Evidence map›Paper›PMID 37602892›Full record

SynthesisClinical and experimental dental research2023

Oral manifestations of COVID-19 and its management in pediatric patients: A systematic review and practical guideline.

Kamyar Nasiri, Sahar Tehrani, Meysam Mohammadikhah, Morteza Banakar, Mojgan Alaeddini, Shahroo Etemad-Moghadam, Gustavo V O Fernandes, Artak Heboyan, Shima Imannezhad, Farid Abbasi

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Clinical and experimental dental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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

10 authors at 8 institutions in 4 countries.

Kamyar NasiriDepartment of Dentistry, Islamic Azad University, Tehran, Iran.
Sahar TehraniDepartment of Pediatric Dentistry, School of Dentistry, Ahvaz Jundishapour University of Medical Sciences, Ahvaz, Iran.
Meysam MohammadikhahDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Alborz University of Medical Sciences, Karaj, Iran.
Morteza BanakarDental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-1715-0198
Mojgan AlaeddiniDental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-3634-7992
Shahroo Etemad-MoghadamDental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Gustavo V O FernandesDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.ORCID 0000-0003-3022-4390
Artak HeboyanDepartment of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Armenia.
Shima ImannezhadDepartment of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID 0000-0002-5537-2763
Farid AbbasiDepartment of Oral Medicine, Faculty of Dentistry, Shahed University, Tehran, Iran.
Shahed University · IRTehran University of Medical Sciences · IRAhvaz Jundishapur University of Medical Sciences · IRIslamic Azad University, Tehran · IRJahrom University of Medical Sciences · IRMashhad University of Medical Sciences · IRUniversidade Católica Portuguesa · PTYerevan State Medical University · AM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus causes coronavirus disease 2019 (COVID-19), a respiratory infection that has spread worldwide and is responsible for a high death toll. Although respiratory symptoms are the most common, there is growing evidence that oral signs of COVID-19 can also be seen in children. The purpose of this systematic review is to provide a comprehensive analysis of the available data on the oral manifestations of COVID-19 in children and to recommend appropriate methods of diagnosis and treatment.

methodsA systematic search of the MEDLINE, EMBASE, Scopus, and Web of Science databases was done to discover relevant papers published between their establishment and January 2023. Articles detailing oral symptoms in pediatric patients with confirmed COVID-19 infection were included, and data on clinical characteristics, diagnosis, treatment, and outcomes were extracted and evaluated.

resultsA total of 24 studies involving 2112 pediatric patients with COVID-19 were included in the review. The most common presentations are oral lesions, taste and smell disorders, oral candidiasis, hemorrhagic crust, tongue discoloration, lip and tongue fissuring, gingivitis, and salivary gland inflammation. These manifestations were sometimes associated with multi-system inflammatory syndrome in children (MIS-C) or Kawasaki disease (KD). Management strategies varied depending on the severity of the oral manifestation and ranged from symptomatic relief with topical analgesics to systemic medications.

conclusionOral symptoms of COVID-19 are relatively prevalent in juvenile patients and can be accompanied by severe systemic diseases, such as MIS-C or Kawasaki illness. Early detection and adequate care of these oral symptoms are critical for the best patient results. Understanding the underlying pathophysiology and developing targeted treatments requires more investigation.

Indexed as

COVID-19ChildDatabases, FactualHumansPractice Guidelines as TopicSARS-CoV-2Systemic Inflammatory Response SyndromechildCOVID-19oral healthoral manifestationsoral mucosal lesionspediatric patients

Identifiers

PMID37602892
PMCPMC10582234
OpenAlexW4386019192

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.