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. 2020 Sep 1;21:26. doi: 10.1186/s40510-020-00323-7

Table 5.

Evidence profile: relationship between malocclusion and bullying

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.

CI confidence interval