Dental trauma in children and adolescents with attention‐deficit/hyperactivity disorder: A systematic review and meta‐analysis

Author:

Drumond Victor Zanetti1ORCID,de Oliveira Thaynara Nascimento2,de Arruda José Alcides Almeida3ORCID,Mesquita Ricardo Alves3ORCID,Abreu Lucas Guimarães2ORCID

Affiliation:

1. Department of Oral Surgery and Implantology Faculdades Unidas do Norte de Minas Ipatinga Minas Gerais Brazil

2. Department of Child and Adolescent Oral Health, School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Minas Gerais Brazil

3. Department of Oral Surgery, Pathology and Clinical Dentistry, School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Minas Gerais Brazil

Abstract

AbstractAimAttention‐deficit/hyperactivity disorder (ADHD) is a childhood neurodevelopmental disorder primarily characterized by inattention and hyperactivity that affects approximately 7.2% of children and adolescents worldwide. This study aimed to assess whether children and adolescents with ADHD were more likely to have dental trauma when compared to their healthy peers.MethodsThis study was reported following the statements proposed in MOOSE (Meta‐analyses Of Observational Studies in Epidemiology). PubMed, Web of Science, Scopus, Embase, APA PsycINFO, LILACS, and grey literature were searched until October 2022. Observational studies with a control group were eligible. The risk of bias was assessed using the Newcastle‐Ottawa Scale. The meta‐analysis was performed using the R language. GRADE (Grading of Recommendations Assessment, Development and Evaluation) was applied.ResultsA total of 239 studies were detected; of these, six were included in the qualitative synthesis and four were merged in the meta‐analysis (OR = 1.80 [1.16–2.80]; I2 = 18.6% [0.0%–87.5%]). The risk of bias was high. The strength of the evidence was “very low.”ConclusionChildren and adolescents with ADHD are more likely to have dental trauma than their non‐ADHD peers. However, due to limitations in the design of the included studies, a causal relationship cannot be established.

Publisher

Wiley

Subject

General Dentistry

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