Faculdade CNEC, Santo Ângelo, Rio Grande do Sul, Brazil.
Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Eur Arch Paediatr Dent. 2022 Jun;23(3):355-364. doi: 10.1007/s40368-021-00683-6. Epub 2021 Nov 12.
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.
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.
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.
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.
CRD42020183162, 10 July 2020.
前牙开是指在正中关系时牙齿之间缺乏切端接触。本研究旨在确定儿童和青少年前牙开的患病率。
本系统评价包括在以下数据库中进行检索：PubMed、Scopus、Web of Science、LILACS、Google Scholar 和 ProQuest。使用 PECOS 首字母缩写词：（P）儿童和青少年，（E）存在前牙开，（C）不适用，（O）患病率，和（S）观察性研究。使用 Joanna Briggs 研究所流行率数据报告的批判性评价清单进行偏倚风险评估。使用 MedCalc 软件进行患病率荟萃分析。使用 GRADE 方法确定证据的确定性。
共纳入 26 项研究。11 项研究被评为低风险，7 项研究为中风险，8 项研究为高风险。儿童和青少年前牙开的总体患病率为 16.52%（95%CI 12.34-21.17）。南美洲的患病率为 19.38%（95%CI 13.77-25.69）。女性的前牙开患病率为 22.67%（95%CI 16.56-29.43），男性为 16.99%（95%CI 11.77-22.94）。乳牙列的前牙开患病率为 18.84%（95%CI 13.88-24.38），混合牙列为 14.26%（95%CI 7.67-22.46）。证据的总体确定性非常低。
2-16 岁儿童和青少年前牙开的总体患病率为 16.52%。鉴于患病率荟萃分析的局限性，结果的推断应谨慎。
CRD42020183162，2020 年 7 月 10 日。
