Evidence map›Paper›PMID 39417897›Full record

SynthesisClinical oral investigations2024

Impact of dental fluorosis on the oral health-related quality of life: a systematic review.

Paula Lanza Montanher, Sofia Maito Velasco, Renan Canale Peres Montanher, Thais Moraes Souza, Mariela Peralta Mamani, José Roberto Magalhães Bastos, Heitor Marques Honório, Roosevelt Silva Bastos

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

8 authors.

Paula Lanza MontanherDepartment of Pediatric Dentistry, Orthodontics and Public Health, University of São Paulo, Bauru School of Dentistry, Alameda Doutor Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil.
Sofia Maito VelascoFederal University of Rio Grande do Norte, Campus Universitário - Lagoa Nova, Natal, RN, 59078-970, Brazil.
Renan Canale Peres MontanherUniversity of São Paulo, Craniofacial Anomalies Rehabilitation Hospital, Alameda Doutor Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil.
Thais Moraes SouzaDepartment of Pediatric Dentistry, Orthodontics and Public Health, University of São Paulo, Bauru School of Dentistry, Alameda Doutor Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil.
Mariela Peralta MamaniDepartment of Stomatology, University of São Paulo, Bauru School of Dentistry, Alameda Doutor Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil.
José Roberto Magalhães BastosDepartment of Pediatric Dentistry, Orthodontics and Public Health, University of São Paulo, Bauru School of Dentistry, Alameda Doutor Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil.
Heitor Marques HonórioDepartment of Pediatric Dentistry, Orthodontics and Public Health, University of São Paulo, Bauru School of Dentistry, Alameda Doutor Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil.
Roosevelt Silva BastosDepartment of Pediatric Dentistry, Orthodontics and Public Health, University of São Paulo, Bauru School of Dentistry, Alameda Doutor Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil. rtbastos@usp.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this systematic review is to investigate the literature to assess the effect of dental fluorosis on the Oral Health-Related Quality of Life (OHRQoL). MATERIALS AND

methodsIncluded studies were epidemiological investigations, clinical trials, or human studies that directly compared the impact on OHRQoL between individuals with dental fluorosis and those without, utilizing valid OHRQoL assessment tools. The searches were conducted up to March 2024 in databases, including PubMed, Scielo, LILACS, Scopus, Web of Science, Embase, and the Virtual Health Library. Additionally, gray literature sources such as Google Scholar, OpenGrey, Ibict/BDTD, and ProQuest were searched. Reference lists were also manually reviewed for potential eligible studies. The risk of bias in cohort studies was assessed using the Newcastle-Ottawa Scale (NOS), while its modified version was employed for cross-sectional studies. A narrative synthesis of the results was conducted.

results16 studies were included in this Systematic Review. In total, 16,314 participants, aged 8 to 18, were assessed across the studies. Most of the included studies were cross-sectional, except for one cohort study. In assessing OHRQoL across different age groups and severities of dental fluorosis, the impact varied. A negative association between dental fluorosis and OHRQoL was found in 9 of the included studies, a positive association was found in 1 study, and no significative association was identified in 6 studies. Limitations in the included studies primarily pertained to cross-sectional designs, with significant issues such as the absence of sample size calculations, lack of non-response rate reporting, limited consideration of confounding factors, and substantial heterogeneity stemming from diverse diagnostic methods and assessment tools.

conclusionThe findings of the systematic review demonstrate a complex and varied relationship between dental fluorosis and OHRQoL in children and adolescents. These conclusions may have limitations in scientific evidence. The findings emphasize the need for further investigations to explore the intricate aspects of this relationship and identify contributing factors to varying outcomes. CLINICAL RELEVANCE: Dental caries preventive fluoridated measures might be indicated even if there would be a risk for mild dental fluorosis as the fluoridated public water. REVIEW REGISTRATION: This systematic review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) under number: CRD42020186552.

Indexed as

Fluorosis, DentalOral HealthQuality of LifeHumansDental fluorosisQuality of lifeSystematic review

Identifiers

What OpenQuestion holds

Textmetadata
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.