Evidence map›Paper›PMID 42020361›Full record

ArticleBDJ open2026

The relationship between parental mental health and early childhood caries: a meta-analysis and systematic review.

Lili Ma, Liying Jia, Kaixuan Han, Yanyan Zhang, Shu Fan, Hong Shi

Abstract read
In one paragraph

Article in BDJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

6 authors.

Lili Ma *Department of Pediatric Dentistry, Hospital of Stomatology and Hebei Provincial Key Laboratory of Stomatology, Hebei Medical University, Shijiazhuang, China.
Liying Jia *Department of Preventive Dentistry, Hospital of Stomatology and Hebei Provincial Key Laboratory of Stomatology, Hebei Medical University, Shijiazhuang, China.
Kaixuan HanDepartment of Pediatric Dentistry, Hospital of Stomatology and Hebei Provincial Key Laboratory of Stomatology, Hebei Medical University, Shijiazhuang, China.
Yanyan ZhangDepartment of Pediatric Dentistry, Hospital of Stomatology and Hebei Provincial Key Laboratory of Stomatology, Hebei Medical University, Shijiazhuang, China.
Shu FanDepartment of Pediatric Dentistry, Hospital of Stomatology and Hebei Provincial Key Laboratory of Stomatology, Hebei Medical University, Shijiazhuang, China.
Hong ShiDepartment of Pediatric Dentistry, Hospital of Stomatology and Hebei Provincial Key Laboratory of Stomatology, Hebei Medical University, Shijiazhuang, China. shihong@hebmu.edu.cn.ORCID http://orcid.org/0009-0007-5557-5556

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to systematically evaluate the relationship between parental mental health and early childhood caries (ECC), providing scientific basis for researching the etiology and enabling clinical prediction and prevention of ECC. MATERIALS AND

methodsA comprehensive search was conducted across five databases to identify relevant studies published up to October 2025. Eligible studies were those investigating the relationship between parental mental health and ECC. Data extraction and synthesis were performed following PRISMA guidelines using Stata 16.0. Robustness, heterogeneity, certainty of evidence, and publication bias were evaluated.

resultsOut of 2889 studies, 12 were included in the meta-analysis. From 12 included studies, 3 explored parental depression, 7 explored parental dental anxiety, 4 explored parental stress, and 1 explored parental general anxiety disorder. The meta-analysis results showed that parental mental conditions increased the risk of ECC (ECC prevalence rate: OR = 1.54, 95%CI: 1.12-2.12) and (dmft: SMD = 0.19, 95%CI: 0.13-0.26), significantly.The subgroup results showed that parental dental anxiety and depression were both associated with ECC (OR = 1.59, 95% CI: 1.00-2.51; OR = 1.49, 95% CI: 1.09-2.04). There was no relationship between parental stress and ECC (OR = 2.19, 95%CI: 0.36-13.20). The meta-analysis results of adjustment ORs about parental stress were similar to the crude ORs (OR = 0.81, 95%CI: 0.58-1.14).

conclusionsThe results indicated a strong association between parental mental conditions and ECC. Furthermore, higher levels of dental anxiety and depression in parents were associated with a higher prevalence of ECC in their children. However, the relationship between psychological stress and ECC was not observed. Results must be interpreted with caution due to the limitations of the evidence base.

Identifiers

PMID42020361
PMCPMC13103358

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LicenceCC BY
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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.