Department of Dentistry, Regional Training Centre for Oral Health Promotion, All India Institute of Medical Sciences, Bhopal, India.
Division of Public Health Dentistry, Centre for Dental Education and Research, WHO Collaborating Centre for Oral Health Promotion, All India Institute of Medical Sciences, New Delhi, India.
Community Dent Health. 2021 Aug 31;38(3):172-177. doi: 10.1922/CDH_00340Singh06.
To determine the association between malocclusion and the severity of dental caries among children and adolescents in the permanent dentition.
A search was conducted in Medline, Cochrane databases, Google scholar, Scopus and Web of Science through October 2020 for studies of malocclusion and dental caries among children and adolescents using the Dental Aesthetic Index (DAI) and the Decayed, Missing, Filled Teeth (DMFT) index. Quality was evaluated using the Newcastle-Ottawa tool for cross-sectional studies. Data were extracted using the Cochrane Collaboration guidelines. Meta-analysis used the Cochrane Program Review Manager Version 5. A random effects model was used to assess the association among different categories of malocclusion with dental caries. GRADE analysis assessed the certainty of evidence.
Five studies met the inclusion criteria. Handicapping malocclusion was significantly associated with higher mean DMFT scores (Mean difference: 1.03, 95% CI, 0.61, 1.44). Participants with severe malocclusion had higher mean DMFT when compared to subjects with normal occlusion (0.32, 95% CI, 0.13, 0.51). Definite malocclusion was also associated with higher mean DMFT scores (Mean difference: 0.19, 95% CI, 0.03, -0.35).
Malocclusion is associated with dental caries in the permanent dentition. DMFT scores and the strength of the association increased with severity of malocclusion. Low to moderate certainty of evidence was observed for association between handicapping, severe, and definite malocclusion with dental caries.
确定错颌畸形与儿童和青少年恒牙龋齿严重程度的相关性。
2020 年 10 月前，我们在 Medline、Cochrane 数据库、Google Scholar、Scopus 和 Web of Science 中搜索了使用牙审美指数（DAI）和龋齿、缺失、补牙（DMFT）指数评估儿童和青少年错颌畸形和龋齿的研究。使用 Newcastle-Ottawa 工具评估横断面研究的质量。使用 Cochrane 协作组指南提取数据。Meta 分析使用 Cochrane 程序评价经理版本 5。使用随机效应模型评估不同错颌畸形类别与龋齿之间的相关性。GRADE 分析评估证据的确定性。
有 5 项研究符合纳入标准。不良错颌畸形与较高的平均 DMFT 评分显著相关（平均差异：1.03，95%CI：0.61，1.44）。与正常咬合的受试者相比，严重错颌畸形的受试者的平均 DMFT 更高（0.32，95%CI：0.13，0.51）。明确的错颌也与较高的平均 DMFT 评分相关（平均差异：0.19，95%CI：0.03，-0.35）。
错颌畸形与恒牙龋齿有关。DMFT 评分和相关性的强度随错颌畸形的严重程度而增加。对于不良错颌、严重错颌和明确错颌与龋齿之间的关联，证据的确定性为低到中度。
