Maternal smoking during pregnancy and early childhood dental caries in children: a systematic review and meta-analysis.

Autor: Samani D; Tabriz University of Medical Sciences, Tabriz, Iran., Ziaei S; Hamadan University of Medical Sciences, Hamadan, Iran., Musaie F; Dental Branch, Islamic Azad University, Tehran, Iran., Mokhtari H; Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran., Valipour R; Faculty of Dentistry, Semmelweis University, Budapest, Hungary., Etemadi M; Department of Periodontology, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran., Gharehdaghi N; Faculty of Dentistry, Istanbul Okan University, Tuzla Campus Tuzla, Istanbul, 34959, Turkey., Rezaei SF; School of Dentistry, Mazandaran University of medical sciences, Dentist, Sari, Iran., Raji S; Faculty of Dentistry, Van Yüzüncü Yıl University, Van, Türkiye, Turkey., Fazel T; Student Research Committee, School of International Campus, Guilan University of Medical Sciences, Rasht, Iran., Sakhvidi AM; Dental Faculty, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran. Dralirezamokhtari95@gmail.com., Deravi N; Student Research Committee, School of medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. niloofarderavi@sbmu.ac.ir.; SBUMS, Arabi Ave, Daneshjoo Blvd, Velenjak, Tehran, 19839-63113, Iran. niloofarderavi@sbmu.ac.ir.
Jazyk: angličtina
Zdroj: BMC oral health [BMC Oral Health] 2024 Jul 12; Vol. 24 (1), pp. 781. Date of Electronic Publication: 2024 Jul 12.
DOI: 10.1186/s12903-024-04548-4
Abstrakt: Background: Early childhood dental caries, or ECC, is a significant global oral health concern associated with various adverse outcomes. This systematic review and meta-analysis aimed to investigate the potential link between maternal smoking during pregnancy and the occurrence of dental caries in children.
Method: Through a comprehensive search of PubMed, Scopus, and Google Scholar databases for studies examining the correlation between maternal smoking during pregnancy and childhood caries, we identified 609 relevant articles up to October 2023. Studies were selected, and data extraction was based on the pre-established eligibility criteria and items. Meta-analysis was executed utilizing Comprehensive Meta-analysis (CMA) with a random effects model, ensuring a robust synthesis of the gathered evidence.
Result: 7 cohorts and five cross-sectional studies, totaling 12 studies, were included in our analysis. The combined results from the studies revealed a significant association between maternal smoking during pregnancy and an increased risk of dental caries in children (OR = 1.78, 95% CI = 1.55-2.05, I2 = 68.53). Sensitivity analyses confirmed the reliability of our results. However, there were indications of publication bias, as suggested by the funnel plot and Egger's test (P = 0.011) concerning the connection between prenatal smoking and childhood caries.
Conclusion: This review underscores the association between maternal smoking during pregnancy and childhood dental caries. Nevertheless, confounding variables influence this link, necessitating more large-scale, longitudinal studies with adjusted factors. Additional randomized control trials are needed to validate these findings due to the observed heterogeneity. Future research should investigate the precise reasons behind this association. It is essential to raise awareness among pregnant women about the risks of smoking through educational programs.
(© 2024. The Author(s).)
Databáze: MEDLINE
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