Evidence map›Paper›PMID 39843260›Full record

SynthesisInternational dental journal2025

Putting 'STOP' to Excess Caries of Cleft Lip and Palate Patients.

Mónica Domínguez, Renu Mehta, Dhruv Ahuja, Puneet Batra, Alpa Gupta

Abstract readSystematic Review
In one paragraph

Synthesis in International dental journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Observational
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

5 authors.

Mónica DomínguezGlobal Oral Health Programs, Smile Train, Mexico.
Renu MehtaSouth Asia, Smile Train, New Delhi, India.
Dhruv AhujaDepartment of Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Faridabad, India; Manav Rachna International Institute of Research and Studies(MRIIRS), Faridabad, India.
Puneet BatraDepartment of Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Faridabad, India; Manav Rachna International Institute of Research and Studies(MRIIRS), Faridabad, India. Electronic address: drpuneetbatra@gmail.com.
Alpa GuptaManav Rachna International Institute of Research and Studies(MRIIRS), Faridabad, India; Department of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCleft lip with/without palate (CL/P) patients require multiple interdisciplinary procedures at different phases of their life. CL/P patients have a high burden of care that has financial repercussion, especially in low- and middle-income countries (LMICs). Lowering preventable diseases such as caries can mitigate this challenge.

aimTo systematically review literature across databases to assess the quantum of caries incidence in CL/P patients in India. Subsequently, to suggest to aim for caries prevention in pilot centres and develop long-term strategies for overcoming the challenges encountered with the implementation of a suitable preventative program such as 'STOP' (Smile Train Oral Health through Prevention). MATERIAL AND

methodsA comprehensive literature search was conducted from the databases till December 2023 across Medline/PubMed, Scopus, EBSCOhost, and Google Scholar. The studies utilised standardised assessments, employing the DMFT, dmft, or ICDAS index for caries prevalence in cleft individuals in India. Studies meeting predefined eligibility criteria were included and assessed for methodological quality. Data on caries incidence in CL/P patients in India was extracted from included studies.

resultsThe current research highlights a trend towards a higher caries incidence in cleft individuals in India. Thus the need for preventative program becomes important.

conclusionCaries, which is preventable, is an additional burden both in terms of financial impact as well as chances of failure of clinical procedures. SUGGESTED SOLUTION: STOP includes age-appropriate anticipatory guidance, preventive and minimally invasive treatment, and definitive oral health management. The outcomes of the pilot program in 4 centres in India can become the starting point for strategies involving the prevention of caries to limit the burden of care in CL/P patients. STOP can become an indispensable part in the interdisciplinary treatment chart of children born with CL/P.

Indexed as

Cleft LipCleft PalateDental CariesHumansIncidenceIndiaCleft lip and palateDental cariesEarly childhood cariesEpidemiologyIndiaOral healthSmile TrainSTOP

Identifiers

PMID39843260
PMCPMC12142782

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LicenceCC BY-NC-ND
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Registered trials

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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.