Evidence map›Paper›PMID 29262404›Full record

SynthesisCaries research2018

Candida albicans and Early Childhood Caries: A Systematic Review and Meta-Analysis.

Jin Xiao, Xuelian Huang, Naemah Alkhers, Hassan Alzamil, Sari Alzoubi, Tong Tong Wu, Daniel A Castillo, Frank Campbell, Joseph Davis, Karli Herzog and 4 more

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Caries research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05761197 (Association Between Early Candida Infection), which is not on this map. Cited by 141 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 4 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.

NCT05761197 recruitingnot on this mapstarted 2024, after this paper: background citation

Association Between Early Candida Infection (Oral Thrush) and Severe Early Childhood Caries (S-ECC)

TypeobservationalSponsorTemple UniversityRan2024 to 2028Enrolled70ConditionsCandida Infection, Oral Thrush, Early Childhood Caries
3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Review
  8. TargetingACS medicinal chemistry letters · 2026
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. AJournal of bacteriology · 2026
    Review
  16. Article
  17. Characteristics ofJournal of oral microbiology · 2026
    Article
  18. Synergistic pairing ofJournal of oral microbiology · 2026
    Article
  19. Capsaicin inhibits cariogenicJournal of oral microbiology · 2026
    Article
  20. Article

81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Jin XiaoEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.
Xuelian Huang
Naemah Alkhers
Hassan Alzamil
Sari Alzoubi
Tong Tong Wu
Daniel A Castillo
Frank Campbell
Joseph Davis
Karli Herzog
Ronald Billings
Dorota T Kopycka-Kedzierawski
Evlambia Hajishengallis
Hyun Koo

Funding

Institutional Career Development CoreKL2TR001999 · NCATS · UNIVERSITY OF ROCHESTER · PI XIAO, JIN · 2016 to 2024
$5.2M
S. mutans-C. albicans interactions synergize the virulence of cariogenic biofilmsR01DE025220 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI KOO, HYUN · 2015 to 2019
$2.0M
NCATS NIH HHS KL2 TR001999NIDCR NIH HHS R01 DE025220
6 · The paper itself

Abstract

Oral Candida albicans has been detected in children with early childhood caries (ECC) and has demonstrated cariogenic traits in animal models of the disease. Conversely, other studies found no positive correlation between C. albicans and caries experience in children, while suggesting it may have protective effects as a commensal organism. Thus, this study aimed to examine whether oral C. albicans is associated with ECC. Seven electronic databases were searched. The data from eligible studies were extracted, and the risk of bias was evaluated. A fixed effects model (Mantel-Haenszel estimate) was used for meta-analysis, and the summary effect measure was calculated by odds ratio (OR) and 95% confidence interval (CI). Fifteen cross-sectional studies were included for the qualitative assessment and 9 studies for meta-analysis. Twelve studies revealed higher oral C. albicans prevalence in ECC children than in caries-free children, while 2 studies indicated an equivalent prevalence. A pooled estimate, with OR = 6.51 and 95% CI = 4.94-8.57, indicated a significantly higher ECC experience in children with oral C. albicans than those without C. albicans (p < 0.01). The odds of experiencing ECC in children with C. albicans versus children without C. albicans were 5.26 for salivary, 6.69 for plaque, and 6.3 for oral swab samples. This systematic review indicates that children with oral C. albicans have >5 times higher odds of having ECC compared to those without C. albicans. Further prospective cohort studies are needed to determine whether C. albicans could be a risk factor for ECC, and whether it is dependent on different sample sources (saliva/plaque).

Indexed as

Candida albicansCandidiasis, OralChildChild, PreschoolDental CariesHumansChild dentistryClinical studiesEarly childhood cariesFungal pathogen<italic>Candida albicans</italic>Odds ratioRisk factorYeast infection

Identifiers

PMID29262404
PMCPMC5828948

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.