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

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A Correction to this article was published on 23 December 2020

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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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References

  • Addy M, Griffiths G, Dummer P, et al. The association between tooth irregularity and plaque accumulation, gingivitis, and caries in 11-12-year-old children. Eur J Orthod. 1988;10:76–83.

    Article  PubMed  Google Scholar 

  • Adler P. The incidence of dental caries in adolescents with different occlusion. J Dent Res. 1956;35:344–9.

    Article  PubMed  Google Scholar 

  • Allison PJ, Schwartz S. Interproximal contact points and proximal caries in posterior primary teeth. Pediatr Dent. 2003;25:334–40.

    PubMed  Google Scholar 

  • Almeida AB, Leite IC, Melgaço CA, Marques LS. Dissatisfaction with dentofacial appearance and the normative need for orthodontic treatment: determinant factors. Dental Press J Orthod. 2014;19:120–6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Badran SA, Sabrah AH, Hadidi SA, Al-Khateeb S. Effect of socioeconomic status on normative and perceived orthodontic treatment need. Angle Orthod. 2014;84:588–93.

    Article  PubMed  Google Scholar 

  • Baskaradoss JK, Geevarghese A, Roger C, Thaliath A. Prevalence of malocclusion and its relationship with caries among school children aged 11–15 years in southern India. Korean J Orthod. 2013;43:35–41.

    Article  PubMed  PubMed Central  Google Scholar 

  • Borenstein M, Hedges L, Higgins J, Rothstein H. Comprehensive meta-analysis version 2. Englewood: Biostat; 2005.

    Google Scholar 

  • Borenstein M, Hedges L, Higgis J, Rothstein H. Introduction to meta-analysis. John Wiley & Sons. 2009. http://onlinelibrary.wiley.com/book/10.1002/9780470743386. Accessed Nov 2015.

  • Borzabadi-Farahani A, Eslamipour F, Asgari I. Association between orthodontic treatment need and caries experience. Acta Odontol Scand. 2011;69:2–11.

    Article  PubMed  Google Scholar 

  • Choi SH, Kim JS, Cha JY, Hwang CJ. Effect of malocclusion severity on oral health-related quality of life and food intake ability in a Korean population. Am J Orthod Dentofacial Orthop. 2016;149:384–90.

    Article  PubMed  Google Scholar 

  • Chukwumah NM, Folayan MO, Oziegbe EO, Umweni AA. Impact of dental caries and its treatment on the quality of life of 12- to 15-year-old adolescents in Benin, Nigeria. Int J Paediatr Dent. 2016;26:66–76.

    Article  PubMed  Google Scholar 

  • Cohn LD, Becker BJ. How meta-analysis increases statistical power. Psychol Methods. 2003;8:243–53.

    Article  PubMed  Google Scholar 

  • da Rosa AR, Abegg C, Ely HC. Sense of coherence and toothache of adolescents from Southern Brazil. J Oral Facial Pain Headache. 2015;29:250–6.

    Article  PubMed  Google Scholar 

  • Deeks JJ, Higgins JPT, Altman DG. Analysing data and undertaking meta-analyses. In: Higgins JPT, Green S, editors. Cochrane handbook for systematic reviews of interventions. Chichester: Wiley-Blackwell; 2012. p. 243–96 (Chapter 9).

    Google Scholar 

  • Dusseldorp E, Kamphuis M, Schuller A. Impact of lifestyle factors on caries experience on three different age groups: 9, 15, and 21-year-olds. Community Dent Oral Epidemiol. 2015;43:9–16.

    Article  PubMed  Google Scholar 

  • Fejerskov O. Changing paradigms in concepts on dental caries: consequences for oral health care. Caries Res. 2004;38:182–91.

    Article  PubMed  Google Scholar 

  • Feldens CA, Dos Santos Dullius AI, Kramer PF, et al. Impact of malocclusion and dentofacial anomalies on the prevalence and severity of dental caries among adolescents. Angle Orthod. 2015;85:1027–34.

    Article  PubMed  Google Scholar 

  • Frazão P, Narvai PC. Socio-environmental factors associated with dental occlusion in adolescents. Am J Orthod Dent Orthop. 2006;129:809–16.

