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Table 3 Characteristics of included studies

From: Association between antiretroviral therapy and dental caries in children and adolescents with HIV: a systematic review and meta-analysis

Author(s)

Year

Country

Study type

Population

Number of participants (exposed or cases/controls)

Age

Caries index

Results

OR (95% CI)b

MD (95% CI)c

CL (95% CI)d

Funding

Castro et al. [37]

2004

Brazil

Case–control

Children with HIV and HIV-negative

80 (40 VIH + and 40 VIH-)

2–5 years

dmft/dmfs

dmft: 1.52 (1.38–1.66)c

dmfs mean: G1: 7.85, G2: 3.43

Blackwell Munksgaard

Cerqueira et al. [38]

2010

Brazil

Case–control

Children with HIV and siblings without HIV

105 (65 VIH + and 40 VIH-)

2–13 years

DMFT/dmft and number of cavitated carious teeth (CDT)

DMFT: 0.50 (− 0.13 – 1.13)c

dmft: 2.20 (0.80–3.60)c

CNPq and FAPERJ

Rwenyonyi et al. [28]

2011

Uganda

Cross-sectional

Children with HIV

237 (118 with HAART and 119 without HAART)

1.5–12 years

DMFT/deft

DMFT: 2.06 (0.88–4.82)c

deft: 1.09 (0.65–1.82)c

Sida/SAREC

Ponnam et al. [29]

2012

India

Cross-sectional

Children with HIV and HIV-negative

285 (95 VIH + with HAART, 95 VIH + without HAART, and 95 VIH-)

5–15 years

DMFT

VIH + with HAART vs. VIH + sin HAART: 1.27 (0.69–2.35)b VIH + with HAART vs. VIH-: 0.91 (0.50–1.65)b

None

Shrikanth et al. [30]

2015

India

Cross-sectional

Children with HIV and HIV-negative

234 (78 VIH + and 156 VIH-)

3–17 years

DMFT/dmft

VIH + vs. VIH-: 3.77 (1.41–10.10)b

None

Oliscovicz et al. [9]

2015

Brazil

Retrospective cohort

Children with HIV

111 (3 groups: G1: 51 with HAART, G2: 46 with ART, and G3: 14 without medication)

2–16 years

DMFT/deft

Mean DMFT, G1: 1.9, G2: 1.6, G3: 3.0

Mean deft, G1: 3.2, G2: 2.8, G3: 3.8

None

De Jesus et al. [39]

2017

Brazil

Case–control

Children with HIV and HIV-negative

280 (140 VIH + and 140 VIH-)

2–5 years

dmft

dmft: 2.46 (1.91–3.01)c

Not reported

Andrade et al. [40]

2016

Brazil

Case–control

Children with HIV and HIV-negative

99 (33 VIH + and 66 VIH-)

7–15 years

DMFT/dmft and ICDAS

VIH + vs. VIH-: 3.15 (0.98–10.15)b

DMFT: 1.34 (0.42–2.26)c

Not reported

Rajonson et al. [31]

2017

Ivory Coast, Mali, Senegal

Cross-sectional

Children with HIV and HIV-negative

838 (420 VIH + and 418 VIH-)

5–15 years

DMFT/deft

DMFS/defs

VIH + vs. VIH-: 3.39 (2.41–4.76)b DMFT: 2.00 (1.93–2.07) ‡ deft: 2.00 (1.86–2.14)c DMFdefT: 2.00 (1.88–2.12)c DMFdefS: 5.00 (4.76–5.24)c

Probability of zero affected surfaces:

Age < 12 years:

− 0.89 (− 1.53 to − 0.24)a,d

Age ≥ 12 years:

− 4.12 (− 7.43 to − 0.82)a,d

National Institutes of Health (NIH)

Coker et al. [32]

2018

Nigeria

Cross-sectional

Children with HI, HEU, HUU

335 (HI:100, HEU:105, HUU:130)

6–72 months

dft/DMFT and NIDCR

HI vs. HEU + HUU: 2.80 (1.35–5.81)b

HI vs. HEU: 4.10 (1.45–11.57)b HI vs. HUU: 2.22 (0.99–4.97)b

HI vs. HUU: 2.58 (1.04–6.40)b

HI vs. HEU: 2.22 (0.99–4.97)a

Fogarty AIDS International Training and Research Program, NIH

Thejashwini et al. [33]

2018

India

Cross-sectional

Children with HIV and general HIV-negative population

100 (50 VIH + and 50 VIH-)

5–18 years

DMFT/dmft

DMFT:0.84 (− 0.32 – 2.00)c dmft:− 0.64 (− 1.90 – 0.62)c

Not reported

Ferreira et al. [41]

2018

Brazil

Case–control

Children with HIV and HIV-negative

70 (34 VIH + and 36 VIH-)

14–24 years

DMFT

Not reported

CNPq,, CAPES, FAPERJ

Kikuchi et al. [34]

2021

Cambodia

Cross-sectional

Children with HIV and HIV-negative

482 (328 VIH + and 154 VIH-)

3–15 years

DMFT/dmft

DMFT: 0.70 (− 0.03 – 1.43)c

dmft: − 0.10 (− 1.18 – 0.98)c

DMFT: 1.85 (1.14–3.01)a

dmft: 0.65 (0.34–1.27)a

JSPS KAKENHI

Gainneos et al. [35]

2021

India

Cross-sectional

Children with HIV and HIV-negative

60 (30 VIH + and 30 VIH-)

9–12 years

DMFT

− 0.70 (− 1.36 – − 0.04)c

Self-funded

Akhigbe et al. [43]

2022

Nigeria

Prospective cohort

Children with HI, HEU, HUU

544 (HI:181, HEU:177, HUU:186)

4–11 years

dmft/DMFT and ICDAS

HI vs. HEU + HUU: 2.11 (1.41–3.17)b HI vs. HEU: 2.88 (1.71–4.84)b HI vs. HUU: 1.65 (1.04–2.61)b

HI vs. HEU

Caries in any dentition: 1.58 (0.96–2.59)a

Caries in primary dentition: 1.41 (0.85–2.35)a

Caries in permanent dentition: 3.44 (1.25–4.49)a

National Institutes of Health-NIDCR R01DE028154

Kumar et al. [42]

2024

India

Case–control

Children with HIV

150 (95 HAART and 75 HAART-naïve)

6–18 years

DMFT/dmft

DMFT: 2.02 (1.24–2.80)c

dmft: 0.40 (− 0.38 –1.18)c

Not reported

O'Connell et al. [36]

2023

Nigeria

Cross-sectional

Children with HI, HEU, HUU

127 (HI: 49, HEU: 36, HUU: 42)

3–15 years

DMFT/dmft and ICDAS

HI vs. HEU + HUU: 2.14 (0.98–4.65)b HI vs. HEU: 3.46 (1.39–8.63)b HI vs. HUU 1.38 (0.56–3.41)b

National Institutes of Health (R01DE028154)

  1. aAdjusted Measures
  2. bOR: Odds ratio
  3. cMD: Mean Difference
  4. dCL: logistic coefficient
  5. G1: receiving HAART (highly active antiretroviral therapy, ≥ 3 drugs)
  6. G2: receiving ART (antiretroviral therapy, ≤ 2 drugs)
  7. G3: not receiving antiretroviral medication
  8. NR: no record