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Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

56 questions in 15 reviews · cluster CL0063

current versions
No studies 0 · 0%Ungraded 52 · 92.9%Very low 3 · 5.4%Low 0 · 0%Moderate 1 · 1.8%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Intervention categories, outcome domains and clusters are a proposed key pending human validation. Clear all filters

QuestionEffectEvidenceStatus / GRADE
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC), prevalence · Children aged 0-5 years in North Africa · Country: Tunisia
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
Prevalence 38 [24, 51]4 studiesUngraded
Higher parental education (tertiary) vs Lower parental education (reference)
Early childhood caries (ECC) · Children aged 0-5 years in North Africa · Paternal tertiary education [Kabil]
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 0.381 [0.16, 0.91]1 studyUngraded
Caries in mother's mouth vs No maternal caries
Early childhood caries (ECC) · Children aged 0-5 years in North Africa
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 20.44 [8.37, 49.92]1 studyUngraded
Iron deficiency anemia (IDA) vs Children without anemia (non-anemic)
Dental caries (presence) · Children and adolescents (0-18 years; most included reviews focused on <6 years)
Association Between Iron Deficiency Anemia and Dental Caries in Children: A Systematic Umbrella Meta-Analysis. (2025)
OR 3.64 [2.45, 5.40]3 studiesModerate
Spoon sharing with household members vs No spoon sharing
Early childhood caries (ECC) · Children aged 0-5 years in North Africa
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 8.79 [2.92, 26.51]1 studyUngraded
Higher parental education (tertiary) vs Lower parental education (reference)
Early childhood caries (ECC) · Children aged 0-5 years in North Africa · Maternal tertiary education [Kabil]
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 0.083 [0.03, 0.21]1 studyUngraded
Older child age (months) vs Younger age (reference)
Early childhood caries (ECC) · Children aged 0-5 years in North Africa · 48-59 months
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 2.602 [1.122, 2.302]1 studyUngraded
Timing of first dental visit vs Reference visit timing
Early childhood caries (ECC) · Children aged 0-5 years in North Africa · Early visit
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 0.042 [0.013, 0.136]1 studyUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC), prevalence · Children aged 0-5 years in North Africa · Sample size <500
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
Prevalence 48 [39, 58]9 studiesUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC), prevalence · Children aged 0-5 years in North Africa · Country: Sudan
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
Prevalence 63 [52, 74]3 studiesUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC), prevalence · Children aged 0-5 years in North Africa · Sample size >500
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
Prevalence 65 [55, 75]9 studiesUngraded
E-cigarette use (ENDS / vaping) vs Non-smokers
Untreated dental caries and caries risk · Humans who use e-cigarettes (adolescents to adults) assessed for dental caries · Cross-sectional
The effects of electronic smoking on dental caries and proinflammatory markers: a systematic review and… (2025)
Narrative synthesis (not meta-analyzed). E-cigarette users had more untreated caries and higher caries risk than non-smokers in individual studies: Vemulapalli 2021 untreated-caries OR 2.04 (non-smokers as reference);…3 studiesUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC), prevalence · Children aged 0-5 years in North Africa · Publication-bias adjusted (trim-and-fill)
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
Prevalence 62 [58, 81]NRUngraded
Nocturnal (night) feeding vs No nocturnal feeding
Early childhood caries (ECC) · Children aged 0-5 years in North Africa
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 2.417 [1.340, 4.358]1 studyUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC), prevalence · Children aged 0-5 years in North Africa · Country: Egypt
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
Prevalence 62 [53, 70]10 studiesUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC), prevalence · Children aged 0-5 years in North Africa · Overall (all included studies)
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
Prevalence 57 [50, 64]18 studies · 11319 participantsUngraded
Feeding on demand vs Scheduled feeding
Early childhood caries (ECC) · Children aged 0-5 years in North Africa
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 9.66 [4.26, 21.93]1 studyUngraded
Male sex vs Female sex
Early childhood caries (ECC) · Children aged 0-5 years in North Africa
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 2.911 [1.42, 5.99]1 studyUngraded
Prior history of dental visit vs No prior dental visit
Early childhood caries (ECC) · Children aged 0-5 years in North Africa
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 2.444 [1.108, 2.072]1 studyUngraded
Higher parental education (tertiary) vs Lower parental education (reference)
Early childhood caries (ECC) · Children aged 0-5 years in North Africa · Parents' education level [Chouchene]
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 0.797 [0.171, 0.650]1 studyUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC), prevalence · Children aged 0-5 years in North Africa · Sampling: convenience
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
Prevalence 604 studiesUngraded
Timing of first dental visit vs Reference visit timing
Early childhood caries (ECC) · Children aged 0-5 years in North Africa · Delayed/late visit
