Evidence map›Paper›PMID 35948958›Full record

SynthesisBMC oral health2022

Malocclusion characteristics amongst individuals with autism spectrum disorder: a systematic review and meta-analysis.

Thiago Peixoto da Motta, Janine Owens, Lucas Guimarães Abreu, Suélen Alves Teixeira Debossan, Fabiana Vargas-Ferreira, Mario Vianna Vettore

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC oral health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. [Preventive and therapeutic dental care for people with various disabilities in Argentina]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2026
    Article
  4. Article
  5. Orthodontic aligner therapy outcomes in children with autism spectrum disorder.International journal of paediatric dentistry · 2025
    Article
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  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Thiago Peixoto da MottaDepartment of Social and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais, Av. Antônio Carlos, 6627 - Pampulha, Belo Horizonte, MG, CEP 312270-901, Brazil.
Janine OwensNIHR Applied Research Collaborative, Greater Manchester (NIHR ARC GM), Faculty of Biology, Medicine and Health, Division of Nursing, Midwifery and Social Work, Jean McFarlane Building, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
Lucas Guimarães AbreuDepartment of Child and Adolescent Oral Health, School of Dentistry, Federal University of Minas Gerais, Av. Antônio Carlos, 6627 - Pampulha, Belo Horizonte, MG, CEP 312270-901, Brazil.
Suélen Alves Teixeira DebossanDepartment of Social and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais, Av. Antônio Carlos, 6627 - Pampulha, Belo Horizonte, MG, CEP 312270-901, Brazil.
Fabiana Vargas-FerreiraDepartment of Social and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais, Av. Antônio Carlos, 6627 - Pampulha, Belo Horizonte, MG, CEP 312270-901, Brazil.
Mario Vianna VettoreDepartment of Health and Nursing Sciences, Faculty of Health and Sports Sciences, University of Agder, Campus Kristiansand, Universitetsveien 25, 4630, Kristiansand, Norway. mario.vettore@uia.no.
Universidade Federal de Minas Gerais · BRNIHR Manchester Biomedical Research Centre · GBUniversity of Agder · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo estimate the prevalence of malocclusion in individuals with autism spectrum disorders (ASD) and to assess the relationship between ASD and malocclusion.

methodsWe searched electronic databases including PubMed, Scopus, Web of Science, Cochrane, Embase, SciELO LILACS, Proquest, OpenGrey and Google Scholar. There were no language or publication dates restrictions. Two researchers independently performed selection, data extraction and quality assessment. Quality assessment and risk of bias were evaluated through the Newcastle-Ottawa scale and ROBINS-E tool. Meta-analyses using random effect models were used to estimate pooled measures of prevalence of malocclusion characteristics in individuals with ASD and pooled odds ratio (OR) on the relationship between ASD and malocclusion characteristics. Subgroup meta-analyses were conducted according to children and adolescents, history of orthodontic treatment, and occurrence of other syndromes and medical conditions.

resultsSearching identified 5549 papers with 238 were selected for full assessment. Eighteen cross-sectional studies were included according to inclusion criteria. Of them, eleven studies were considered of moderate quality. A judgement of critical risk of bias occurred for thirteen studies. The most prevalent malocclusion characteristics in individuals with ASD were crowding (33%; 95% CI 22 to 44%) and increased maxillary overjet (39%; 95% CI 23 to 54%). Individuals with ASD had higher odds of Angle's Class II (OR 1.92; 95% CI 1.36 to 2.72), Angle's Class III (OR 2.33; 95% CI 1.29 to 4.23), open bite (OR 1.96; 95% CI 1.21 to 3.16), and increased maxillary overjet (OR 1.53; 95% CI 1.06 to 2.21) than individuals without ASD.

conclusionsAngle's Class II, Angle's Class III, anterior open bite and increased maxillary overjet were more prevalent in individuals with ASD than those without ASD. Further high-quality studies are needed.

Indexed as

Autism Spectrum DisorderMalocclusionMalocclusion, Angle Class IIOpen BiteAdolescentChildCross-Sectional StudiesHumansAngle Class IIAngle Class IIIAutistic disorderMalocclusionMeta-analysisOpen biteSystematic review

Identifiers

PMID35948958
PMCPMC9367144
OpenAlexW4290963903

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.