Efficacy of periodontal treatment modalities in Down syndrome patients: a systematic review and meta-analysis
2024

Effectiveness of Periodontal Treatments for Down Syndrome Patients

Sample size: 548 publication Evidence: moderate

Author Information

Author(s): Yehia Zakaria, Silbereisen Angelika, Koletsi Despina, Arabzadehtousi Mahla, Tsilingaridis Georgios, Bostanci Nagihan

Primary Institution: Karolinska Institutet, Stockholm, Sweden

Hypothesis

How effective are periodontal treatment modalities in individuals with Down syndrome compared to those without?

Conclusion

Professional tooth cleaning combined with oral hygiene instructions is less effective in reducing pocket depths in individuals with Down syndrome compared to those without.

Supporting Evidence

  • Professional tooth cleaning was less effective in reducing probing pocket depths in Down syndrome patients compared to chromosomally normal individuals.
  • Tailored periodontal care strategies are necessary for individuals with Down syndrome to improve treatment outcomes.
  • Moderate to high risk of bias was present in the included studies, indicating the need for better-designed research.

Takeaway

This study found that people with Down syndrome don't benefit as much from regular teeth cleaning as those without Down syndrome, so they need special dental care.

Methodology

A systematic review and meta-analysis were conducted following PRISMA guidelines, including electronic and manual searches across multiple databases.

Potential Biases

Moderate to high risk of bias in included studies due to confounding factors and lack of blinding.

Limitations

The included studies exhibited moderate to high risk of bias, and there was significant heterogeneity among the studies.

Participant Demographics

Participants included 548 individuals with Down syndrome, aged 6 to 53, with a similar gender distribution.

Statistical Information

P-Value

<0.001

Confidence Interval

0.14 to 0.32

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1038/s41432-024-01055-x

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