seleção dos estudos foi feita por dois autores independentemente. Referências que preenchiam os critérios de elegibilidade foram incluídas. O risco de viés foi avaliado com a escala Newcastle Ottawa. Meta-análises foram conduzidas. Diferença média (DM) e intervalos de confiança (IC) foram fornecidos.

Resultados: Durante as buscas nas bases de dados, 751 referências foram recuperadas. Após remoção de 102 duplicatas, 649 referências foram avaliadas e 16 estudos foram incluídos nessa revisão sistemática e meta-análise. Os estudos incluídos tiveram resultados discrepantes. Duas meta-análises demonstraram que não houve diferença significativa na média de dentes permanentes com cárie entre crianças/adolescentes com DM1 e crianças/adolescentes sem DM1 (DM = 0,07; IC = -0,68 – 0,82) e que não houve diferença significativa na média de superfícies de dentes permanentes com cárie entre crianças/adolescentes com DM1 e crianças/adolescentes sem DM1 (DM = 0,20; IC = -2,22 – 2,61). Uma terceira meta-análise revelou que crianças/adolescentes sem DM1 apresentavam uma média de dentes decíduos com cárie significativamente maior do que crianças/adolescentes com DM1 (DM = 0,34; IC = 0,31 – 0,37). O maior problema de risco de viés dos estudos foi para a definição dos controles e comparação de casos e controles.

Conclusão: A ocorrência de cárie parece ser menor entre crianças/adolescentes com DM1 em comparação a crianças/adolescentes sem DM1.

 

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Publicado

2022-03-15

Como Citar

Magnani, I. Q., Bretz, Y. P. M. ., Souza, G. L. N. ., & Abreu, L. G. (2022). Cárie dentária em crianças e adolescentes com Diabetes tipo 1: uma revisão sistemática e meta-análise. Arquivos Em Odontologia, 57, 175–188. https://doi.org/10.35699/2178-1990.2021.27061

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