Association between sense of coherence and oral clinical conditions in adults and the elderly: systematic review and meta-analysis

Bárbara M. da Cunha Letícia M. Wambier Saulo V. da Rosa Carlos R. Botelho-Filho Juliana S. Rocha Mario V. Vettore Marilisa C. L. Gabardo

Association between sense of coherence and oral clinical conditions in adults and the elderly: systematic review and meta-analysis

Authors: Bárbara M. da Cunha Letícia M. Wambier Saulo V. da Rosa Carlos R. Botelho-Filho Juliana S. Rocha Mario V. Vettore Marilisa C. L. Gabardo
doi: 10.1922/CDH_00232daCunha12

Abstract

Objective: This study systematically reviews the evidence on the relationship between sense of coherence (SOC) and oral clinical conditions in adults and elderly people. Methods: PubMed, Scopus, Web of Science, Latin American and Caribbean Literature in Health Sciences - Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Brazilian Dentistry Bibliography - Bibliografia Brasileira de Odontologia (BBO), Cochrane Library and grey literature were searched. Observational studies involving adults and elderly people that evaluated SOC with a valid instrument and investigated oral clinical measurements as outcomes were included. Two review authors independently assessed the studies for inclusion and extracted data. The quality of studies was assessed using the Downs and Black checklist. Meta-analysis used the random-effect inverse-variance method to obtain pooled odds ratios (OR) and 95% Confidence Intervals (CI) for each oral clinical condition. Results: From a total of 872 identified studies, ten observational cross-sectional and one longitudinal study were included. Nine studies were judged of medium or high risk of bias. Meta-analyses showed that adults and elderly people with higher SOC were less likely to present dental caries (OR 0.84; 95%CI = 0.73-0.96), periodontal disease (OR 0.58; 95%CI = 0.30-0.85), gingivitis (OR 0.54; 95%CI = 0.18-0.90) or dental biofilm (OR 0.65; 95%CI = 0.43-0.86). Conclusions: Current evidence suggests that better SOC is positively related to better oral clinical status in adults and elderly people. Longitudinal and intervention studies are needed to confirm these findings. Keywords: Adults, Oral Health, Systematic Review, Sense of Coherence

£10 single article

Subscribe

Print
£130
Online (Single user only)
£130
Print & Online (Single user only)
£150
Institution Online (IP address validation)
£220

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.