    Article  Google Scholar 

  • Gábris K, Márton S, Madléna M. Prevalence of malocclusions in Hungarian adolescents. Eur J Orthod. 2006;28:467–70.

    Article  PubMed  Google Scholar 

  • Hafez HS, Shaarawy SM, Al-Sakiti AA, Mostafa YA. Dental crowding as caries risk factors: a systematic review. Am J Orthod Dentofacial Orthop. 2012;142:443–50.

    Article  PubMed  Google Scholar 

  • Helm S, Petersen P. Causal relation between malocclusion and caries. Acta Odontol Scand. 1989;47:217–21.

    Article  PubMed  Google Scholar 

  • Herzog R, Álvarez-Pasquin MJ, Díaz C, et al. Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? a systematic review. BMC Public Health. 2013;13:154.

    Article  PubMed  PubMed Central  Google Scholar 

  • Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21:1539–58.

    Article  PubMed  Google Scholar 

  • Higgins JPT, Altman DG. Assessing risk of bias in included studies. In: Higgins JPT, Geen S, editors. Cochrane handbook for systematic reviews of interventions. Chichester: Wiley; 2012. p. 187–241 (Chapter 8).

    Google Scholar 

  • Hixon E, Maschka P, Fleming P. Occlusal status, caries, and mastication. J Dent Res. 1962;41:514–24.

    Article  PubMed  Google Scholar 

  • Katz R. An epidemiologic study of the relationship between various states of occlusion and the pathological conditions of dental caries and periodontal disease. J Dent Res. 1978;57:433–9.

    Article  PubMed  Google Scholar 

  • Khanal S, Acharya J. Dental caries status and oral health practice among 12–15 year old children in Jorpati, Kathmandu. Nepal Med Coll J. 2014;16:84–7.

    PubMed  Google Scholar 

  • Krisdapong S, Prasertsom P, Rattanarangsima K, Sheiham A. Impacts on quality of life related to dental caries in a national representative sample of Thai 12- and 15-year-olds. Caries Res. 2013;47:9–17.

    Article  PubMed  Google Scholar 

  • Luján Hernández E, Luján Hernández M, Sexto N. Risk factors of dental cavities in children. MediSur. 2007;5:16–21.

    Google Scholar 

  • Marcenes W, Kassebaum NJ, Bernabé E, et al. Global burden of oral conditions in 1990–2010: a systematic analysis. J Dent Res. 2013;92:592–7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009; 6:e1000097. http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1000097.

  • Moura C, Cavalcanti AL. Malocclusion, dental caries and perceptions of aesthetics and function: an study of association. Rev odonto ciênc. 2007;22:256–62.

    Google Scholar 

  • Mtaya M, Brudvik P, Astrøm A. Prevalence of malocclusion and its relationship with socio-demographic factors, dental caries, and oral hygiene in 12- to 14-year-old Tanzanian schoolchildren. Eur J Orthod. 2009;31:467–76.

    Article  PubMed  Google Scholar 

  • Nalcaci R, Demirer S, Ozturk F et al. The relationship of orthodontic treatment need with periodontal status, dental caries, and sociodemographic factors. Sci World J. 2012;498012. https://doi.org/10.1100/2012/498012

  • Nobile CGA, Paiva M, Fortunato L, Angelillo IF. Prevalence and factors related to malocclusion and orthodontic treatment need in children and adolescents in Italy. Eur J Public Health. 2007;17:637–41.

    Article  PubMed  Google Scholar 

  • Pappalardo G, Caltabiano M, Cicciú D. Relationship between dental caries and malocclusion in a random sample of 378 pupils of the elementary schools in Catania. Riv Ital Stomatol. 1979;48:41–4.

    PubMed  Google Scholar 

  • Peres KG, Cascaes AM, Leão AT, Côrtes MI, Vettore MV. Sociodemographic and clinical aspects of quality of life related to oral health in adolescents. Rev Saude Publ. 2013;3:19–28.

    Article  Google Scholar 

  • Peres MA, Sheiham A, Liu P, et al. Sugar consumption and changes in dental caries from childhood to adolescence. J Dent Res. 2016;95:388–94.

    Article  PubMed  Google Scholar 

  • Pinto-Sarmento TC, Abreu MH, Gomes MC, et al. Determinant factors of untreated dental caries and lesion activity in preschool children using ICDAS. PLoS One. 2016;11:e0150116.

