Evidence map›Paper›PMID 25706629›Full record

ArticlePloS one2015

A systematic map of systematic reviews in pediatric dentistry--what do we really know?

Ingegerd A Mejàre, Gunilla Klingberg, Frida K Mowafi, Christina Stecksén-Blicks, Svante H A Twetman, Sofia H Tranæus

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. A systematic review of risk assessment tools for early childhood caries: is there evidence?European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2020
    Pooled it
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  6. Best clinical practice guidance for management of early caries lesions in children and young adults: an EAPD policy document.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2016
    Guideline
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  12. Why Is Caries Prevention in Children So Difficult? A Narrative Opinion.International journal of environmental research and public health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ingegerd A MejàreSwedish Council on Health Technology Assessment, Stockholm, Sweden.
Gunilla KlingbergDepartment of Pediatric Dentistry, Faculty of Odontology, Malmö University, Malmö, Sweden.
Frida K MowafiSwedish Council on Health Technology Assessment, Stockholm, Sweden.
Christina Stecksén-BlicksDepartment of Odontology, Section for Pediatric Dentistry, Faculty of Medicine, Umeå University, Umeå, Sweden.
Svante H A TwetmanDepartment of Odontology, Section for Cariology, Endodontics, Pediatric Dentistry and Clinical Genetics, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Sofia H TranæusSwedish Council on Health Technology Assessment, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify, appraise and summarize existing knowledge and knowledge gaps in practice-relevant questions in pediatric dentistry.

methodsA systematic mapping of systematic reviews was undertaken for domains considered important in daily clinical practice. The literature search covered questions in the following domains: behavior management problems/dental anxiety; caries risk assessment and caries detection including radiographic technologies; prevention and non-operative treatment of caries in primary and young permanent teeth; operative treatment of caries in primary and young permanent teeth; prevention and treatment of periodontal disease; management of tooth developmental and mineralization disturbances; prevention and treatment of oral conditions in children with chronic diseases/developmental disturbances/obesity; diagnosis, prevention and treatment of dental erosion and tooth wear; treatment of traumatic injuries in primary and young permanent teeth and cost-effectiveness of these interventions. Abstracts and full text reviews were assessed independently by two reviewers and any differences were solved by consensus. AMSTAR was used to assess the risk of bias of each included systematic review. Reviews judged as having a low or moderate risk of bias were used to formulate existing knowledge and knowledge gaps.

resultsOut of 81 systematic reviews meeting the inclusion criteria, 38 were judged to have a low or moderate risk of bias. Half of them concerned caries prevention. The quality of evidence was high for a caries-preventive effect of daily use of fluoride toothpaste and moderate for fissure sealing with resin-based materials. For the rest the quality of evidence for the effects of interventions was low or very low.

conclusionThere is an urgent need for primary clinical research of good quality in most clinically-relevant domains in pediatric dentistry.

Indexed as

Pediatric DentistryReview Literature as TopicChildDental AnxietyDental CariesHumansRadiography

Identifiers

PMID25706629
PMCPMC4338212

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.