Evidence map›Paper›PMID 40153122›Full record

SynthesisClinical oral investigations2025

Does the early loss of primary teeth impact the oral health-related quality of life of children? A systematic review and meta-analysis.

Aurélio de Oliveira Rocha, Michely Cristina Goebel, Karina Cardoso, Lucas Menezes Dos Anjos, Mariane Cardoso, Filipe Colombo Vitali, Pablo Silveira Santos

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. How do clinicians treat irreversibly inflamed and necrotic primary molars? A worldwide survey of decision-making and practice.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
  2. Article
  3. Review
  4. 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

7 authors.

Aurélio de Oliveira RochaPostgraduate Program of Dentistry, Universidade Federal de Santa Catarina, Campus Universitário - Bloco H - Trindade, Florianopolis, Santa Catarina, 88040-900, Brazil.ORCID https://orcid.org/0000-0002-9308-2118
Michely Cristina GoebelPostgraduate Program of Dentistry, Universidade Federal de Santa Catarina, Campus Universitário - Bloco H - Trindade, Florianopolis, Santa Catarina, 88040-900, Brazil.ORCID https://orcid.org/0000-0001-9006-0696
Karina CardosoPostgraduate Program of Dentistry, Universidade Federal de Santa Catarina, Campus Universitário - Bloco H - Trindade, Florianopolis, Santa Catarina, 88040-900, Brazil.ORCID https://orcid.org/0009-0000-3535-6937
Lucas Menezes Dos AnjosPostgraduate Program of Dentistry, Universidade Federal de Santa Catarina, Campus Universitário - Bloco H - Trindade, Florianopolis, Santa Catarina, 88040-900, Brazil.ORCID https://orcid.org/0000-0001-5100-0789
Mariane CardosoPostgraduate Program of Dentistry, Universidade Federal de Santa Catarina, Campus Universitário - Bloco H - Trindade, Florianopolis, Santa Catarina, 88040-900, Brazil.ORCID https://orcid.org/0000-0001-9936-7942
Filipe Colombo VitaliPostgraduate Program of Dentistry, Universidade Federal de Santa Catarina, Campus Universitário - Bloco H - Trindade, Florianopolis, Santa Catarina, 88040-900, Brazil. filipevitali@hotmail.com.ORCID https://orcid.org/0000-0001-6189-9169
Pablo Silveira SantosPostgraduate Program of Dentistry, Universidade Federal de Santa Catarina, Campus Universitário - Bloco H - Trindade, Florianopolis, Santa Catarina, 88040-900, Brazil.ORCID https://orcid.org/0000-0001-9310-5642

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis systematic review aimed to assess the impact of early loss of primary teeth on children's Oral Health-Related Quality of Life (OHRQoL). MATERIALS AND

methodsElectronic searches were conducted in eight databases, including grey literature, up to February 2025. The PECOS strategy was employed to identify studies evaluating the impact of early loss of primary teeth on children's OHRQoL. Studies evaluating permanent tooth loss were excluded. The risk of bias in the included studies was evaluated using Joanna Briggs' checklists for observational studies and the Cochrane RoB 2 tool for randomized clinical trials. A random-effect meta-analysis was conducted comparing the mean scores of OHRQoL questionnaires between children with and without early loss of primary teeth. The certainty of evidence was assessed using the GRADE approach.

resultsFive studies were included in the systematic review and three in the meta-analysis. Three studies fulfilled all items of the risk of bias checklists. The meta-analysis revealed that children with early loss of primary molars scored an average of 14.38 points higher on the OHRQoL questionnaire (95% CI: 2.13-26.64) compared to those without early primary molar loss, indicating a poorer OHRQoL. The certainty of evidence was considered very low.

conclusionsThe early loss of primary molars negatively impacted the OHRQoL of schoolchildren aged 8 to 10 years, as evidenced by higher OHRQoL scores. CLINICAL RELEVANCE: The findings directly affect clinical practice, indicating that early loss of primary molars is associated with poorer OHRQoL in children aged 8 to 10 years. This information is valuable for dentists, pediatricians, and other healthcare professionals involved in children's oral health care. REGISTRATION: This systematic review was registered under the protocol registration code CRD42023439971.

Indexed as

Oral HealthQuality of LifeTooth, DeciduousTooth LossChildHumansSurveys and QuestionnairesOral health-related quality of lifePediatric dentistrySystematic reviewTooth, deciduousTooth loss

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.