Evidence map›Paper›PMID 31766996›Full record

ArticleBMC oral health2019

Oral health of children and adolescents with or without attention deficit hyperactivity disorder (ADHD) living in residential care in rural Rhineland-Palatinate, Germany.

Vicky Ehlers, Angelika Callaway, Sophia Wantzen, Michael Patyna, James Deschner, Birgül Azrak

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC oral health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05935254 (Comparative Evaluation of Plaque Removal Efficacy of Electric Toothbrushes Between Children With Attention Deficit And Hyperactivity Disorder And Healthy Children), which is not on this map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT05935254 nacompletednot on this mapstarted 2022, after this paper: background citation

Comparative Evaluation of Plaque Removal Efficacy of Electric Toothbrushes Between Children With Attention Deficit And Hyperactivity Disorder And Healthy Children

TypeinterventionalSponsorAydin Adnan Menderes UniversityRan2022 to 2022Enrolled52ConditionsAttention Deficit and Hyperactivity Disorder, Dental PlaqueArmsPlaque removal efficacy of children's electric toothbrush (Oral-B D100 Vitality, Procter & Gamble, Cincinnati, OH, United States), Plaque removal efficacy of children's soft manual toothbrush (Oral-B Stages 6-12 years, Procter & Gamble, Cincinnati, OH, United States)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Attention-deficit hyperactivity disorder and oral health in children and adolescents: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Pooled it
  3. Pooled it
  4. Periodontal outcomes of children and adolescents with attention deficit hyperactivity disorder: a systematic review and meta-analysis.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2022
    Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Oral health behaviours and cariogenic food consumption in children with attention-deficit/hyperactivity disorder: a cross-sectional study.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Management for Caries Prevention in ADHD Children.International journal of environmental research and public health · 2022
    Article
  14. Article
  15. Excessive Weight Gain and Dental Caries Experience among Children Affected by ADHD.International journal of environmental research and public health · 2020
    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 1 institution in 1 country.

Vicky EhlersDepartment of Periodontology and Operative Dentistry, University Medical Centre of the Johannes Gutenberg University, Augustusplatz 2, 55131, Mainz, Germany. ehlersv@uni-mainz.de.ORCID 0000-0001-8343-5517
Angelika CallawayDepartment of Periodontology and Operative Dentistry, University Medical Centre of the Johannes Gutenberg University, Augustusplatz 2, 55131, Mainz, Germany.
Sophia WantzenDepartment of Periodontology and Operative Dentistry, University Medical Centre of the Johannes Gutenberg University, Augustusplatz 2, 55131, Mainz, Germany.
Michael PatynaDepartment of Periodontology and Operative Dentistry, University Medical Centre of the Johannes Gutenberg University, Augustusplatz 2, 55131, Mainz, Germany.
James DeschnerDepartment of Periodontology and Operative Dentistry, University Medical Centre of the Johannes Gutenberg University, Augustusplatz 2, 55131, Mainz, Germany.
Birgül AzrakDepartment of Periodontology and Operative Dentistry, University Medical Centre of the Johannes Gutenberg University, Augustusplatz 2, 55131, Mainz, Germany.
Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAttention deficit hyperactivity disorder (ADHD) is defined as childhood neurobehavioural disorder. Due to short attention span, oral hygiene and dental treatment of such individuals can be challenging. Aim of this study was to evaluate the oral health of children and adolescents with and without ADHD living in residential care in rural Rhineland-Palatinate, Germany.

methodsIncluded in the study were 79 participants (male/female:58/21, age 9-15 years) living in residential care: 34 participants with ADHD and 45 participants without ADHD (control). Oral examination included the following parameters decayed, missing, filled teeth in the primary dentition (dmft), decayed, missing, filled surfaces/teeth in the secondary dentition (DMFS/DMFT), approximal plaque index (API), bruxism and orthodontic treatment. Additionally, oral hygiene, last dental visit and treatment performed, and dietary habits were assessed by questionnaire.

resultsThere were no significant differences in dmft, API, bruxism and oral hygiene habits between groups. However, participants with ADHD tended to have higher DMFS/DMFT values than the control group. Ongoing orthodontic treatment was found more often in the control group. The ADHD group tended to consume acidic/sugary beverages and sweet snacks more often than the controls. Different treatments (control visit/prophylaxis, dental therapy, orthodontic treatment) were performed at the last dental visit in the two groups.

conclusionsWithin the limitations of this study, oral health was similar in children and adolescents with or without ADHD from the same residential care setting. Parents/guardians need instructions for better supervision of oral hygiene and dietary habits to improve the poor oral health of children with or without ADHD.

Indexed as

Oral HealthAdolescentAttention Deficit Disorder with HyperactivityCase-Control StudiesChildDental CariesDental Plaque IndexDMF IndexFeeding BehaviorFemaleGermanyHumansMaleOral HygieneResidential FacilitiesRural PopulationADHDChildren and adolescentsOral health statusResidential care setting

Identifiers

PMID31766996
PMCPMC6878625
OpenAlexW2989613514

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.