Non-Cochrane · prevalence · PM42073157

Publication Bias in Epidemiological Studies of Malocclusions in Mexican Children and Teenagers: A Systematic Review and Meta-Analysis.

Argueta-Figueroa Liliana, Quiroz-Carlín Karina Alejandra, Bautista-Hernández Mario Alberto, et al. · Children (Basel, Switzerland) · 2026 · PubMed · doi:10.3390/children13040580

Findings

Population Mexican children and adolescents aged 15 years or younger with mixed dentition

13 findings

Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Overall
Prevalence (%) 50.2 [38.9, 61.5]
Low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
18 studies · 5987 participants
Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Rigorous review: Yes
Prevalence (%) 62 [10, 96]
GRADE not reported
3 studies · 941 participants
Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Rigorous review: No
Prevalence (%) 48 [36, 60]
GRADE not reported
15 studies · 5046 participants
Not reportedNonePublication bias asymmetry in malocclusion prevalence studies (LFK index)
Mixed dentition · Mexico; school, community and clinic based samples · Overall
Unresolved: the two extractors disagree on this row.
LFK index 1.116
GRADE not reported
18 studies
Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Diagnostic method: DAI index
Prevalence (%) 66 [29, 90]
GRADE not reported
4 studies · 1341 participants
Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Diagnostic method: Angle classification
Prevalence (%) 45 [34, 58]
GRADE not reported
14 studies · 4646 participants
Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Risk of bias: Moderate
Prevalence (%) 51 [34, 67]
GRADE not reported
8 studies · 3376 participants
Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Sample type: Clinic-based
Prevalence (%) 39 [12, 75]
GRADE not reported
4 studies · 636 participants
Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Sample type: Community-based
Prevalence (%) 53 [40, 66]
GRADE not reported
14 studies · 5351 participants
Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Publication type: Thesis
Prevalence (%) 49 [32, 67]
GRADE not reported
8 studies · 3228 participants
Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Publication type: Article
Prevalence (%) 51 [34, 68]
GRADE not reported
10 studies · 2759 participants
Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Risk of bias: Low
Prevalence (%) 54 [0, 100]
GRADE not reported
2 studies · 978 participants
Not reportedNonePrevalence of malocclusion
Mixed dentition · Mexico; school, community and clinic based samples · Risk of bias: High
Prevalence (%) 49 [29, 69]
GRADE not reported
8 studies · 1633 participants

