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European Archives of Paediatric Dentistry

Erschienen in:

15.07.2022 | Systematic Review

Periodontal outcomes of children and adolescents with attention deficit hyperactivity disorder: a systematic review and meta-analysis

verfasst von: V. Z. Drumond, A. A. Andrade, J. A. A. de Arruda, R. A. Mesquita, L. G. Abreu

Erschienen in: European Archives of Paediatric Dentistry | Ausgabe 4/2022

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Abstract

Background

This systematic review and meta-analysis aimed to answer the following question: Are children and adolescents with attention deficit hyperactivity disorder (ADHD) more likely to have gingival or periodontal disease-related outcomes than their non-ADHD peers?

Methods

Searches were conducted in the following databases: Embase, Scopus, Web of Science, and PubMed. Google Scholar and OpenGrey were also verified. Observational studies were included in which children and adolescents with ADHD were compared with their healthy peers in terms of gingival and/or periodontal endpoints. Bias appraisal was performed using the Joann Briggs tool for case–control and cross-sectional studies. Meta-analysis was performed using R language. Results are reported as mean difference (MD) and odds ratio (OR). Statistical analyses were performed in RStudio.

Results

A total of 149 records were identified in the searches. Seven studies were included. The meta-analysis showed that children and adolescents with ADHD had a higher mean gingival bleeding index (percentage) than their non-ADHD peers (MD = 11.25; CI = 0.08–22.41; I² = 73%). There was no difference between groups for plaque index (MD = 4.87; CI = − 2.56 to 12.30; I² = 63%) and gingivitis (OR = 1.42; CI = 0.22–9.21; I² = 76%). Regarding the assessment of risk of bias, the major issue found in the articles was the absence of analyses for the control of confounding factors.

Conclusion

Children and adolescents with ADHD had more gingival bleeding than their non-ADHD peers, but no difference regarding plaque or gingivitis was detected between groups.

Clinical registration

CRD42021258404.

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Titel: Periodontal outcomes of children and adolescents with attention deficit hyperactivity disorder: a systematic review and meta-analysis
verfasst von: V. Z. Drumond
A. A. Andrade
J. A. A. de Arruda
R. A. Mesquita
L. G. Abreu
Publikationsdatum: 15.07.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Paediatric Dentistry / Ausgabe 4/2022
Print ISSN: 1818-6300
Elektronische ISSN: 1996-9805
DOI: https://doi.org/10.1007/s40368-022-00732-8

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Periodontal outcomes of children and adolescents with attention deficit hyperactivity disorder: a systematic review and meta-analysis

Abstract

Background

Methods

Results

Conclusion

Clinical registration

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Abstract

Background

Methods

Results

Conclusion

Clinical registration

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