Evidence map›Paper›PMID 41905896›Full record

SynthesisJournal of clinical periodontology2026

Dental Biofilm-Induced Gingivitis in Children and Adolescents Without Known Systemic Involvement: A Systematic Review.

Georgios Tsilingaridis, Nitesh Tewari, Kyriaki Seremidi, William Papaioannou, Rodrigo López

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of clinical periodontology, 2026. 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. Article
  2. Article
  3. Article
  4. Gingival and periodontal diseases and conditions in children and adolescents: consensus report.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    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.

Georgios TsilingaridisDivision of Paediatric Dentistry, Department of Dental Medicine, Karolinska Institute, Huddinge, Sweden.ORCID https://orcid.org/0000-0001-5361-5840
Nitesh TewariPaediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0002-6747-5110
Kyriaki SeremidiDepartment of Paediatric Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece.
William PapaioannouDepartment of Preventive and Community Dentistry, National and Kapodistrian University of Athens, Athens, Greece.
Rodrigo LópezCenter for Translational Oral Research - Periodontology, Department of Clinical Dentistry, University of Bergen, Bergen, Norway.ORCID https://orcid.org/0000-0001-6170-507X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo synthesize evidence on gingival diseases and conditions in children and adolescents (< 18 years) without known systemic disorder involvement, focusing on their distribution, aetiology, diagnosis, management and oral health-related quality of life (OHRQoL). MATERIALS AND

methodsA systematic review was carried out following PRISMA guidelines, including PubMed Central, Scopus, EMBASE and LILACS, up to January 2025. Clinical trials and observational studies addressing gingival diseases or conditions in healthy individuals under 18 years were included.

resultsThe search identified 33,180 studies. Title and abstract screening narrowed these to 2264, of which 433 were full-text-reviewed. Ultimately, 269 studies, all restricted to biofilm-induced gingivitis, were included. Considerable heterogeneity was observed in diagnostic criteria and study quality. Dental biofilm-induced gingivitis was common (52%) and associated with poorer OHRQoL. Key determinants for gingival inflammation included socioeconomic status, oral hygiene behaviours, pubertal changes and malocclusion. Based on current evidence, effective management of gingivitis in children should combine supervised toothbrushing with a fluoridated toothpaste and school- or caregiver-based oral health education. Adjunctive use of chlorhexidine may provide additional benefit in certain clinical situations.

conclusionDental biofilm-induced gingivitis is frequent among children and adolescents and influenced by numerous determinants. Prevention and treatment should emphasise accessible, behaviour-focused and education-based strategies for biofilm control.

Indexed as

BiofilmsDental PlaqueGingivitisAdolescentChildHumansOral HygieneQuality of Lifeadolescentbiofilmschilddental plaquegingival diseasesgingivitis

Identifiers

PMID41905896
PMCPMC13263723

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.