Same question across reviews · CL0287

intervention :: Unclassified intervention -> Lesion arrest/remineralization

ProposalThis cluster groups questions by review type, intervention category and outcome domain. It is a proposal pending human validation, so questions in it may differ in population, comparator or timing.
Reviews
6
Questions
13
current versions
GRADE rated
0
Review overlap (CCA)
0.000
over all included studies of these reviews, not this question only
QuestionEffectEvidenceStatus / GRADE
Microinvasive technique (proximal sealing) vs No intervention
Radiographic progression of proximal caries lesions · Children with lesions in both primary and permanent teeth (ages 8-10) · 3.5 years, Both permanent and primary (Fig. 6, subgroup 2.1.3)
Microinvasive interventions in the management of proximal caries lesions in primary and permanent teeth-… (2025)
OR 0.16 [0.06, 0.44]1 study · 61 participantsUngraded
Orthodontic adhesives containing bioactive glass (BAG) particles/nanoparticles (including Ag-, Zn-, fluoride-, or Ga-doped BAG) vs Conventional/control orthodontic adhesive (e.g., Transbond XT) or negative control
Enamel remineralization / anti-demineralization extent · Human enamel specimens around orthodontic brackets (in vitro) · pH cycling 14 days to 6 months (majority 14 days), Overall
Remineralization and anti-demineralization effect of orthodontic adhesives on enamel surrounding orthodontic… (2024)
Out of 13 studies that evaluated bioactive glass particles/nanoparticles, 9 reported definitive statistically significant remineralization potential compared to control orthodontic adhesives [17, 21-24, 26-28, 31]; one…13 studiesUngraded
Remineralizing orthodontic adhesives vs Control orthodontic adhesives
Enamel remineralization or anti-demineralization · Human teeth with early enamel lesions surrounding orthodontic brackets · 5 days to 6 months
Remineralization and anti-demineralization effect of orthodontic adhesives on enamel surrounding orthodontic… (2024)
no estimate extracted24 studiesUngraded
Experimental adhesive containing ammonium-based methacrylate monomer (MADQUAT) vs Conventional/control orthodontic adhesive (e.g., Transbond XT) or negative control
Enamel remineralization / carious lesion development · Human enamel specimens around orthodontic brackets (in vitro) · biofilm cariogenic challenge 5 days, Overall
Remineralization and anti-demineralization effect of orthodontic adhesives on enamel surrounding orthodontic… (2024)
A study using an orthodontic adhesive containing ammonium-based methacrylate showed significant remineralization power compared with control adhesives [37].1 studyUngraded
Self-assembling peptide P11-4 vs Control (placebo / no active therapy)
Remineralization / reduction in lesion severity (change in QLF, laser fluorescence, or lesion area) · Patients with white spot lesions / early caries lesions (WSLs/ECLs), including orthodontic and non-orthodontic…
Comparison of therapies of white spot lesions: a systematic review and network meta-analysis. (2023)
SMD -0.56 [-0.96, -0.15]4 studiesUngraded
Self-assembling peptide P11-4 vs Fluoride varnish (gold standard)
Remineralization / reduction in lesion severity (change in QLF, laser fluorescence, or lesion area) · Patients with white spot lesions / early caries lesions (WSLs/ECLs), including orthodontic and non-orthodontic…
Comparison of therapies of white spot lesions: a systematic review and network meta-analysis. (2023)
SMD -0.31 [-0.71, 0.09]5 studiesUngraded
Self-assembling peptide P11-4 vs CPP-ACP
Remineralization / reduction in lesion severity (change in QLF, laser fluorescence, or lesion area) · Patients with white spot lesions / early caries lesions (WSLs/ECLs), including orthodontic and non-orthodontic…
Comparison of therapies of white spot lesions: a systematic review and network meta-analysis. (2023)
SMD -0.38 [-0.87, 0.11]NRUngraded
CPP-ACFP vs Control (placebo / no active therapy)
Remineralization / reduction in lesion severity (change in QLF, laser fluorescence, or lesion area) · Patients with white spot lesions / early caries lesions (WSLs/ECLs), including orthodontic and non-orthodontic…
Comparison of therapies of white spot lesions: a systematic review and network meta-analysis. (2023)
SMD -0.42 [-0.84, 0.00]5 studiesUngraded
Self-assembling peptide P11-4 vs CPP-ACFP
Remineralization / reduction in lesion severity (change in QLF, laser fluorescence, or lesion area) · Patients with white spot lesions / early caries lesions (WSLs/ECLs), including orthodontic and non-orthodontic…
Comparison of therapies of white spot lesions: a systematic review and network meta-analysis. (2023)
SMD -0.13 [-0.68, 0.42]2 studiesUngraded
Flowable resin composite vs Fluoride-releasing resin-based sealant
Progression of non-cavitated enamel caries · Children who were regular dental attenders with caries-free first or second primary molars (public health service…
Sealants for preventing dental caries in primary teeth (2022) · Cochrane
No studies reported this outcome.0 studiesNo studies
Tooth bleaching (carbamide or hydrogen peroxide; home or in-office) vs No bleaching (untreated or pH-cycling control)
Enamel demineralisation and susceptibility to caries or acid erosion (microhardness, mineral loss) · Permanent teeth / enamel specimens (in vitro)
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
Four studies at high risk of bias and one study at moderate risk reached the overall conclusion that neither home- nor in-office bleaching of permanent teeth was associated with an increased susceptibility to…5 studiesUngraded
Home or in-office bleaching vs No bleaching
Caries susceptibility, enamel demineralisation, erosion, or microhardness · Permanent teeth or extracted human teeth with artificial lesions · Varied or not stated
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
no estimate extracted5 studiesUngraded
Stepwise excavation (two-stage caries removal, re-entry after an interval) vs One stage complete caries removal
Progression of caries · Patients with carious teeth, affecting any tooth surface(s), in unrestored primary and permanent teeth
Operative caries management in adults and children (2013) · Cochrane
None of the eight included studies reported on the primary outcome of progression of caries.0 studiesNo studies

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