Evidence map›Paper›PMID 30630167›Full record

SynthesisCaries research2019

Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis.

Jin Xiao, Naemah Alkhers, Dorota T Kopycka-Kedzierawski, Ronald J Billings, Tong Tong Wu, Daniel A Castillo, Linda Rasubala, Hans Malmstrom, Yanfang Ren, Eli Eliav

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Caries research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 6 pooled it
13.1field-weighted citation impact, top 1% 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

80 citing papers in PubMed, 6 syntheses or guidelines pooled it, 174 citations in OpenAlex.

  1. Do clinical caries-preventive interventions applied to expectant mothers affect caries-related parameters in their children? A systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
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  8. Primary tooth emergence in young children is associated with a stress biomarker.Journal of developmental origins of health and disease · 2026
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Jin XiaoEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, New York, USA, jin_xiao@urmc.rochester.edu.
Naemah AlkhersEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, New York, USA.
Dorota T Kopycka-KedzierawskiEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, New York, USA.
Ronald J BillingsEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, New York, USA.
Tong Tong WuDepartment of Biostatistics and Computational Biology, University of Rochester, Rochester, New York, USA.
Daniel A CastilloMiner Library, University of Rochester Medical Center, Rochester, New York, USA.
Linda RasubalaEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, New York, USA.
Hans MalmstromEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, New York, USA.
Yanfang RenEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, New York, USA.
Eli EliavEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, New York, USA.
University of Rochester Medical Center · USEastman Chemical Company (United States) · USUniversity of Rochester · US

Funding

Institutional Career Development CoreKL2TR001999 · NCATS · UNIVERSITY OF ROCHESTER · PI XIAO, JIN · 2016 to 2024
$5.2M
Association between Oral Candida albicans and the Onset of Severe Early Childhood CariesK23DE027412 · NIDCR · UNIVERSITY OF ROCHESTER · PI XIAO, JIN · 2018 to 2022
$748k
NCATS NIH HHS KL2 TR001999NIDCR NIH HHS K23 DE027412
6 · The paper itself

Abstract

Despite the advancement of early childhood caries (ECC) prediction and treatment, ECC remains a significant public health burden in need of more effective preventive strategies. Pregnancy is an ideal period to promote ECC prevention given the profound influence of maternal oral health and behaviors on children's oral health. However, studies have shown debatable results with respect to the effectiveness of ECC prevention by means of prenatal intervention. Therefore, this study systematically reviewed the scientific evidence relating to the association between prenatal oral health care, ECC incidence, and Streptococcus mutans carriage in children. Five studies (3 randomized control trials, 1 prospective cohort study, and 1 nested case-control study) were included for qualitative assessment. Tested prenatal oral health care included providing fluoride supplements, oral examinations/cleanings, oral health education, dental treatment referrals, and xylitol gum chewing. Four studies that assessed ECC incidence reduction were included in meta-analysis using an unconditional generalized linear mixed effects model with random study effects and age as a covariate. The estimated odds ratio and 95% confidence intervals suggested a protective effect of prenatal oral health care against ECC onset before 4 years of age: 0.12 (0.02, 0.77) at 1 year of age, 0.18 (0.05, 0.63) at 2 years of age, 0.25 (0.09, 0.64) at 3 years of age, and 0.35 (0.12, 1.00) at 4 years of age. Children's S. mutans carriage was also significantly reduced in the intervention group. Future studies should consider testing strategies that restore an expectant mother's oral health to a disease-free state during pregnancy.

Indexed as

Oral HealthPrenatal CareCase-Control StudiesChild, PreschoolDental CariesFemaleHealth Education, DentalHumansInfantPregnancyProspective StudiesRandomized Controlled Trials as TopicChild dentistryEarly childhood cariesPrenatal oral health care

Identifiers

PMID30630167
PMCPMC6554051
OpenAlexW2908874659

What OpenQuestion holds

Textmetadata
LicenceTDM
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.