    Article  PubMed  PubMed Central  Google Scholar 

  • Piovesan C, Antunes JL, Guedes RS, Ardenghi TM. Impact of socioeconomic and clinical factors on child oral health related quality of life (COHRQoL). Qual Life Res. 2010;19:1359–66.

    Article  PubMed  Google Scholar 

  • Pitts NB, Rimmer PA. An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teeth. Caries Res. 1992;26:146–52.

    Article  PubMed  Google Scholar 

  • Ramos-Jorge J, Pordeus IA, Ramos-Jorge ML, Marques LS, Paiva SM. Impact of untreated dental caries on quality of life of preschool children: different stages and activity. Community Dent Oral Epidemiol. 2014;42:311–22.

    Article  PubMed  Google Scholar 

  • Reyes BLP, Rodríguez BG, Morell JED, Curi EMT. Dental caries, malocclusions, and deforming oral habits in adolescents. CCH Correo cient HolguÝn. 2003;7:9–11.

    Google Scholar 

  • Savara BS. Incidence of dental caries, gingivitis, and alocclusion in Chicago children (14–17 years of age). J Dent Res. 1955;34:546–52.

    Article  PubMed  Google Scholar 

  • Singh A, Purohit B, Sequeira P, Acharya S, Bhat M. Malocclusion and orthodontic treatment need measured by the dental aesthetic index and its association with dental caries in Indian schoolchildren. Community Dent Health. 2011;28:313–6.

    PubMed  Google Scholar 

  • Skinner J, Johnson G, Blinkhorn A, Byun R. Factors associated with dental caries experience and oral health status among New South Wales adolescents. Aust N Z J Public Health. 2014;38:485–9.

    Article  PubMed  Google Scholar 

  • Stahl F, Grabowski R. Malocclusion and caries prevalence: is there a connection in the primary and mixed dentitions? Clin Oral Investig. 2004;8:86–90.

    Article  PubMed  Google Scholar 

  • Warren J, Slayton R, Yonezu T, Kanellis M, Levy S. Interdental spacing and caries in the primary dentition. Pediatr Dent. 2003;25:109–13.

    PubMed  Google Scholar 

  • Warren J, Buren J, Levy S, et al. Dental caries clusters among adolescents. Community Dent Health. 2017;45:538–44.

    Google Scholar 

  • Wells G, Shea B, O´Connell D et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Department of Epidemiology and Community Medicine,University of Ottawa, Canada. http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp. Accessed 24 Apr 2016.

  • World Health Organization. Oral health surveys-basic methods. 4th edition. Geneva. 1997. http://apps.who.int/iris/handle/10665/41905. Accessed Nov 2015.

  • World Health Organization. The World Oral Health Report 2003: Continuous Improvement of Oral Health in the 21st Century—the approach of the WHO Global Oral Health Programme. Geneva: WHO. 2003. http://www.who.int/oral_health/media/en/orh_report03_en.pdf. Accessed Nov 2015.

  • Wulaerhan J, Abudureyimu A, Bao XL, Zhao J. Risk determinants associated with early childhood caries in Uygur children: a preschool-based cross-sectional study. BMC Oral Health. 2014;14:136.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

This study was supported by the following Brazilian fostering agencies: National Council for Scientific and Technological Development (CNPq), Ministry of Science and Technology, State of Minas Gerais Research Foundation (FAPEMIG) and Coordination for Improvement of Higher Education Personnel (CAPES).

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Authors and Affiliations

  1. Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Glória, 187-Centro, Diamantina, MG, 39.100-000, Brazil

    A. C. Sá-Pinto, T. M. Rego, L. S. Marques & M. L. Ramos-Jorge

  2. Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil

    C. C. Martins & J. Ramos-Jorge

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  1. A. C. Sá-Pinto
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  2. T. M. Rego
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  5. M. L. Ramos-Jorge
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Correspondence to A. C. Sá-Pinto.

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Sá-Pinto, A.C., Rego, T.M., Marques, L.S. et al. Association between malocclusion and dental caries in adolescents: a systematic review and meta-analysis. Eur Arch Paediatr Dent 19, 73–82 (2018). https://doi.org/10.1007/s40368-018-0333-0

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  • DOI: https://doi.org/10.1007/s40368-018-0333-0

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