Evidence map›Paper›PMID 40877804›Full record

ArticleBMC oral health2025

Global, regional, and national burden of caries in primary teeth from 1990 to 2021: results from the global burden of disease study 2021.

Xu Chen, Lei Jia, Qiong Wang, Jia-Jun Wang, Yu Tian, Zhen Zhang, Long Xie

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Prevent, Promote, PromulgateChildren (Basel, Switzerland) · 2026
    Review
  3. Article
  4. A biomimetic urchin-like photothermal nanoplatform for the efficient eradication ofFrontiers in cellular and infection microbiology · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. 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.

Xu Chen *State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Hongshan District, 237 Luoyu Road, Wuhan, 430079, China.
Lei Jia *Center for Regenerative Medicine and Restorative Materials, Huangpu Institute of Materials, Huangpu District, 388 Lianyun Road, Guangzhou, 510700, China.
Qiong WangDepartment of Stomatology, Huaihua Hospital of Traditional Chinese Medicine, Huaihua, 418000, Hunan, China.
Jia-Jun WangDepartment of Stomatology, The Fifth Division Traditional Chinese Medicine Hospital of Xinjiang Production and Construction Corps, Shuanghe, 833408, China.
Yu TianDepartment of Stomatology, The Fifth Division Hospital of Xinjiang Production and Construction Corps, Bole, 833400, China.
Zhen ZhangState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Hongshan District, 237 Luoyu Road, Wuhan, 430079, China. zhang_zhen@whu.edu.cn.
Long XieState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Hongshan District, 237 Luoyu Road, Wuhan, 430079, China. xielong@whu.edu.cn.

Funding

National Natural Science Foundation of China No. 81901018
6 · The paper itself

Abstract

objectiveTo investigate the disease burden of caries in primary teeth across global, 21 regions, and 204 countries and territories from 1990 to 2021.

methodsData on caries in primary teeth from 1990 to 2021 were obtained from the Global Burden of Disease (GBD) 2021 Study. The global incidence, prevalence of caries in primary teeth associated disability-adjusted life years (DALYs) were analyzed. The burden of the disease and temporal trends were quantified by calculating the age-standardized rate (ASR) and estimated annual percentage changes (EAPCs). To evaluate the distributional disparities in the burden of caries in primary teeth, the slope index of inequality (SII) was used. Additionally, a frontier analysis was performed to pinpoint areas for improvement and examine disparities between countries according to their levels of development.

resultsFrom 1990 to 2021, the ASR of incidence, prevalence, and DALYs declined globally. In 2021, Eastern Europe had the highest ASR for the incidence and DALYs of caries in primary teeth, with Romania being the country bearing the greatest disease burden. The burden of caries in primary teeth was negatively associated with sociodemographic index (SDI) across the 21 GBD regions. The SII of each indicator decreased from 1990 to 2021. Many countries, regardless of their level of development, have considerable potential to reduce the burden of caries in primary teeth.

conclusionThe global burden of caries in primary teeth is in a state of alleviation. However, health inequalities in caries in primary teeth related to SDI have continued for over 30 years. The high burden of caries in primary teeth is concentrated in low- and middle-income countries. Active and effective prevention and strong management strategies are needed in specific regions to reduce the burden of caries in primary teeth and achieve equity in health outcomes.

Indexed as

Dental CariesGlobal Burden of DiseaseTooth, DeciduousChildChild, PreschoolDisability-Adjusted Life YearsFemaleGlobal HealthHealth Status DisparitiesHumansIncidenceMalePrevalenceDisability-adjusted life years, Health inequalities, Incidence, Primary teeth, Prevalence

Identifiers

PMID40877804
PMCPMC12395743

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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.