Oral health issues in children and adolescents with vision impairment: a systematic review and meta-analysis

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Universidade Federal de Minas Gerais

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Artigo de periódico

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Background: Children and adolescents with vision impairment (VI) may be atincreased risk of oral health issues, such as periodontal inflammation, poor oral hygiene, dental caries, and dental trauma, but this is inconclusive in the literature. Aim: To systematically review the literature to determine the main oral health issues of children and adolescents with VI compared to those without VI. Design: Electronic and manual searches were performed to identify observational studies involving children and adolescents with and without VI, to determine and compare their oral health issues. The methodological quality wasassessed using the Joanna Briggs Institute critical appraisal tool. Studies that had homogeneity of methods were incorporated into meta-analyses. Results: Fifteen cross-sectional studies were included. Overall, most studies presented methodological flaws and high risk of bias. The meta-analysis showed that children and adolescents with VI were 3.86 times as likely to exhibit dental trauma (OR = 3.86, 95% CI = 2.63–5.68, I2 = 0%) and had higher/poorer valuesfor plaque (MD = 0.80, 95% CI = 0.58–1.02, I 2 = 96%), gingivitis (MD = 0.69, 95%CI = 0.02–1.37, I 2 = 100%), calculus (MD = 0.04, 95% CI = 0.03–0.06, I 2 = 0%), andoral hygiene indices (MD = 0.71, 95% CI = 0.24–1.18, I 2 = 97%), as well as DMFS(MD = 0.90, 95% CI = 0.68–1.13, I2 = 26%). Conclusion: Across a wide array of assessments, children and adolescents with vision impairment had worse oral health outcomes than those without VI.

Abstract

Assunto

Oral health, Dental care for persons with disabilities, Dental care for children, Tooth injuries, Vision disorders

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Adolescent, Blindness, Child, Dental care of disabled, Oral health, Traumatic dental injuries, Visual impairment

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https://onlinelibrary.wiley.com/doi/full/10.1111/ipd.12967

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