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Lower dental caries prevalence associated to chronic kidney disease: a systematic review

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A Publisher's Erratum to this article was published on 23 May 2014

Abstract

Background

The aim of this systematic review was to determine whether there is any evidence in the literature referring to a lower prevalence of dental caries in children and adolescents with chronic kidney disease (CKD) compared to healthy individuals.

Methods

A search of the PubMed Medline, Ovid Medline and Cochrane Library databases was performed using the MeSH terms “dental caries” and “chronic renal failure”. To be eligible for entry in our study, controlled observational studies had to present a decayed, missing and filled index for primary teeth (dmft) and/or for permanent teeth (DMFT) in children and adolescents with CKD.

Results

After evaluation of title, keywords and abstracts of the articles selected, six articles met the inclusion criteria. Three of these six articles included studies which showed susceptibility to bias and possible confounding factors. A subsequent assessment of the six studies revealed that the mean caries indices in both primary (dmf) and permanent (DMF) teeth were lower in the children and adolescents with CKD compared with healthy individuals.

Conclusion

Data in the literature weakly support a lower prevalence of caries in children and adolescents with CKD than in their healthy counterparts. There is still a lack of well-designed studies that provide better scientific evidence in support of this conclusion.

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Author information

Authors and Affiliations

  1. Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Marcia Rejane Thomas Canabarro Andrade, Luciane Cople Maia & Laura Guimarães Primo

  2. Department of Specific Formation, School of Dentistry, Fluminense Federal University, Nova Friburgo, Brazil

    Lívia Azeredo Alves Antunes

  3. Department of General Microbiology, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Rosangela Maria de Araújo Soares

  4. Department of Dental Clinic, Division of Graduate Periodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Anna Theresa Tome Leão

  5. Disciplina de Odontopediatria da FO-UFRJ, Cidade Universitária—Centro de Ciências da Saúde (CCS), Caixa Postal 68066, Rio de Janeiro, 21941-971, Brazil

    Marcia Rejane Thomas Canabarro Andrade

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  1. Marcia Rejane Thomas Canabarro Andrade
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  2. Lívia Azeredo Alves Antunes
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  3. Rosangela Maria de Araújo Soares
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Correspondence to Laura Guimarães Primo.

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Andrade, M.R.T.C., Antunes, L.A.A., Soares, R.M.d.A. et al. Lower dental caries prevalence associated to chronic kidney disease: a systematic review. Pediatr Nephrol 29, 771–778 (2014). https://doi.org/10.1007/s00467-013-2437-4

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  • DOI: https://doi.org/10.1007/s00467-013-2437-4

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