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Does Growth Stunting Correlate with Oral Health in Children?: A Systematic Review
Zayyana Jasmine Sadida1, Ratna Indriyanti2, Arlette Suzy Setiawan2
1Faculty of Dentistry, Universitas Padjadjaran, Jl. Sekeloa Selatan 1, Bandung, Indonesia.
Insights
Children with growth stunting often experience poorer oral health, including higher plaque levels and increased risk of dental caries. This impacts overall oral hygiene and salivary factors in pediatric populations.
Area of Science:
- Pediatric Health
- Oral Health
- Nutrition Science
Background:
- Growth stunting, defined by WHO standards, impacts children's physical development.
- Stunting can affect brain development and other bodily systems, including the oral cavity.
- Oral health issues in stunted children may manifest as poor oral hygiene and compromised overall oral health.
Purpose of the Study:
- To systematically evaluate the correlation between growth stunting and oral health in children.
- To synthesize findings from existing literature on this relationship.
Main Methods:
- Systematic literature review using PubMed and Google Scholar.
- Inclusion criteria: studies on malnutrition and oral health (2010-2020), children aged 0-18.
- Exclusion criteria: articles not discussing growth stunting and oral health, grey literature. PRISMA guidelines followed.
Main Results:
- Ten articles were selected for review.
- Three articles showed a correlation between growth stunting and oral health.
- Findings indicated a high plaque index, decreased salivary flow rate, altered salivary composition, and increased dental caries in stunted children.
Conclusions:
- A link exists between growth stunting and diminished oral health in children.
- Oral health indicators like plaque index, salivary flow, and caries incidence are affected by stunting.
- Further research is needed, but current evidence suggests significant oral health implications for growth-stunted children.
Abstract:
Growth stunting is when children tend to be shorter than their peers through the World Health Organization child growth standard measurement. The condition may affect the development of the brain and other parts of the body, including the oral cavity, which manifests in oral hygiene and overall oral health. This systematic approach literature study aimed to evaluate the correlation between growth stunting and oral health in children. This study was conducted by using a literature review method with a systematic approach by searching for articles related to research topics on PubMed and Google Scholar. The search was adjusted to the inclusion category, which is research that discusses malnutrition and oral health published between 2010 and 2020-research conducted on boys and girls-from birth to 18 years. The exclusion categories used were articles that did not discuss growth stunting and oral health, and grey literature was excluded. The selection of articles was carried out by using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach and resulted in 10 selected articles with details as follows: the correlation between growth stunting and oral health in three articles. A high plaque index in growth stunting children was found in two articles, and a decrease in saliva composition in growth stunting children was also found in two articles. Four articles showed a relationship between growth stunting and salivary flow rate. Lastly, one article showed the relationship between growth stunting and the incidence of dental caries. Despite the limitation of the review, the correlation between growth stunting and overall oral health in children can be seen through the oral hygiene index as moderate to low, high plaque index, decreased salivary flow rate, salivary composition, and dental caries in children with growth stunting.
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