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Published in: European Archives of Paediatric Dentistry 2/2018

01-04-2018 | Systematic Review

Association between malocclusion and dental caries in adolescents: a systematic review and meta-analysis

Authors: A. C. Sá-Pinto, T. M. Rego, L. S. Marques, C. C. Martins, M. L. Ramos-Jorge, J. Ramos-Jorge

Published in: European Archives of Paediatric Dentistry | Issue 2/2018

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Abstract

Aim

To evaluate the scientific evidence regarding the association between malocclusion and dental caries in adolescents.

Methods

Searches were conducted of six electronic databases, complemented by manual searching of the reference lists of the selected articles and grey literature. Two independent reviewers performed the selection of the articles, data extraction and the evaluation of the risks of bias through an assessment of methodological quality. Meta-analysis was performed considering the mean decayed, missing and filled teeth (DMFT) index for caries and the Dental Aesthetic Index (DAI) for malocclusion. Heterogeneity was tested using the I2 statistic and a random effect model was employed. Summary effect measures were calculated as differences in means.

Results

The initial search retrieved 2644 studies, only 15 of which were selected for full-text analysis. Four cross-sectional studies were included in the qualitative systematic review. Only one of these studies found no association between malocclusion and dental caries. The meta-analysis of three studies demonstrated that a lower DAI value was significantly associated with a lower mean DMFT index, except for the comparison of DAI 26–30 vs. 31–35.

Conclusions

Based on the studies analysed, the scientific evidence indicates an association between malocclusion and dental caries.
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Metadata
Title
Association between malocclusion and dental caries in adolescents: a systematic review and meta-analysis
Authors
A. C. Sá-Pinto
T. M. Rego
L. S. Marques
C. C. Martins
M. L. Ramos-Jorge
J. Ramos-Jorge
Publication date
01-04-2018
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Paediatric Dentistry / Issue 2/2018
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-018-0333-0

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