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Association between passive tobacco exposure and caries in children and adolescents. A systematic review and meta-analysis

Author

Listed:
  • Lourdes González-Valero
  • José María Montiel-Company
  • Carlos Bellot-Arcís
  • Teresa Almerich-Torres
  • José Enrique Iranzo-Cortés
  • José Manuel Almerich-Silla

Abstract

To examine the available evidence on the association between exposure to tobacco use in the womb and in infancy and the presence of caries in primary and permanent dentition in children and adolescents.A systematic review was conducted through searches in 4 data bases (Pubmed, Scopus, Embase and Web of Science), complemented by hand-searching. Of the 559 articles identified, 400 were duplicates. Finally, 28 articles were included in the qualitative review and 21 in the meta-analysis. Their quality was assessed using the Newcastle-Ottawa scale. The quality was medium in 44% of the articles included and high in 56%.The overall meta-analysis gave a significant odds ratio (OR = 1.53, 95% confidence interval 1.39–1.68, Z test p-value = 0.000) and high heterogeneity (Q = 200.3, p = 0.000; I2 = 86.52%). Separate meta-analyses were also performed for three subgroups: exposure in the womb (prenatal) and caries in primary dentition, which resulted in a significant OR = 1.46 with a 95% CI of 1.41–1.52 (Z test p = 0.000), without heterogeneity (Q = 0.91, p = 0.824; I2 = 0%); exposure in infancy (postnatal) and caries in primary dentition, with OR = 1.72 (95% CI 1.45–2.05) and high heterogeneity (Q = 76.59, p = 0.00; I2 = 83.01%); and postnatal exposure and caries in permanent dentition, with OR = 1.30 (95% CI 1.25–1.34) and no heterogeneity (Q = 4.48, p = 0.880; I2 = 0%). In children and adolescents, a significant though moderate association was found between passive tobacco exposure and caries.

Suggested Citation

  • Lourdes González-Valero & José María Montiel-Company & Carlos Bellot-Arcís & Teresa Almerich-Torres & José Enrique Iranzo-Cortés & José Manuel Almerich-Silla, 2018. "Association between passive tobacco exposure and caries in children and adolescents. A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-16, August.
    • Handle: RePEc:plo:pone00:0202497
    DOI: 10.1371/journal.pone.0202497
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    References listed on IDEAS

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    1. Sue Duval & Richard Tweedie, 2000. "Trim and Fill: A Simple Funnel-Plot–Based Method of Testing and Adjusting for Publication Bias in Meta-Analysis," Biometrics, The International Biometric Society, vol. 56(2), pages 455-463, June.
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    1. María García-Pola & Agueda González-Díaz & José Manuel García-Martín, 2021. "Effect of a Preventive Oral Health Program Starting during Pregnancy: A Case-Control Study Comparing Immigrant and Native Women and Their Children," IJERPH, MDPI, vol. 18(8), pages 1-14, April.
    2. Uta Knoblauch & Gerhard Ritschel & Kerstin Weidner & Sabine Mogwitz & Christian Hannig & Gabriele Viergutz & Maria Lenk, 2019. "The association between socioeconomic status, psychopathological symptom burden in mothers, and early childhood caries of their children," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-14, October.
    3. Hikari Saho & Ayano Taniguchi-Tabata & Daisuke Ekuni & Aya Yokoi & Kouta Kataoka & Daiki Fukuhara & Naoki Toyama & Md Monirul Islam & Nanami Sawada & Yukiho Nakashima & Momoko Nakahara & Junya Deguchi, 2020. "Association between Household Exposure to Secondhand Smoke and Dental Caries among Japanese Young Adults: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(22), pages 1-9, November.
    4. Oyewale Mayowa Morakinyo & Matlou Ingrid Mokgobu, 2022. "Indoor Household Exposures and Associated Morbidity and Mortality Outcomes in Children and Adults in South Africa," IJERPH, MDPI, vol. 19(15), pages 1-20, August.

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