Minsung Sohn, Minsoo Jung, Mankyu Choi
Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective
Inquiry : a journal of medical care organization, provision and financing
updated systematic review khan et al reviews evidence surrounding possible factors could contribute development early childhood caries ecc children particular age group follows previously published systematic review across 19972017 factors used development caries risk assessment cra tool review aimed identify established updated evidencebased factors could contribute childs development early childhood caries ecc four online databases used source evidence including cochrane library embase medline scopus data search selected studies published 2017 2021 three specific terms used search dental caries children risk assessment three teams involved data collection two teams reviewed selected articles exclusion criteria included duplicate studies commentaries editorials inclusion criteria included randomised control trials cohort studies selected studies must include children younger 72 months define demographics clinical characteristics clear followup patients involved commonly identified factors mentioned multiple studies collected assigned strength depending evidence measured using ratios could utilised form draft caries risk assessment tool 512 abstracts 52 articles screened matched criteria set extraction data completed four headings childs age time study yearsmonths risk predictors outcome quality evidence presented grade system employed separate studies high moderate low low categorisation eventually 22 new studies included would build original 25 articles identified previous systematic review defining factors across recent systematic reviews 2021 highlighted behavioural factors toothbrushing quality parental supervision frequency fluoride exposure specifically presence plaque used marker oral hygiene evaluation dietary history included snacking frequency controversially babytoddler breastfeeding patterns however take consideration dental impact mainly frequency timing breastfeeding eg overnight review emphasises importance consideration socioeconomic factors though may difficult topic discussion families struggling ie household income education level parents guardians also mention factors significant evidence base childs gender ethnicity parental smoking status conclusion factors found relevant development ecc childs age toothbrushing qualityplaque control parental involvement toothbrushing fluoride exposure pattern dental attendance dietary sugar exposure habits clinically carious active lesion presence oral bacterial composition streptococcus mutans presence socioeconomic status child family though review encourages identification caries risk factors mentioned groups separated dental nondental professionals ideally aim would create holistic care approach management signposting