Dental caries, diabetes mellitus, metabolic control and diabetes duration: A systematic review and meta-analysis.

摘要: Objective To analyze articles aimed at evaluating the association between diabetes, metabolic control, diabetes duration, and dental caries. Overview A systematic search in PubMed, Cochrane Library, Embase, Web of Science was conducted to retrieve papers English, Portuguese, Spanish, up April 2019. The research strategy constructed considering "PECO" strategy. Only quantitative observational studies were analyzed. risk bias assessed using Newcastle-Ottawa Quality Assessment Scale. meta-analyses performed based on random-effects models statistical platform R. total 69 included review 40 meta-analysis. Type 1 diabetics have a significantly higher DMFT compared controls. No significant differences found type 2 controls well-controlled poorly controlled diabetics. Concerning all authors failed find groups. Conclusion Although there is still need for longitudinal studies, meta-analysis proved that high caries risk. Clinical significance It necessary be aware factors may associated with these patients, making it possible include them into an individualized prevention program.