Are Dental Caries Associated with Oxidative Stress in Saliva in Children and Adolescents? A Systematic Review

This systematic review aimed to assess whether dental caries is associated with oxidative salivary stress. The searches were carried out in electronic databases, including PubMed, Scopus, Web of Science, the Cochrane Library, LILACS, OpenGrey, and Google Scholar, without restrictions on the date of...

Full description

Bibliographic Details
Main Authors: Yago Gecy de Sousa Né, Deborah Ribeiro Frazão, Leonardo Oliveira Bittencourt, Nathalia Carolina Fernandes Fagundes, Guido Marañón-Vásquez, Maria Elena Crespo-Lopez, Lucianne Cople Maia, Rafael Rodrigues Lima
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/12/9/858
_version_ 1827658888474787840
author Yago Gecy de Sousa Né
Deborah Ribeiro Frazão
Leonardo Oliveira Bittencourt
Nathalia Carolina Fernandes Fagundes
Guido Marañón-Vásquez
Maria Elena Crespo-Lopez
Lucianne Cople Maia
Rafael Rodrigues Lima
author_facet Yago Gecy de Sousa Né
Deborah Ribeiro Frazão
Leonardo Oliveira Bittencourt
Nathalia Carolina Fernandes Fagundes
Guido Marañón-Vásquez
Maria Elena Crespo-Lopez
Lucianne Cople Maia
Rafael Rodrigues Lima
author_sort Yago Gecy de Sousa Né
collection DOAJ
description This systematic review aimed to assess whether dental caries is associated with oxidative salivary stress. The searches were carried out in electronic databases, including PubMed, Scopus, Web of Science, the Cochrane Library, LILACS, OpenGrey, and Google Scholar, without restrictions on the date of publication and language. The acronym PECO was used, in which the participants (P) were children and adolescents exposed (E) to dental caries compared (C) to those without dental caries, with the outcome (O) of modulation of oxidative biochemical parameters. After the search retrieval, the duplicates were removed, and the articles were evaluated by title and abstract, following the inclusion and exclusion criteria. Then, the papers were read and thoroughly assessed. After selection, the risk of bias assessment and qualitative synthesis were performed using the Newcastle-Ottawa Scale (NOS) for observational studies. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) tool was used to assess the level of evidence. A total of 5790 studies were found, and 30 articles were considered eligible and were included for the qualitative synthesis and the level of evidence assessment. The studies showed an imbalance of the antioxidant and pro-oxidant parameters in individuals with dental caries, with primarily increases in both total antioxidant capacity and lipid peroxidation. Most articles showed a low risk of bias, having comparability as the main issue. When exploring through GRADE, a very low level of evidence was found. It was possible to observe an association between oxidative stress and dental caries, showing a disbalance of antioxidants and pro-oxidants, but the evidence level was still very low.
first_indexed 2024-03-09T23:10:55Z
format Article
id doaj.art-9b46a5b93520490aa1359bb6b65870db
institution Directory Open Access Journal
issn 2218-1989
language English
last_indexed 2024-03-09T23:10:55Z
publishDate 2022-09-01
publisher MDPI AG
record_format Article
series Metabolites
spelling doaj.art-9b46a5b93520490aa1359bb6b65870db2023-11-23T17:44:56ZengMDPI AGMetabolites2218-19892022-09-0112985810.3390/metabo12090858Are Dental Caries Associated with Oxidative Stress in Saliva in Children and Adolescents? A Systematic ReviewYago Gecy de Sousa Né0Deborah Ribeiro Frazão1Leonardo Oliveira Bittencourt2Nathalia Carolina Fernandes Fagundes3Guido Marañón-Vásquez4Maria Elena Crespo-Lopez5Lucianne Cople Maia6Rafael Rodrigues Lima7Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Universidade Federal do Pará, Belem 66075-110, PA, BrazilLaboratory of Functional and Structural Biology, Institute of Biological Sciences, Universidade Federal do Pará, Belem 66075-110, PA, BrazilLaboratory of Functional and Structural Biology, Institute of Biological Sciences, Universidade Federal do Pará, Belem 66075-110, PA, BrazilSchool of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, CanadaDepartment of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-901, RJ, BrazilLaboratory of Molecular Pharmacology, Institute of Biological