Evidence map›Paper›PMID 42246314›Full record

SynthesisJournal of global health2026

Association between asthma, allergic rhinitis, atopic dermatitis, and dental caries: evidence from systematic review with meta-analysis and Mendelian randomisation investigation.

Qi Yu, Lei Lan, Yachun Li, Ying He, Jiaqian Hu, Kaiwen Fang, Yinhui Ji, Zhuo Chen, Ya-Dong Gao, Yang Zheng

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Qi Yu *Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, China.
Lei Lan *State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yachun LiDepartment of Allergy, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Ying HeDepartment of Allergy, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jiaqian HuDepartment of Allergy, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Kaiwen FangDepartment of Allergy, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yinhui JiDepartment of Allergy, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Zhuo ChenStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, China.
Ya-Dong GaoDepartment of Allergy, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yang ZhengDepartment of Allergy, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Allergic diseases and dental caries share overlapping epidemiological trends and risk factors, compromising the patients' quality of life and increasing health care costs. We aimed to explore the associations and potential causal relationships between allergic diseases (asthma, allergic rhinitis, and atopic dermatitis) and the presence/severity of dental caries. Methods: We conducted a systematic review and meta-analysis by searching PubMed, Embase, and the Cochrane Library studies published up to 16 June 2025 reporting dental caries outcomes in relation to asthma, allergic rhinitis, or atopic dermatitis. We calculated pooled odds ratios (ORs) and standardised mean differences (SMDs) using random-effects models and utilised meta-regression to investigate heterogeneity. Then, we performed a two-sample Mendelian randomisation (MR) analysis based on genome-wide association study data to assess causal relationships, employing inverse-variance weighted (IVW) and other MR methods. Results: We included 60 studies encompassing 343 975 participants across 22 countries/regions. Asthma (OR = 1.44; 95% CI = 1.17, 1.76) and atopic dermatitis (OR = 1.09; 95% CI = 1.01, 1.17) were associated with an increased risk of dental caries, while allergic rhinitis was not (OR = 1.01; 95% CI = 0.86, 1.18). Asthma and atopic dermatitis patients had higher decayed, missing, and filled teeth for permanent dentition (DMFT) scores, with SMDs of 0.92 (95% CI = 0.32, 1.52) and 0.06 (95% CI = -0.02, 0.14). We also found higher decayed, missing, and filled surfaces for permanent dentition (DMFS) and decayed, extracted, and filled surfaces for primary dentition (defs/dfs) scores in allergic patients, while dmft/dft and the plaque index scores did not show statistically significant associations, with SMDs of 0.17 (95% CI = -0.60, 0.93) and 1.78 (95% CI = -1.47, 5.03), respectively. The MR analysis confirmed a potential causal link for asthma (IVW OR = 1.09; 95% CI = 1.02, 1.17) and a non-significant trend for atopic dermatitis (OR = 1.05; 95% CI = 0.99, 1.11). Conclusions: Our analysis showed that asthma and atopic dermatitis could be associated with an increased risk and severity of dental caries, while allergic rhinitis is not. Clinical practitioners could consider adopting an integrated prevention strategy that addresses the comorbidity between oral health and allergic diseases. Registration: PROSPERO: CRD420251103903.

Indexed as

AsthmaDental CariesDermatitis, AtopicRhinitis, AllergicHumansMendelian Randomization AnalysisRisk Factors

Identifiers

PMID42246314
PMCPMC13237811

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.