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Table 3 GRADE evidence profile table about influence of heritability in main occlusal traits

From: Influence of heritability on occlusal traits: a systematic review of studies in twins

Certainty Assessment

No. of Studies

Study design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other consideration

Impact

Overall certainty of evidence

Arch width

6

OSa

Seriousb

Not serious

Not serious

Not serious

None

Arch width has an important heritability component

Low

Arch length

5

OSa

Seriousb

Not serious

Not serious

Not serious

None

Genetic determination can be demonstrated with a higher heritability coefficient for the maxillary arch than for the mandibular

Low

Overjet

6

OSa

Seriousb

Not serious

Not serious

Not serious

None

The heritability estimate for was not often mentioned, highlighting a strong environmental contribution to observed variation

Low

Overbite

6

OSa

Seriousb

Not serious

Not serious

Not serious

None

Heritability was weak for overbite, suggesting the presence of hidden environmental determinacies

Low

Malalignment/intertooth space

5

OSa

Seriousb

Not serious

Not serious

Not serious

None

The alignment of teeth, mainly in the mandibular arch, is under strong dominance of genetic factors

Low

Sagittal molar relationship

4

OSa

Seriousb

Not serious

Not serious

Not serious

None

It appears that the environmental component as the major determinant

Low

Posterior crossbite

4

OSa

Seriousb

Not serious

Not serious

Not serious

None

Although one study reports a high heritability value, most studies did not shown a genetic influence on this trait

Low

  1. aDown one level by study design, OS observational studies
  2. bBased on the bias of risk assessment tool