Evidence map›Paper›PMID 28684841›Full record

SynthesisBritish dental journal2017

Are people with an orofacial cleft at a higher risk of dental caries? A systematic review and meta-analysis.

V Worth, R Perry, T Ireland, A K Wills, J Sandy, A Ness

Open access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in British dental journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
3.5field-weighted citation impact, top 7% of its field
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

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Systematic Review of Clinical Practice Guidelines for Oral Health in Children With Cleft Lip and Palate.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2022
    Pooled it
  5. Cleft team strategy and caries experience in patients with a cleft lip and/or palate, a multicentre study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
  6. The Burden of Cleft Surgery a 36-Year Reflection of Surgical Management of Children With Orofacial Clefts in South Australia.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  7. Type of Cleft and Socioeconomic Determinants for Increased Caries Risk Among Young Patients With Cleft Lip and/or Palate.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  8. Article
  9. Article
  10. An Evaluation of Dental Caries Status in Children with Oral Clefts: A Cross-Sectional Study.International journal of environmental research and public health · 2025
    Article
  11. Article
  12. Prevalence of Treatment of Early Childhood Caries among Children with Cleft Lip and/or Cleft Palate in Manitoba.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2024
    Article
  13. Article
  14. Self-perceived oral health and orofacial aesthetics of cleft patients.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2024
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
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 at 3 institutions in 1 country.

V WorthUniversity of Bristol, Bristol Nutrition BRU, University Hospitals Bristol Education and Research Centre, Upper Maudlin Street, Bristol, Bristol, BS2 8AE.
R PerryUniversity of Bristol, Bristol Nutrition BRU, University Hospitals Bristol Education and Research Centre, Upper Maudlin Street, Bristol, Bristol, BS2 8AE.
T IrelandChild Dental Health, Bristol Dental Hospital, Lower Maudlin Street, Bristol, BS1 2LY.
A K WillsUniversity of Bristol, Bristol Nutrition BRU, University Hospitals Bristol Education and Research Centre, Upper Maudlin Street, Bristol, Bristol, BS2 8AE.
J SandyChild Dental Health, Bristol Dental Hospital, Lower Maudlin Street, Bristol, BS1 2LY.
A NessBristol Dental School, Oral Epidemiology, Lower Maudlin Street, Bristol, BS1 2LY.
University Of Bristol Dental Hospital · GBUniversity of Bristol · GBNIHR Bristol Biomedical Research Centre · GB

Funding

Department of Health RP-PG-0707-10034
6 · The paper itself

Abstract

Objective To establish whether children born with an orofacial cleft have a higher risk of dental caries than individuals without cleft.Design A systematic review and meta-analysisMethods The search strategy was based on the key words 'cleft lip palate' and 'oral hygiene caries decay'. Ten databases were searched from their inception to April 2016 to identify all relevant studies. All data were extracted by two independent reviewers. The primary outcome measure was caries measured by the decayed, missing, filled surfaces/teeth index (dmfs/dmft or DMFS/DMFT).Results Twenty-four studies met the selection criteria. All of the studies were observational. Twenty-two studies were suitable for inclusion in the meta-analysis. The overall pooled mean difference in dmft was 0.63 (95% CI: 0.47 to 0.79) and in DMFT was 0.28 (95% CI: 0.22 to 0.34).Conclusion Individuals with cleft lip and/or palate have higher caries prevalence, both in the deciduous and the permanent dentitions.

Indexed as

Cleft LipCleft PalateDental CariesHumans

Identifiers

PMID28684841
OpenAlexW2728261239

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.