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. 2023 Feb 23;9(2):358–367. doi: 10.1002/cre2.723

Table 1.

General characteristics of the included studies.

References country Study design Participants Diagnostic criteria/tool of dental caries Calibration of caries diagnosis Assay method and unit of measurement of CA VI Saliva sample (S/US), and/or other source Other outcomes measured
All number age (mean) M/F Cases number age (mean) M/F Controls number age (mean) M/F Comments
Frasseto et al. (2012) Brazil Cross sectional (NR)

30

(45.3–80.3) months

17

(62.88 ± 17.5) months

M/F = 7/10

13

(57.2 ± 87.2) months

M/F = 8/5

Healthy dmfs One examiner (intraexaminer)

Activity:

Zymography

(Pixels area)

Stimulated saliva Dental biofilm pH, salivary flow rate
Cardoso et al. (2017) Brazil Follow‐up

22

11–22

(14.8 ± 2.9) years

M/F = 10/12

9

(developed caries after 6 months of follow‐up)

13

(remained caries free after 6 months of follow‐up)

Healthy underwent orthodontic treatment Nyvad's caries detection criteria One examiner (intraexaminer)

Activity:

Zymography

(Pixels area)

Stimulated saliva Salivary flow rate, pH, and buffering capacity
Kormi et al. (2020) Saudi Arabia Cross sectional (NR)

80

6–8

(6.77 ± 2.1) years

M/F = 46/34

Healthy + caries = 20

Asthma + caries = 20

Healthy + no caries = 20

Asthma + no caries = 20

Healthy and asthmatic children dft/DMFT NR  Zymographic method using a Human CA VI ELISA kit Unstimulated saliva Salivary pH
Kivelä et al. (1999) Finland (Not explicitly reported) Cross sectional (NR)

209

18–24 years (19.8)

All males

Low CA VI = 66

Medium CA VI = 83

High CA VI = 60

DMFT One examiner (reliability not reported) Specific time‐resolved immunofluorometric assay Stimulated saliva Saliva secretion rate, pH, buffering capacity, microbial test, and amylase activity
de‐Sousa et al. (2021a) Brazil Cross sectional

44

4–5 years

M/F ‐

22

(4.59 ± 0.50) years

M/F = 18/4

22

(4.55 ± 0.60) years

M/F = 7/15

Healthy dmfs + the diagnosis of active white spot lesion One examiner (intra and inter examiner)

Activity:

Zymography

(Pixels area)

Stimulated saliva and dental biofilm Salivary pH, and buffering capacity. Dental biofilm pH, and buffering capacity
Picco et al. (2019) Brazil Cross sectional

74

7–9 years

M/F ‐

34

7–9 years

M/F ‐

33

7–9 years

M/F ‐

Healthy DMFT One examiner (intraexaminer)

Activity: (pixels area)

Concentration: Elisa (ng/µL)

Dental biofilm Dental biofilm pH
Borghi et al. (2017) Brazil Longitudinal study (cross sectional in relation to CA VI data)

100

24–48 months

female (44.6%) and of ethnicity not White (54.5%)

45

24–48 months

M/F ‐

55

24–48 months

M/F ‐

Healthy

dmfs

dmft

One examiner (intraexaminer)

Activity:

Zymography (pixels area)

Unstimulated saliva alpha amylase activity and dental biofilm
Picco et al. (2017) Brazil Cross sectional

74

7–9 years

M/F ‐

37

7–9 years

M/F ‐

37

7–9 years

M/F ‐

Healthy DMFT One examiner (intraexaminer)

Activity:

Zymography (pixels area)

Concentration: Elisa (ng/µL)

Stimulated saliva Salivary pH, buffering capacity and flow rate
de‐Sousa et al. (2021b) Brazil Observational and cross‐sectional research

Study (1)

54

Study (2)

46

4–5 years

M/F ‐

Study (1)

27

4.61 (0.63) years

M/F = 1.54/1.0

Study (2)

23

4.55 (0.60) years

M/F = 0.69/1:0

Study (1)

27

4.61(0.57) years

M/F = 1.33/1.0

Study (2)

23

4.59 (0.50) years

M/F = 1.75/1.0

Healthy dmfs One examiner (Intra‐ and inter examiner) Activity: Zymography (Pixels/mg)

Study (1)

Stimulated saliva

Study (2)

Dental biofilm

Salivary pH, buffering capacity and flow rate & dental biofilm pH, and buffering capacity

Abbreviations: CA VI, carbonic anhydrase VI; dft, decay and filled for deciduous teeth; dmfs, the decayed, missing and filled surfaces for deciduous teeth; dmft/DMFT, the decayed, missing, and filled teeth, related to deciduous/permanent tooth caries, respectively; F, females; M, males; NR, not reported numerically; SD, standard deviation.