Prevalence of anterior open bite in children and adolescents: a systematic review and meta-analysis.

IF 2
M T Avrella, D R Zimmermann, J S P Andriani, P S Santos, J C Barasuol
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引用次数: 7

Abstract

Purpose: Anterior open bite is defined by the lack of incisal contact between the teeth in centric relation. The aim of this study was to determine the prevalence of anterior open in children and adolescents.

Methods: This systematic review included a search in the databases: PubMed, Scopus, Web of Science, LILACS, Google Scholar, and ProQuest. The acronym PECOS was considered: (P) children and adolescents, (E) presence of anterior open bite, (C) not applicable, (O) prevalence, and (S) observational studies. The risk of bias assessment was carried out using the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data. The prevalence meta-analyses were performed using MedCalc® software. The certainty of the evidence was determined with the GRADE approach.

Results: 26 studies were included. Eleven studies were judged at low, seven at moderate, and eight at high risk of bias. The overall prevalence of anterior open bite was 16.52% (95% CI 12.34-21.17) in children and adolescents. The prevalence was 19.38% (95% CI 13.77-25.69) in South America. The prevalence of anterior open bite was 22.67% (95% CI 16.56-29.43) among females and 16.99% (95% CI 11.77-22.94) among males. The prevalence of anterior open bite was 18.84% (95% CI 13.88-24.38) in the primary dentition, and 14.26% (95% CI 7.67-22.46) in the mixed dentition. The overall certainty of the evidence was very low.

Conclusion: The overall prevalence of anterior open bite was 16.52% in children and adolescents aged 2-16 years. Giving the limitations of a prevalence meta-analysis, the extrapolation of the results should be cautious.

Registration number: CRD42020183162, 10 July 2020.

儿童和青少年前牙开咬的患病率:一项系统回顾和荟萃分析。
前言:目的:前牙开咬是指在中心关系中牙齿之间缺乏切牙接触。本研究的目的是确定儿童和青少年前路开放的患病率。方法:本系统综述包括检索PubMed、Scopus、Web of Science、LILACS、Google Scholar和ProQuest等数据库。首字母缩略词PECOS被考虑为:(P)儿童和青少年,(E)存在前开咬,(C)不适用,(O)患病率,(S)观察性研究。偏倚风险评估使用乔安娜布里格斯研究所报告流行数据的研究关键评估清单进行。使用MedCalc®软件进行患病率荟萃分析。证据的确定性用GRADE方法确定。结果:纳入26项研究。11项研究被判定为低偏倚风险,7项为中等偏倚风险,8项为高偏倚风险。儿童和青少年前牙开咬的总体患病率为16.52% (95% CI 12.34-21.17)。南美的患病率为19.38% (95% CI 13.77-25.69)。女性前牙开咬发生率为22.67% (95% CI 16.56 ~ 29.43),男性为16.99% (95% CI 11.77 ~ 22.94)。乳牙列前开咬发生率为18.84% (95% CI 13.88 ~ 24.38),混合牙列前开咬发生率为14.26% (95% CI 7.67 ~ 22.46)。证据的总体确定性非常低。结论:2 ~ 16岁儿童及青少年前牙开咬总体患病率为16.52%。鉴于流行病学荟萃分析的局限性,结果的外推应谨慎。注册号:CRD42020183162, 2020年7月10日。
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