子どもの口腔および歯の健康状態に対するの影響:体系的なレビューとメタ解析
Narjes Amrollahi1, Faeze Ghorbani2, Maryam Chegeni3
1Dental Research Center, Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
The Saudi dental journal
|August 30, 2025
まとめ
エピレプシーのある子供は,虫歯 (DMFT,dmft) が増加していないが,プラークと歯周指数は著しく高くなっている. これは小児性の治療において 標的を絞った口腔衛生介入の必要性を強調しています
科学分野:
- 小児神経学
- 口腔衛生研究
- 体系的なレビューとメタ分析
背景:
- エピレプシは,子供時代の一般的な神経疾患です.
- エピレプシーとその治療は 口腔の健康に悪影響を及ぼします
- 発作児の特定の口腔健康状態を理解することは極めて重要です.
研究 の 目的:
- 発作児の口腔と歯の健康状態を体系的に検討し,メタ分析する.
- 虫歯の経験 (DMFT,dmft),歯周指数,およびプラーク指数を,と健康な子供の間で比較する.
主な方法:
- スコパス,ウェブ・オブ・サイエンス,コクラン,パブメードの2024年6月までの体系的な文献検索.
- NIHのチェックリストを使用した品質評価後の8つの研究を含めた.
- Stata 17を用いたメタ解析で,BeggとMazumdarのテストによるI2と出版バイアスの異質性を評価した.
主要な成果:
- エピレプシーと健康な子供の間で,有意な虫歯の経験 (DMFT,dmft) は認められませんでした.
- エピレプシーのある小児の歯周指数 (効果サイズ0. 880, P < 0. 001) は著しく高かった.
- プラーク指数が著しく高かった (効果サイズは0. 788,P < 0. 001)
結論:
- エピレプシーを持つ子供は,健康な子供と比較して,虫歯のリスクは高くありません.
- 発作児は歯周の健康状態が悪化し,プラークの蓄積が増加する.
- の健康とプラークのレベルを管理するために,標的の口腔衛生戦略が推奨されています.
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