ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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| Title |
Asthma patients have an increased caries rate in primary and permanent dentitions |
| Clinical Question |
For an otherwise low caries risk patient, does asthma cause increased incidence of dental caries? |
| Clinical Bottom Line |
Asthma patients have an increased caries rate in primary and permanent dentitions.
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| Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| #1) 29972654 | Agostini /2018 | 36 studies | Meta-Analysis and Meta-regression | | Key results | After a thorough review of the literature, 36 clinical studies met SR criteria and were used in meta-analysis. The The Odds ratio (OR) for the pooled effect was 1.45 (95% confidence interval (CI): 1.22–1.72; I2, 71.8%; p < 0.001) and 1.52 (95% CI: 1.34–1.73; I2, 83.1%; p < 0.001). Conclusion was that asthma does affect caries rate in primary and permanent dentition. | |
| Evidence Search |
"asthma" and "caries" |
Comments on
The Evidence |
Validity:
Agostini's study is a high level meta-analysis that performed a comprehensive and detailed search of the relevant trials. It was conducted in accordance with the PRISMA guidelines and the Critical Appraisal Checklist recommended by the Joanna Briggs Institute (JBI) was adopted to assess the quality of the studies. Potential bias was ruled out using the funnel plot and Egger test and the statistical analysis was performed using the STATA 14.2 software. All of this confirms that this study was systematic, consistent and had low bias.
Perspective:
This analysis does provide significant evidence that asthma impacts caries experience in primary and permanent dentitions. The inclusion criteria for this study reflects the asthmatic population that general, pediatric and orthodontic practices will include, further supporting the relevance of this critical appraisal.
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| Applicability |
This evidence can be used in clinical practice to provide applicable oral health care instruction to patients being treated for asthma and parents of children and adolescents with asthma. Additionally, this information can inform practitioners of the increase in caries risk for asthmatic patients so that they can include prevention measures in treatment planning. |
| Specialty/Discipline |
(Public Health) (General Dentistry) (Orthodontics) (Pediatric Dentistry) (Periodontics) |
| Keywords |
asthma, caries, physician; patient education; preventive; prevention
|
| ID# |
3328 |
| Date of submission: |
10/09/2018 |
| E-mail |
pagek@livemail.uthscsa.edu |
| Author |
Kara Whittington |
| Co-author(s) |
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| Co-author(s) e-mail |
|
| Faculty mentor/Co-author |
Dr. Elva Jordan, DDS |
| Faculty mentor/Co-author e-mail |
jordanev@livemail.uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
| None available | |
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