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Evidence found and GRADE certainty

3,323 questions · 5,762 findings · 263 reviews · Dental caries

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No studies found 321 · 5.6%GRADE not reported 4,450 · 77.2%Very low 455 · 7.9%Low 297 · 5.2%Moderate 200 · 3.5%High 39 · 0.7%

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AG + GG genotype (G-allele carriers) of LTF rs1126478 vs AA genotype of LTF rs1126478

Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls)

No significant association between AG + GG genotype (G-allele carriers) vs AA genotype of LTF rs1126478 and dental caries susceptibility (AG + GG vs AA model: OR 0.99, 95% CI 0.81-1.23) in the Age group: Children subgroup; certainty not graded.

5 findings from 1 review
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GG genotype of ENAM rs1264848 vs AA genotype of ENAM rs1264848

Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls)

No significant association between GG genotype vs AA genotype of ENAM rs1264848 and dental caries susceptibility (GG vs AA model: OR 0.58, 95% CI 0.19-1.82) in the Age group: Children subgroup; certainty not graded.

6 findings from 1 review
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Resin-modified glass ionomer fissure sealant vs Fluoride varnish

Progression of dentinal carious lesions into enamel or dentine · Children and adolescents (general population, aged under 20 years)

Resin-modified glass ionomer fissure sealant showed no clear difference in progression of dentinal carious lesions into enamel or dentine compared with fluoride varnish; GRADE not reported.

1 finding from 1 review

VistaProof (Durr Dental; blue fluorescence, 405 nm) vs Reference standard (histology, excavation, or enhanced visual examination)

Diagnostic accuracy (sensitivity and specificity) for detection of early enamel caries (D1 threshold) · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted teeth of children or…
1 finding from 1 review
  • Fluorescence devices for the detection of dental caries 2020 · Cochrane All outcomes
    Up to 3 months between index test and reference standard (in vivo studies)
    Analysed as a separate index test (coupled forest plot and SROC plot, Figure 24 / Figure 25; Appendix 5); no summary DOR or sensitivity/specificity point reported numerically in the text. 18 datasets, 2402 tooth sites.
    17 studies
    GRADE not reported

rs1126478 genotype distribution vs Caries-free control genotype distribution

Dental caries (by severity) · Human subjects stratified by dental caries severity and caries-free controls

rs1126478 was inversely associated with low-level dental caries in a single study (OR 0.65, 95% CI 0.47 to 0.90; ungraded).

6 findings from 1 review
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Low birth weight (<2500 g) vs Normal birth weight (2500 g or more)

Early childhood caries (ECC) · Children aged 6 years or younger (preschool children)

Adjusted analyses also showed no association between low birth weight and early childhood caries (adjusted OR 1.05, 95% CI 0.71 to 1.57); certainty not graded.

3 findings from 1 review

Traditional bur cavity preparation vs Er,Cr:YSGG laser cavity preparation

Incidence of microleakage · Human teeth requiring cavity preparation and restoration (in vitro)

At the dentin margin, microleakage did not differ significantly between bur and Er,Cr:YSGG laser preparation (RR 1.26, 95% CI 0.67-2.38; ungraded).

4 findings from 1 review
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Tooth-coloured direct restorative materials (composite, compomer, giomer, RMGIC, HVGIC, open-sandwich) vs No comparator

Anatomic form success rate · Children with primary molars requiring proximal (Class II) restorations

The pooled 24-month anatomic form success rate was 0.901 (95% CI 0.845-0.938; ungraded).

2 findings from 1 review

T allele of ENAM rs3796703 vs C allele of ENAM rs3796703

Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls)

No significant association between T allele vs C allele of ENAM rs3796703 and dental caries susceptibility (T vs C model: OR 0.92, 95% CI 0.24-3.58); certainty not graded.

3 findings from 1 review

TT genotype of AMELX rs17878486 vs CC + CT genotype of AMELX rs17878486

Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls)

No significant association between TT genotype vs CC + CT genotype of AMELX rs17878486 and dental caries susceptibility (TT vs CC + CT model: OR 6.17, 95% CI 0.41-92.05) in the Ethnicity: Caucasian subgroup; certainty not graded.

8 findings from 1 review
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Vegetarian diet (any diet excluding all meat, poultry and fish) vs Nonvegetarian diet

Dental erosion · General population (children and adults) assessed for dental hard-tissue health

Among adults and excluding the outlier study, vegetarian diet was associated with higher odds of dental erosion with no heterogeneity (OR 2.56, 95% CI 1.77 to 3.71; ungraded).

4 findings from 1 review
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CT genotype of AMELX rs6639060 vs CC genotype of AMELX rs6639060

Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls)

No significant association between CT genotype vs CC genotype of AMELX rs6639060 and dental caries susceptibility (CT vs CC model: OR 1.27, 95% CI 0.49-3.30) in the Age group: Adults subgroup; certainty not graded.

3 findings from 1 review

Vegetarian diet (any diet excluding all meat, poultry and fish) vs Nonvegetarian diet

Noncarious/cervical lesions and tooth wear (measures other than pooled dental erosion) · General population (children and adults) assessed for dental hard-tissue health

Beyond dental erosion, vegetarians tended to have a higher prevalence of other NCCL and tooth wear than nonvegetarians, reported narratively (ungraded).

1 finding from 1 review
  • Vegetarian diet and its possible influence on dental health: A systematic literature review. 2020 All outcomes
    Multiple countries (mostly India; also Finland and other European countries, Brazil, Trinidad and Tobago); community and clinical settings
    Eleven studies reported on NCCL using six definitions (presence of NCCL, presence of dental erosion, presence and severity of tooth wear, dental abrasion, cervical buccal defects); the six reporting presence of dental…
    Studies not reported
    GRADE not reported

Fluoride varnish vs Fissure sealant (resin-based or glass ionomer)

Caries incidence of first permanent molars (FPMs) · Generally healthy children aged 6 to 9 years with at least one fully erupted first permanent molar with deep fissures or early enamel…

After excluding the high-risk-of-bias study (Bravo 1996), fluoride varnish and fissure sealant did not differ in caries incidence of FPMs and heterogeneity fell to 0% (RR 1.05, 95% CI 0.91 to 1.22; 5 RCTs; ungraded).

3 findings from 1 review