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Table 5 Evidence profile: relationship between malocclusion and bullying

From: Is there a relationship between malocclusion and bullying? A systematic review

Patient or population: Children and adolescents

Exposure/intervention: malocclusion

Comparison: with normal occlusion

Outcome: Bullying

No. of participants (studies)

Relative effect (95% CI)

Certainty

What happens

4.953

(9 observational studies)

Not estimable

VERY LOW a,b,c

aVery serious problems for “Risk of bias”: Seven, of the nine, studies included in the present systematic review were judged with non-solid methodologies, with results erroneously biased in a certain direction and/or any serious confounding or other distorting influences.

bSerious problems for “Indirectness”: Shaw et al., Helm et al., Chikaod et al., Al-Bitar et al., and Rwakatema et al. applied self-report questionnaires to evaluate malocclusion, without clinical exam.

CVery serious problems in “Other considerations”: Seven, of the nine, studies could have any serious confounding or other distorting influences.

  1. CI confidence interval