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Prevalence of malocclusion among 8-15 years old children, India - A systematic review and meta-analysis
Parvathy Balachandran1, Chandrashekar Janakiram1
1Amrita Vishwa Vidyapeetham, Amrita School of Dentistry, Kochi, Kerala, 682041, India.
Insights
The overall prevalence of malocclusion in Indian children aged 8-15 is 35.40%. This systematic review highlights variations in malocclusion rates across demographics and regions in India.
Area of Science:
- Dental Public Health
- Epidemiology
- Pediatric Dentistry
Background:
- Malocclusion is a common dental condition affecting children's oral health and aesthetics.
- Understanding the prevalence of malocclusion in specific populations is crucial for targeted interventions.
Purpose of the Study:
- To systematically review and assess the prevalence of malocclusion in Indian children aged 8 to 15 years.
- To identify demographic and regional variations in malocclusion prevalence.
Main Methods:
- A systematic review adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.
- Searched PubMed and other databases for studies published after January 1, 2000, using Dental Aesthetic Index (DAI) or Angle's classification.
- Data extraction and validity assessment were performed independently by two reviewers.
Main Results:
- The pooled prevalence of malocclusion among 97,959 participants across 54 studies was 35.40%.
- Higher prevalence was observed in males (36.20%), 13-year-olds (33.50%), urban populations (32.78%), and South India (39.58%).
- The mean DAI score was 21.23, indicating a moderate level of malocclusion.
Conclusions:
- The pooled prevalence of malocclusion in Indian children aged 8-15 is 35.40%.
- Significant heterogeneity was noted in the assessment methods used across the included studies.
- Findings underscore the need for standardized malocclusion assessment and public health strategies in India.
Objective:
We designed this review to assess the prevalence of malocclusion among 8-15 years old Indian children.
Methodology:
The review protocol was registered in PROSPERO data with register number CRD42020214211. We employed the standard methodological procedures according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Electronic search was done in PubMed database and other sources in 2020 to identify studies. Only studies published in English after January 1, 2000 that assessed prevalence of malocclusion using Dental aesthetic Index (DAI) or Angle's classification of malocclusion were considered for screening. Selection of articles, data extraction and validity assessment were done independently by the two reviewers.
Results:
Pooled prevalence of malocclusion is 35.40% (CI:35.37-35.43, 54 studies, 97959 participants). Males had higher proportion of malocclusion (36.20%, CI: 36.12-36.28,33 studies, 40456 participants). 13 years had higher prevalence of malocclusion (33.50%, CI:33.34-33.66, 11 studies, 3366 participants).Prevalence of malocclusion was higher among urban population (32.78%, CI:32.71 32.85,11 studies, 18313 participants). South India showed higher prevalence of malocclusion (39.58%, CI:39.54-39.62, 41 studies, 58645 participants). Prevalence of malocclusion as assessed by mean DAI score was 21.23 (CI:21.14-21.33,11 studies, 12345 participants).
Conclusions:
The pooled prevalence of malocclusion among 8-15 years children in India is 35.40% (CI:35.37-35.43,54 studies, 97959 participants).Included studies were heterogeneous in their methods of assessment of malocclusion.
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