Evidence map›Paper›PMID 36167498›Full record

ArticleBMC oral health2022

Age-specific associations with dental caries in HIV-infected, exposed but uninfected and HIV-unexposed uninfected children in Nigeria.

Paul Akhigbe, Nneka M Chukwumah, Morenike Oluwatoyin Folayan, Kimon Divaris, Ozoemene Obuekwe, Augustine Omoigberale, Elima Jedy-Agba, Michael Kim, Manhattan E Charurat, Vincent P Richards and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC oral health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

11 authors at 7 institutions in 2 countries.

Paul AkhigbeInstitute of Human Virology Nigeria, Abuja, Nigeria.
Nneka M ChukwumahDepartment of Preventive Dentistry, University of Benin Teaching Hospital, Benin, Edo State, Nigeria.
Morenike Oluwatoyin FolayanDepartment of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
Kimon DivarisDivision of Pediatric and Public Health, Adams School of Dentistry, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
Ozoemene ObuekweDepartment of Preventive Dentistry, University of Benin Teaching Hospital, Benin, Edo State, Nigeria.
Augustine OmoigberaleDepartment of Preventive Dentistry, University of Benin Teaching Hospital, Benin, Edo State, Nigeria.
Elima Jedy-AgbaInstitute of Human Virology Nigeria, Abuja, Nigeria.
Michael KimDepartment of Oral Biology, School of Dental Medicine, Rutgers University, Newark, NJ, USA.
Manhattan E CharuratInstitute of Human Virology, University of Maryland School of Medicine, Baltimore, MA, USA.
Vincent P Richards *Department of Biological Sciences, Clemson University, Clemson, SC, USA.
Modupe O Coker *Department of Oral Biology, School of Dental Medicine, Rutgers University, Newark, NJ, USA. mc2190@sdm.rutgers.edu.
University of Benin Teaching Hospital · NGInstitute of Human Virology · NGRutgers, The State University of New Jersey · USClemson University · USObafemi Awolowo University · NGUniversity of Maryland, Baltimore · USUniversity of North Carolina at Chapel Hill · US

Funding

Oral Microbiomes and Dental Caries in a Human Immunodeficiency Virus Infected PopulationR01DE028154 · NIDCR · CLEMSON UNIVERSITY · PI COKER, MODUPE, RICHARDS, VINCENT · 2018 to 2022
$2.1M
NIDCR NIH HHS R01 DE028154
6 · The paper itself

Abstract

backgroundHIV infection and its management confer a substantial health burden to affected individuals and have been associated with increased risk of oral and dental diseases. In this study, we sought to quantify HIV-associated differences in the prevalence and severity of dental caries in the primary and permanent dentition of 4-11-year-old Nigerian Children.

methodsWe used clinical, laboratory, demographic, and behavioral data obtained from an ongoing cohort study of age-matched HIV-infected (HI, n = 181), HIV-exposed-but-uninfected (HEU, n = 177), and HIV-unexposed-and-uninfected (HUU, n = 186) children. Measures of dental caries experience (i.e., prevalence and severity) were based on dmft/DMFT indices recorded by trained and calibrated clinical examiners. Differences in primary and permanent dentition caries experience between HI, HEU, and HUU were estimated using multivariable logistic and negative binomial regression modeling.

resultsHI children had significantly higher caries experience (33%) compared to HEU (15%) and HUU (22%) children. This difference persisted in fully adjusted analyses [odds ratio (OR) = 1.6; 95% confidence interval (CI) = 1.0-2.6], was most pronounced in the permanent dentition (OR = 3.4; 95% CI = 1.2-9.5), and mirrored differences in caries severity. While molars were predominantly affected in both primary and permanent dentitions, caries lesion patterns differed between dentitions. Caries severity was significantly associated with hypoplastic primary teeth, gingival inflammation, and lower CD4 counts.

conclusionsWe found that the higher prevalence and severity of dental caries among HI children was driven by increased burden of permanent dentition caries compared to their uninfected counterparts. The dentition-specific associations identified in this study highlight the need to design and implement age-specific caries prevention strategies. These may include intensified oral hygiene regimens aimed at mitigating the cariogenic impact of hyposalivation among HI children. Similarly, the long-lasting impacts of developmental defects of the enamel in the primary and permanent dentitions must not be ignored.

Indexed as

Dental CariesHIV InfectionsAge FactorsChildChild, PreschoolCohort StudiesHumansNigeriaPrevalenceCariesCD4ChildrenDental healthHIVHypoplasia

Identifiers

PMID36167498
PMCPMC9512979
OpenAlexW4297369657

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.