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Open Access | CC BY-NC-ND 4.0

OBJECTIVE: The objective of this study was to assess whether individuals with attention deficit hyperactivity disorder (ADHD) exhibit a higher prevalence of traumat- ic dental injuries (TDIs) compared to those with- out ADHD through a systematic review and me- ta-analysis of the existing literature.
MATERIALS AND METHODS: A search strat- egy using the Medical Subject Heading (MeSH) vocabulary was employed for a comprehen- sive search across various databases, including PubMed, Scopus, Web of Science, Cochrane Li- brary, and Embase. The Joanna Briggs Institute Summary was utilized for data collection. Addi- tionally, quality assessment, meta-analysis, and bias control were conducted to ensure the reli- ability of the included studies. A meta-analysis was performed to consolidate the findings of the individual studies.
RESULTS: The prevalence of TDIs among indi- viduals with ADHD ranged from 9.6% to 68.2%, while in the healthy control group, it ranged from 0.8% to 44.7%. The meta-analysis findings revealed that individuals with ADHD had 1.98 times higher odds (OR = 1.98, ranging from 1.51 to 2.59 with 95% CI) of experiencing TDIs com- pared to individuals without ADHD.
CONCLUSIONS: The findings of this study suggest a significant association between ADHD and an increased risk of TDIs. Individ- uals with ADHD were found to be nearly twice as likely to experience TDIs compared to those without ADHD. Efforts should not only be direct- ed towards improving the oral health of this vul- nerable group of individuals, but also health- care practitioners need to be provided with op- portunities to create awareness and implement preventive measures to mitigate the risk of TDIs among individuals with ADHD.

Keywords

Dental injuries, Attention deficit hyperactivity disorder, Dental public health, Disability, Disabled individuals, Oral health

Citation

Alzahrani, A.A. (2024). Attention deficit hyperactivity disorder and dental traumatic injuries: a systemic review and meta-analysis. ERMPS, 28, 3303-3312.