Included primary studies 49

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Gonzalez-Aragon 2020
Relationship between the Normative Need for Orthodontic Treatment and Oral Health in Mexican Adolescents Aged 13-15 Years Old.
PMID:33153121
20201 other reviewnot statednot extracted yet
Aguilar Díaz et al., 2011
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Aguilar-Diaz 2011
Oral-health-related quality of life in schoolchildren in an endemic fluorosis area of Mexico.
PMID:21472394
2011this review onlyPrevalence of malocclusionnot extracted yet
Aguilar-Moreno 2013
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Alcaraz-Gutierrez 2016
Proliferation and differentiation in the human fetal endocrine pancreas.
PMID:9112016
1997this review onlynot statednot extracted yet
Alcaraz-Gutiérrez, 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Aldaz-Medina 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Castrejon-Diaz 2017
Whitescarver takes the reigns for HIV funding.
PMID:12152017
2002this review onlyPrevalence of malocclusionnot extracted yet
Castrejón-Díaz, 2017
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Chul-Back 2018
Relación entre tipos de maloclusión en plano horizontal y hábitos orales en niños de 8 a 14 años de Montemorelos
DOI:10.35997/runacv11n21a7
2018this review onlynot statednot extracted yet
Chul-Back et al., 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Estrada-Gonzalez 2013
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Estrada-González, 2013
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Galvez-Armenta 2016
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Gálvez-Armenta and Velásquez-Luna, 2016
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Garcia-Perez 2021
Oral health-related quality-of-life scores differ by socioeconomic status, mother's level of education, dental visits and severity of…
PMID:34557348
2021this review onlyPrevalence of malocclusionnot extracted yet
García-Pérez et al., 2021
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
González-Aragón et al., 2020
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Hernandez-Chacon 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Hernández-Chacón et al., 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Manzo-Palomera 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Mares-Favela 2012
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Medrano-Luna 2002
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Montiel-Jaime 2004
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Orozco-Cuanalo 2004
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Padilla-Corona 2014
Acinetobacter pneumonia.
PMID:6122014
1982this review onlyPrevalence of malocclusionnot extracted yet
Padilla-Corona, 2014
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Ramirez-Mendoza 2012
Prevalencia de Caries Dental y Maloclusiones en Escolares de Tabasco, México.
DOI:10.19136/hs.a11n1.104
2014this review onlyPrevalence of malocclusionnot extracted yet
Ramírez-Mendoza et al., 2012
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Roa-Gonzalez 2002
Effects of electrical stimulation of the vagus nerve on the ultrastructure of the rabbit parathyroid gland.
PMID:7122002
1982this review onlyPrevalence of malocclusionnot extracted yet
Roa-Gonzalez, 2002
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Rodriguez-Cardoso 2018
Mitochondrial adenosine triphosphatase of Zajdela hepatoma. III. Effect of uncouplers on the hydrolysis of intramitochondrial ATP.
PMID:201877
1977this review onlyPrevalence of malocclusionnot extracted yet
Rodríguez-Cardoso, 2018
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Rodriguez-Hernandez 2020
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Rodríguez-Hernández, 2020
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Sanchez-Perez 2013
Malocclusion and TMJ disorders in teenagers from private and public schools in Mexico City.
PMID:23385494
2013this review onlyPrevalence of malocclusionnot extracted yet
Sánchez-Pérez et al., 2013
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Sarellano-Castillo 2013
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Sierra-Saavedra 2012
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Silva-Flores 2013
Prevalencia de caries, gingivitis y maloclusiones en escolares de Ciudad Victoria, Tamaulipas y su relación con el estado nutricional
DOI:10.1016/s1870-199x(13)72040-8
2013this review onlynot statednot extracted yet
Silva-Flores et al., 2013
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Silva-Perez 2014
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Silva-Pérez et al., 2014
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Talley-Millan 2007
Casuística de maloclusiones Clase I, Clase II y Clase III, según Angle en el Departamento de Ortodoncia de la UNAM
DOI:10.22201/fo.1870199xp.2007.11.4.15720
2022this review onlyPrevalence of malocclusionnot extracted yet
Talley-Millán et al., 2007
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Tokunaga-Castaneda 2014
Prevalencia de las maloclusiones en el Departamento de Ortodoncia de la División de Estudios de Postgrado e Investigación de la Facultad…
DOI:10.1016/s1870-199x(14)72068-3
2014this review onlyPrevalence of malocclusionnot extracted yet
Tokunaga-Castañeda et al., 2014
matched by author and year (probable)
NRthis review onlyPrevalence of malocclusionnot extracted yet
Vasquez-Nava 2006
Association between allergic rhinitis, bottle feeding, non-nutritive sucking habits, and malocclusion in the primary dentition.
PMID:16769710
2006this review onlynot statednot extracted yet
Vásquez-Nava et al., 2006
matched by author and year (probable)
NRthis review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationMexican children <=15 years oldMexican children and adolescents aged up to 15 years (n=5987 in meta-analysis of mixed dentition, 18 studies; 29 studies included in review)
InterventionNot applicable (prevalence review)Not applicable (prevalence review)
ComparisonNot applicable (prevalence review)Not applicable (prevalence review)
OutcomesPrevalence rates of malocclusionsMalocclusion prevalence in mixed dentition 50.2% (95% CI 38.9-61.5%); deciduous dentition not pooled (n=6 studies, 2214 participants)
Study designsObservational studies (prospective and retrospective)Observational prevalence studies: 23 mixed dentition, 6 deciduous dentition
TimingNot specifiedNot specified