Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

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

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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Second molar at Demirjian stage E at extraction vs Second molar at Demirjian stage F-H at extraction

Spontaneous space closure · Children and adolescents after extraction of a maxillary permanent first molar (before eruption of the second molar)

In the maxilla, extraction at Demirjian stage E (vs later F-H) increases odds of space closure (OR 4.78; low certainty).

1 finding from 1 review

Erbium:YAG laser vs Untreated / high-speed-handpiece control enamel

Enamel resistance to demineralization (microhardness / lesion depth) · Human enamel adjacent to restorations or in pits and fissures (in situ / ex vivo)

Er:YAG laser showed a mixed and limited effect on enamel resistance to demineralization: feasible for controlling progression around restorations but not preventing caries formation, and ineffective in pits and fissures (ungraded, 2 ex-vivo studies, no pooled estimate).

1 finding from 1 review

Silver diamine fluoride (SDF) vs Silver nitrate plus fluoride varnish

Adverse effects · Children and adults (with or without carious lesions)
1 finding from 1 review

Oral cancer patients (cases) vs Healthy controls

Dental caries · Adults in case-control studies (oral cancer patients vs healthy controls)

The DMFT index was significantly higher in oral cancer patients than controls (SMD 0.65, 95% CI 0.12-1.18); ungraded.

1 finding from 1 review

Cranberry extract / juice and proanthocyanidin (flavonoid) fractions vs Untreated or vehicle control (some studies vs positive antimicrobial controls, e.g. chlorhexidine/fluoride)

Biofilm morphological changes · Streptococcus mutans (in vitro cultures and biofilms)

Cranberry extract alters S. mutans biofilm morphology/architecture (4 studies; ungraded).

1 finding from 1 review

Cleft lip and/or palate (CL/P) vs No cleft lip and/or palate (non-CL/P)

Lactobacillus spp. mean levels/counts · Children and adolescents aged 0-18 years with non-syndromic cleft lip and palate (CLP)

No significant difference in Lactobacillus spp. presence was reported; GRADE was not reported.

1 finding from 1 review

Overweight vs Normal Weight or Non‐Obese

Caries experience (mean DMFT) · Brazilian children/adolescents in permanent dentition (BMI classified by CDC 2000 growth charts)

Overweight may make little or no difference to caries experience (DMFT) in the permanent dentition (very low certainty).

1 finding from 1 review

Started toothbrushing with fluoride toothpaste at or before 24 months (earlier start) vs Started after 24 months (later start)

Fluorosis (percentage prevalence in permanent teeth) · Children exposed to topical fluoride when under 6 years old; fluorosis assessed in permanent teeth at 6 to 18 years

It is very uncertain whether started toothbrushing with fluoride toothpaste at or before 24… changes fluorosis (percentage prevalence in permanent teeth) compared with started after 24 months (later start) (very low certainty).

2 findings from 1 review

Oral cancer patients (cases) vs Healthy controls

Mean number of missing teeth in OC cases vs controls · Adults in case-control studies (oral cancer patients vs healthy controls)

The mean number of missing teeth did not differ significantly between oral cancer patients and controls (SMD 0.59, 95% CI -0.04 to 1.22); ungraded.

1 finding from 1 review

Probiotics vs placebo or control

Lactobacillus count (CFU/mL) · Children and/or adolescents (<18 years) without background systemic disease

Probiotics may make little to no difference to Lactobacillus count versus control (MD -0.78 CFU/mL, 95%CI -1.65 to 0.09; very low certainty).

1 finding from 1 review

CO2 laser combined with fluoride vs Fluorides alone (monotherapy)

Enamel demineralization (QLF ΔF) · Human enamel specimens under cariogenic challenge (in situ / ex vivo)

Evidence on a synergistic effect of combining CO2 laser with fluoride versus fluoride alone is mixed: one ex-vivo study found combined treatment superior while another found no synergy (ungraded, 2 ex-vivo studies, no pooled estimate).

1 finding from 1 review

M2 Demirjian stages F-G vs M2 Demirjian stages E-D

Spontaneous space closure · Children and adolescents with maxillary permanent first molar extraction

In the maxilla, M2 Demirjian stages F-G were not associated with a statistically significant difference in space closure odds.

1 finding from 1 review

Remineralizing orthodontic adhesives vs Conventional/control orthodontic adhesive (e.g., Transbond XT) or negative control

Ion release · Human teeth with early enamel lesions surrounding orthodontic brackets

No meta-analysis was conducted; most studies reported increased ion release over time, but few reported peak values.

1 finding from 1 review

Second molar at Demirjian stage E-F at extraction vs Second molar at Demirjian stage G-H at extraction

Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar)

In the mandible, Demirjian stage E-F vs G-H was not significantly associated with space closure (OR 4.44; not GRADE-rated).

1 finding from 1 review