Evidence map›Paper›PMID 40932944›Full record

ReviewCureus2025

Oral Manifestations in Children With Neutropenia: A Systematic Review.

Esther Kirubakaran, Sushmita Shan, Vivek K, Selvakumar Haridoss, Kavitha Swaminathan

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Esther KirubakaranPediatric and Preventive Dentistry, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Sushmita ShanPediatric and Preventive Dentistry, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Vivek KPediatric and Preventive Dentistry, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Selvakumar HaridossPediatric and Preventive Dentistry, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Kavitha SwaminathanPediatric and Preventive Dentistry, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neutropenia is a hematological disorder marked by low neutrophil counts, predisposing affected children to severe infections, including those in the oral cavity. Early identification of oral signs may facilitate timely hematological referral and intervention. This systematic review investigated oral manifestations in neutropenic children and emphasized the diagnostic role of pediatric dentists. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, five databases (PubMed, Scopus, EMBASE, Web of Science, and Ovid Medline) were searched up to April 2025, yielding 22 studies, including 19 case reports and three cross-sectional studies. The most frequently reported oral findings were chronic gingivitis, periodontitis, ulcers, and horizontal bone loss. Clinical presentation and severity varied among neutropenia subtypes. Due to heterogeneity, prevalence estimates were limited; however, one cross-sectional study reported gingival bleeding in 73.3% and mouth sores in 53.3% of neutropenic children. The review concluded that oral signs may serve as early indicators of neutropenia, but the current evidence is constrained by selection bias and inconsistent reporting. Pediatric dentists should interpret these manifestations as suggestive rather than diagnostic. Future studies should aim for standardized reporting and subtype-specific analysis to enhance the clinical value of oral indicators in neutropenia.

Indexed as

case reportschildrencross-sectional studiesgingivitisgsf refractory leukopenianeutropeniaoral manifestationsperiodontitissystematic reviewulcers

Identifiers

PMID40932944
PMCPMC12418289

What OpenQuestion holds

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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.