Evidence map›Paper›PMID 40003246›Full record

ReviewChildren (Basel, Switzerland)2025

Dental Manifestations in Children Affected by Hypophosphatemic Rickets: A Systematic Review and Meta-Analysis.

Aesha Allam, Silvia Cirio, Francesca Elia, Claudia Salerno, Maria Grazia Cagetti

Abstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  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

5 authors.

Aesha AllamDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, 20112 Milano, Italy.ORCID 0009-0009-1988-1809
Silvia CirioDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, 20112 Milano, Italy.ORCID 0000-0002-3531-2595
Francesca EliaDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, 20112 Milano, Italy.
Claudia SalernoDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, 20112 Milano, Italy.ORCID 0000-0002-7799-5451
Maria Grazia CagettiDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, 20112 Milano, Italy.ORCID 0000-0002-2704-0585

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypophosphatemic rickets (HR) is a bone disorder affecting phosphate-calcium metabolism, with both skeletal and dental manifestations. This review aims to analyze dental manifestations of HR in children and, where possible, compare them to those in healthy children or affected adults.

methodsThe protocol was registered at PROSPERO (CRD42024596022). The study conformed to the PRISMA guidelines. Three databases were searched for studies reporting the prevalence or incidence of any dental manifestation in children with HR. Risk of bias was assessed using JBI, RoB 2.0, and ROBINS-E tools, and Stata/SE 18.0 was used for meta-analysis. Meta-regression was used to examine the effects of therapy duration and mean age on dental manifestations' prevalence. The study received no funding.

resultsA total of 1308 records were identified, with 660 screened after removing duplicates. Forty-six studies were eligible for full-text evaluation; sixteen were included in the qualitative analysis and twelve in the meta-analysis. The dental manifestations observed included dental abscesses, developmental defects of enamel and dentin, dental caries, taurodontism, and large pulp chambers. Dental abscesses were the most common manifestation, with a pooled prevalence of 0.39. Meta-regression showed no association between therapy duration and abscess occurrence but revealed a negative association between mean age and abscess prevalence.

conclusionsDental abscesses were the most frequent manifestation in children with HR. The role of therapy in improving oral health remains unclear due to insufficient data, indicating a need for further studies on the impact of HR on children's oral health.

Indexed as

childrendental abscessdental manifestationshypophosphatemic rickets

Identifiers

PMID40003246
PMCPMC11854695

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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.