Sciences, Universidade Federal do Pará, Belem 66075-110, PA, BrazilDepartment of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-901, RJ, BrazilLaboratory of Functional and Structural Biology, Institute of Biological Sciences, Universidade Federal do Pará, Belem 66075-110, PA, BrazilThis systematic review aimed to assess whether dental caries is associated with oxidative salivary stress. The searches were carried out in electronic databases, including PubMed, Scopus, Web of Science, the Cochrane Library, LILACS, OpenGrey, and Google Scholar, without restrictions on the date of publication and language. The acronym PECO was used, in which the participants (P) were children and adolescents exposed (E) to dental caries compared (C) to those without dental caries, with the outcome (O) of modulation of oxidative biochemical parameters. After the search retrieval, the duplicates were removed, and the articles were evaluated by title and abstract, following the inclusion and exclusion criteria. Then, the papers were read and thoroughly assessed. After selection, the risk of bias assessment and qualitative synthesis were performed using the Newcastle-Ottawa Scale (NOS) for observational studies. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) tool was used to assess the level of evidence. A total of 5790 studies were found, and 30 articles were considered eligible and were included for the qualitative synthesis and the level of evidence assessment. The studies showed an imbalance of the antioxidant and pro-oxidant parameters in individuals with dental caries, with primarily increases in both total antioxidant capacity and lipid peroxidation. Most articles showed a low risk of bias, having comparability as the main issue. When exploring through GRADE, a very low level of evidence was found. It was possible to observe an association between oxidative stress and dental caries, showing a disbalance of antioxidants and pro-oxidants, but the evidence level was still very low.https://www.mdpi.com/2218-1989/12/9/858dental cariessalivaoxidative stresssystematic review
spellingShingle Yago Gecy de Sousa Né
Deborah Ribeiro Frazão
Leonardo Oliveira Bittencourt
Nathalia Carolina Fernandes Fagundes
Guido Marañón-Vásquez
Maria Elena Crespo-Lopez
Lucianne Cople Maia
Rafael Rodrigues Lima
Are Dental Caries Associated with Oxidative Stress in Saliva in Children and Adolescents? A Systematic Review
Metabolites
dental caries
saliva
oxidative stress
systematic review
title Are Dental Caries Associated with Oxidative Stress in Saliva in Children and Adolescents? A Systematic Review
title_full Are Dental Caries Associated with Oxidative Stress in Saliva in Children and Adolescents? A Systematic Review
title_fullStr Are Dental Caries Associated with Oxidative Stress in Saliva in Children and Adolescents? A Systematic Review
title_full_unstemmed Are Dental Caries Associated with Oxidative Stress in Saliva in Children and Adolescents? A Systematic Review
title_short Are Dental Caries Associated with Oxidative Stress in Saliva in Children and Adolescents? A Systematic Review
title_sort are dental caries associated with oxidative stress in saliva in children and adolescents a systematic review
topic dental caries
saliva
oxidative stress
systematic review
url https://www.mdpi.com/2218-1989/12/9/858
work_keys_str_mv AT yagogecydesousane aredentalcariesassociatedwithoxidativestressinsalivainchildrenandadolescentsasystematicreview
AT deborahribeirofrazao aredentalcariesassociatedwithoxidativestressinsalivainchildrenandadolescentsasystematicreview
AT leonardooliveirabittencourt aredentalcariesassociatedwithoxidativestressinsalivainchildrenandadolescentsasystematicreview
AT nathaliacarolinafernandesfagundes aredentalcariesassociatedwithoxidativestressinsalivainchildrenandadolescentsasystematicreview
AT guidomaranonvasquez aredentalcariesassociatedwithoxidativestressinsalivainchildrenandadolescentsasystematicreview
AT mariaelenacrespolopez aredentalcariesassociatedwithoxidativestressinsalivainchildrenandadolescentsasystematicreview
AT luciannecoplemaia aredentalcariesassociatedwithoxidativestressinsalivainchildrenandadolescentsasystematicreview
AT rafaelrodrigueslima aredentalcariesassociatedwithoxidativestressinsalivainchildrenandadolescentsasystematicreview