detstomСтоматология детского возраста и профилактикаPediatric dentistry and dental prophylaxis1683-30311726-7218RPA10.33925/1683-3031-2023-611detstom-611Research ArticleОБЗОРREVIEWФакторы риска возникновения раннего детского кариеса: систематический обзорRisk factors for early childhood caries (systematic review)https://orcid.org/0000-0002-7377-8441ЛиСянLiXiang

Ли Сян, аспирант кафедры детской, профилактической стоматологии и ортодонтии Института стоматологии имени Е. В. Боровского

Москва

Xiang Li, DMD, PhD student, Department of Pediatric, Preventive Dentistry and Orthodontics, Borovsky Institute of Dentistry

Moscow

miley7@mail.ruhttps://orcid.org/0000-0003-0735-0583СкакодубА. А.SkakodubA. A.

Скакодуб Алла Анатольевна, кандидат медицинских наук, доцент кафедры детской, профилактической стоматологии и ортодонтии Института стоматологии имени Е. В. Боровского

Москва

Alla A. Skakodub, DMD, PhD, Associate Professor, Department of Pediatric, Preventive Dentistry and Orthodontics, Borovsky Institute of Dentistry

Moscow

skalla71@mail.ruПервый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University)Russian Federation202306062023232Принято в печать168175Copyright © Ли С., Скакодуб А.А., 20232023Ли С., Скакодуб А.А.Li X., Skakodub A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.detstom.ru/jour/article/view/611Актуальность

Актуальность. Ранний детский кариес остается наиболее распространенным хроническим заболеванием у детей, оказывающим значительное влияние на общество во всем мире.

Цель

Цель. Изучить все факторы риска возникновения раннего детского кариеса, выявленные с 2004 по 2023 год.

Материалы и методы

Материалы и методы. В данном обзоре были проведен анализ и поиск литературы в базах данных MEDLINE, Embase, Cochrane CENTRAL, Cochrane Database of Systematic Reviews, PubMed и E-library с использованием ключевых слов на английском и русском языке соответственно: caries, early childhood caries, dental diseases, risk factors, ранний кариес, ранний детский кариес, стоматологические заболевания, факторы риска. Кроме того, были также изучены ссылки на исследования, соответствующие теме, и проведен ручной поиск в пристатейных списках литературы по потенциально подходящим публикациям. В итоге в систематический обзор были включены исследования: рандомизированные контролируемые исследования, метаанализ и систематические обзоры на выявление факторов риска возникновения кариеса в раннем детском возрасте за последние десять лет. В итоговую выборку была включена 31 работа, охватившая 16 стран и опубликованная с 2004 по 2023 годы.

Результаты

Результаты. По результатам проведенных исследований были установлены основные факторы риска развития раннего детского кариеса (факторы гигиены полости рта, социально-демографические факторы и диетические факторы), определены временные факторы риска (осложненное течение беременности, потребление кальция во время беременности) и установлены недостаточно изученные факторы риска.

Заключение

Заключение. Данные включенных исследований подтверждают многофакторность возникновения кариеса в раннем детском возрасте и отсутствие количественного анализа среди всех известных на сегодняшний день факторов, которые могли бы значительно снизить показатели распространенности кариеса благодаря концептуальной модели лечения.

Relevance

Relevance. Early childhood caries remains the most common chronic disease in children, having a significant impact on society around the world.

Objective

Objective. To study all risk factors for early childhood caries identified from 2004 to 2023.

Material and methods

Material and methods. The review analyzed and searched the literature in the databases MEDLINE, Embase, Cochrane CENTRAL, Cochrane Database of Systematic Reviews, PubMed and E-library using the keywords: caries, early childhood caries, dental diseases, risk factors in English and Russian, respectively. In addition, we studied links to the studies relevant to the topic and manually searched the references for potentially suitable publications. The systematic review finally included randomized controlled trials, meta-analysis and systematic reviews to identify risk factors for caries onset in early childhood over the past decade. The final sample included 31 papers covering 16 countries and published from 2004 to 2023.

Results

Results. The results of the studies established the main risk factors for early childhood caries development (oral hygiene factors, social-demographic factors and dietary factors), identified temporary risk factors (complicated pregnancy, calcium intake during pregnancy), and determined insufficiently studied risk factors.

Conclusion

Conclusion. The data of the included studies confirm the multifactorial nature of caries onset in early childhood and the lack of quantitative analysis among all currently known factors, which could significantly reduce caries prevalence due to the conceptual treatment model.

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The authors declare that there are no conflicts of interest present.