Oral health in children and adolescents with juvenile idiopathic arthritis - a systematic review and meta-analysis.

Autor: Skeie MS; Department of Clinical Dentistry, Pediatric Dentistry, The Faculty of Medicine, University of Bergen, Norway, Årstadveien 19, N-5009, Bergen, Norway. marit.skeie@uib.no.; Center for Oral Health Services and Research, Mid-Norway (TkMidt), Trondheim, Norway. marit.skeie@uib.no., Gil EG; Department of Clinical Dentistry, Pediatric Dentistry, The Faculty of Medicine, University of Bergen, Norway, Årstadveien 19, N-5009, Bergen, Norway., Cetrelli L; Center for Oral Health Services and Research, Mid-Norway (TkMidt), Trondheim, Norway., Rosén A; Department of Clinical Dentistry, Pediatric Dentistry, The Faculty of Medicine, University of Bergen, Norway, Årstadveien 19, N-5009, Bergen, Norway.; Department of Oral and Maxillofacial Surgery, Haukeland University Hospital, Bergen, Norway., Fischer J; Department of Clinical Dentistry, Pediatric Dentistry, The Faculty of Medicine, University of Bergen, Norway, Årstadveien 19, N-5009, Bergen, Norway., Åstrøm AN; Department of Clinical Dentistry, Pediatric Dentistry, The Faculty of Medicine, University of Bergen, Norway, Årstadveien 19, N-5009, Bergen, Norway., Luukko K; Department of Clinical Dentistry, Pediatric Dentistry, The Faculty of Medicine, University of Bergen, Norway, Årstadveien 19, N-5009, Bergen, Norway., Shi X; Department of Clinical Dentistry, Pediatric Dentistry, The Faculty of Medicine, University of Bergen, Norway, Årstadveien 19, N-5009, Bergen, Norway.; Section of Oral Diagnostics and Surgery, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden., Feuerherm AJ; Center for Oral Health Services and Research, Mid-Norway (TkMidt), Trondheim, Norway., Sen A; Center for Oral Health Services and Research, Mid-Norway (TkMidt), Trondheim, Norway.; Department of Public health and Nursing, Faculty of Medical and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway., Frid P; Public Dental Health Service Competence Centre of Northern Norway (TkNN), Tromso, Norway.; Department of Clinical Medicine, Faculty of Health Sciences, UiT, The Arctic University of Norway, Tromso, Norway.; Department of Otorhinolaryngology, Division of Oral and Maxillofacial Surgery, University Hospital North, Tromso, Norway., Rygg M; Department of Clinical and Molecular Medicine, NTNU - Norwegian University of Science and Technology, Trondheim, Norway.; Department of Pediatrics, St. Olavs Hospital, Trondheim, Norway., Bletsa A; Department of Clinical Dentistry, Pediatric Dentistry, The Faculty of Medicine, University of Bergen, Norway, Årstadveien 19, N-5009, Bergen, Norway.; Oral Health Centre of Expertise in Western Norway- Hordaland, Trondheim, Norway.
Jazyk: angličtina
Zdroj: BMC oral health [BMC Oral Health] 2019 Dec 19; Vol. 19 (1), pp. 285. Date of Electronic Publication: 2019 Dec 19.
DOI: 10.1186/s12903-019-0965-4
Abstrakt: Background: Observational studies examining the association between oral health and juvenile idiopathic arthritis (JIA) among children and adolescents have reported inconsistent findings. The aims of this systematic review and meta-analysis were to ascertain a potential difference in oral health and oral health-related quality of life (OHRQoL) among children and adolescents with JIA and healthy peers, and to assess the association of prevalence of oral diseases/conditions, temporomandibular disorders (TMD), including temporomandibular joint (TMJ) diseases, in relation to activity and severity of JIA.
Method: Medline Ovid, Embase, CINAHL, SweMed+ and Cochrane Library were searched up to 25 November 2018. All articles published in English, German and Scandinavian languages focusing on children and adolescents with JIA and without JIA in relation to oral health measures, were considered. Two authors independently evaluated observational studies for inclusion. The study quality was assessed using modified Newcastle Ottawa Scale. Meta-analysis was performed for studies focusing on dental caries as an outcome.
Results: Nineteen articles met the inclusion criteria, covering a range of oral diseases/conditions and OHRQoL. Eighteen studies had cross-sectional design. No mean difference of dmft/DMFT indices (decayed/missed/filled teeth) was observed between the JIA - and healthy group. None of the oral health measures including dental erosive wear, enamel defects, dental maturation and OHRQoL, indicated better oral health among children and adolescents with JIA compared to healthy group. However, periodontal conditions and TMD were more predominant among children and adolescents with JIA compared to healthy peers.
Conclusions: Based on the cross-sectional studies, periodontal diseases and TMD were found to be more frequent in children and adolescents with JIA compared to healthy peers. Furthermore, more high-quality studies with large sample size are needed before we infer any concrete conclusion regarding the association between the prevalence of oral and TMJ diseases or oral conditions in relation to activity and severity of JIA.
Databáze: MEDLINE
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