Evidence map›Paper›PMID 40450279›Full record

SynthesisBMC oral health2025

Morphological dimension of the permanent dentition in various malocclusion: a systematic review and meta-analysis.

Jerome Thomas, Annapurna Kannan, Vignesh Kailasam

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

3 authors.

Jerome ThomasDepartment of Orthodontics and Dentofacial Orthopedics, Sri Ramachandra Dental College & Hospital, Sri Ramachandra Institute of Higher Education and Research (DU), Porur, Chennai, 600116, India.
Annapurna KannanDepartment of Orthodontics and Dentofacial Orthopedics, Sri Ramachandra Dental College & Hospital, Sri Ramachandra Institute of Higher Education and Research (DU), Porur, Chennai, 600116, India. annapurna@sriramachandra.edu.in.
Vignesh KailasamDepartment of Orthodontics and Dentofacial Orthopedics, Sri Ramachandra Dental College & Hospital, Sri Ramachandra Institute of Higher Education and Research (DU), Porur, Chennai, 600116, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAchieving optimal dentofacial aesthetics requires an understanding of tooth morphology and its impact on dental harmony. Variations in tooth size can significantly influence the occurrence of different malocclusions, affecting aesthetics and functional occlusion. This systematic review aims to analyse and summarise the existing literature on tooth size variations in different malocclusion categories, focusing on the morphological dimensions of permanent dentition.

methodsSystematic literature search was conducted in six electronic databases (PubMed/Medline, Cochrane, Web of science, Scopus, LILAC, OVID) until February 2025 for original articles assessing the morphological dimension of the permanent dentition in various malocclusions. The risk of bias and quality assessment was done using the modified Downs and Black quality index for retrospective and cross sectional study. The review was registered on Prospero (CRD42024526671).

resultsNine studies (4 retrospective, 5 cross sectional) met the eligibility criteria. A total of 2044 pre-treatment dental casts of patients with various malocclusions were included. In mandibular first molars, the mean difference (MD) of the mesiodistal width was higher in Class III malocclusion than Class II div 1 malocclusion (3 studies; MD [95%CI]: 0.45[, -0.66, -0.24]), Class II division 2 malocclusion (3 studies; MD [95%CI]: 0.29[, -0.55, -0.24]) and Class I malocclusion (7 studies; MD [95%CI]: 0.20[ -0.35 to -0.05]). These findings were statistically significant. For mandibular canines, MD of the mesiodistal width was higher in Class III malocclusion than in Class II division 1 malocclusion (3 studies; MD [95%CI]:0.28 [ -0.45 to -0.10]), which was statistically significant. With the maxillary canines, the MD of the mesiodistal width was higher in Class II division 1 malocclusion (3 studies; MD [95%CI]: 0.30[0.12, 0.47]), which was statistically significant.

conclusionIn Class III malocclusion, the mandibular dentition was found to be significantly larger compared to other malocclusions. The Maxillary dentition was significantly larger in Class II malocclusion compared to other malocclusions. Within the limitations of the study, Class III and Class II malocclusions were found to have larger mesio-distal width as compared to Class I malocclusion. These findings may aid clinicians in treatment planning, particularly in space analysis, arch coordination, and appliance selection during orthodontic interventions.

Indexed as

Dentition, PermanentMalocclusionToothHumansMalocclusionMorphologyPermanent dentitionSystematic reviewTooth size

Identifiers

PMID40450279
PMCPMC12125774

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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.