{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T14:03:51Z","timestamp":1793714631823,"version":"4.6.1"},"reference-count":76,"publisher":"Wiley","issue":"4-5","license":[{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Aims<\/jats:title>\n                    <jats:p>Traumatic dental injuries are one of the most prevalent diseases globally, impacting people of different ages and socio\u2010economic statuses. As disease prevention is preferable to management, understanding when an individual's overjet is prone to dental trauma helps identify at\u2010risk patients, so to institute preventive strategies. The aim of this study was to identify the different overjet sizes that present an increased risk for developing dental trauma across different ages and dentition stages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The title and protocol were registered and published a priori with the Joanna Briggs Institute (JBI) and PROSPERO (CRD42017060907) and followed the JBI methodology of systematic reviews of association (etiology). A three\u2010step search strategy was performed, including electronic searches of gray literature and four databases. Studies of healthy human participants of any age and in any dental dentition stage were considered for inclusion. Only high methodological quality studies with low risk of bias were included. Where possible, meta\u2010analyses were performed using the random\u2010effects model, supplemented with the fixed\u2010effects model in situations where statistical heterogeneity was \u226450%, assessed using the\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      statistic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study identified 3718 articles, 41 were included. An increased overjet was significantly associated with higher odds of developing trauma in all dentition stages and age groups. Children 0\u20106\u00a0years with an overjet \u22653mm have an odds of 3.37 (95%CI, 1.36\u20108.38,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.009) for trauma. Children in the mixed and secondary dentition with an overjet &gt;5mm have an odds of 2.43 (95%CI, 1.34\u20104.42,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.004). Twelve\u2010year\u2010old children with an overjet &gt;5mm have an odds of 1.81 (95%CI, 1.44\u20102.27,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results confirm the association between increased overjet and dental trauma. A child in the primary dentition could be considered as having an overjet at risk for trauma when it is \u22653mm. In the early secondary dentition, the threshold for trauma is an overjet \u22655mm.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/edt.12481","type":"journal-article","created":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T02:54:31Z","timestamp":1557197671000},"page":"217-232","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":85,"title":["The association of overjet size and traumatic dental injuries\u2014A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"35","author":[{"given":"George P.","family":"Arraj","sequence":"first","affiliation":[{"name":"Private dental practice Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8287-1226","authenticated-orcid":false,"given":"Giampiero","family":"Rossi\u2010Fedele","sequence":"additional","affiliation":[{"name":"Adelaide Dental School The University of Adelaide Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9348-5817","authenticated-orcid":false,"given":"Esma J.","family":"Do\u011framac\u0131","sequence":"additional","affiliation":[{"name":"Adelaide Dental School The University of Adelaide Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2012.11.021"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/21.5.503"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12053"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12126"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2016.08.018"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2017.05.018"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30380-2"},{"key":"e_1_2_8_9_1","unstructured":"LaderD ChadwickB ChestnuttI HarkerR MorrisJ NuttallN et al.Children\u2019s Dental Health in the United Kingdom 2003. 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