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 0.248 [0.072, 0.852]1 studyUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC), prevalence · Children aged 0-5 years in North Africa · Sampling: stratified/multistage cluster
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
Prevalence 50 [40, 61]9 studiesUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC), prevalence · Children aged 0-5 years in North Africa · Sampling: simple random
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
Prevalence 675 studiesUngraded
Older child age (months) vs Younger age (reference)
Early childhood caries (ECC) · Children aged 0-5 years in North Africa · 60-71 months
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 2.845 [1.128, 2.072]1 studyUngraded
Having siblings vs No siblings
Early childhood caries (ECC) · Children aged 0-5 years in North Africa · 1 sibling
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 3.32 [1.15, 9.54]1 studyUngraded
Acidic bacillary pH on teeth vs Non-acidic bacillary pH
Dental caries · Primary school children in Ethiopia
Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024)
OR 2.42 [1.494, 3.335]NRUngraded
Poor habit of tooth cleaning vs Good tooth-cleaning habit
Dental caries · Primary school children in Ethiopia
Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024)
OR 3.90 [2.761, 5.045]NRUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Dental caries, prevalence · Primary school children in Ethiopia · Sampling technique: systematic random sampling
Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024)
Prevalence 30 [15, 44]2 studies · 554 participantsUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Dental caries, prevalence · Primary school children in Ethiopia · Sampling technique: multi-stage random sampling
Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024)
Prevalence 21 [19, 23]1 study · 1736 participantsUngraded
Slum residence vs Non-slum urban residence
Dental caries (odds), slum vs non-slum residence · Adult residents of slums and non-slum urban settings of LMICs · Cross-sectional, Slum vs non-slum urban (Osuh 2022, Nigeria)
Systematic review of oral health in slums and non-slum urban settings of Low and Middle-Income Countries… (2024)
OR 1.21 [0.94, 1.56]1 study · 1357 participantsUngraded
Male sex vs Female sex
Dental caries risk · Institutionalized orphan children · Overall (pooled)
Caries in orphan children: prevalence and determinants-a systematic review and meta-analysis. (2024)
RR 1.02 [0.96, 1.08]5 studies · 2750 participantsVery low
Serum 25(OH)D < 50 nmol/l vs Serum 25(OH)D ≥ 75 nmol/l
Early childhood caries (ECC) · Preschool children ≤6 years
The Association Between Vitamin D and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
OR 2.00 [1.76, 2.28]6 studies · 4807 participantsUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Dental caries, prevalence · Primary school children in Ethiopia · Sampling technique: simple random sampling
Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024)
Prevalence 42 [35, 49]4 studies · 1421 participantsUngraded
Grade level 1-4 (first cycle) vs Grade level 5 or above
Dental caries · Primary school children in Ethiopia
Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024)
OR 2.46 [1.523, 3.397]NRUngraded
High intake of sweets vs Lower/less intake of sweets
Dental caries · Primary school children in Ethiopia
Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024)
OR 2.71 [1.968, 3.451]5 studiesUngraded
Serum 25(OH)D 50–75 nmol/l vs Serum 25(OH)D ≥ 75 nmol/l
Early childhood caries (ECC) · Preschool children ≤6 years
The Association Between Vitamin D and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
OR 1.42 [1.26, 1.60]6 studies · 5746 participantsUngraded
Primary teeth / primary dentition (younger children) vs Permanent teeth / permanent dentition (older children)
Dental caries risk · Institutionalized orphan children · Overall (pooled)
Caries in orphan children: prevalence and determinants-a systematic review and meta-analysis. (2024)
RR 1.31 [0.91, 1.89]5 studies · 1892 participantsVery low
Genome-wide common variants (aggregate additive; LD score regression) vs Not applicable (variance-component estimate)
Dental caries - SNP-based heritability · Japanese adults (present-study cohort) · Lifelong (germline genotype), LDSC heritability (present study)
Genome-wide association meta-analysis identifies two novel loci associated with dental caries. (2024)
h2 (observed-scale SNP heritability) 0.02581 study · 45525 participantsUngraded
Higher waist circumference vs Lower waist circumference
Dental caries in children · Children (approx. 4-18 years)
Childhood obesity in relation to risk of dental caries: a cumulative and dose-response systematic review and… (2024)
OR 1.08 [0.90, 1.30]2 studiesUngraded
Serum 25(OH)D < 50 nmol/l vs Serum 25(OH)D 50–75 nmol/l
Early childhood caries (ECC) · Preschool children ≤6 years
The Association Between Vitamin D and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
OR 1.47 [1.30, 1.66]6 studies · 5265 participantsUngraded
Serum 25(OH)D 50–75 nmol/l vs Serum 25(OH)D ≥ 75 nmol/l
Early childhood caries (ECC) · Preschool children ≤6 years, North America · North America
The Association Between Vitamin D and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
OR 2.09 [1.55, 2.82]3 studies · 750 participantsUngraded
Serum 25(OH)D 50–75 nmol/l vs Serum 25(OH)D ≥ 75 nmol/l
Early childhood caries (ECC) · Preschool children ≤6 years, Asia and Europe · Asia and Europe
The Association Between Vitamin D and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
OR 1.32 [1.17, 1.50]3 studies · 4996 participantsUngraded
History of toothache vs No history of toothache
Dental caries · Primary school children in Ethiopia
Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024)
OR 2.99 [2.679, 3.314]NRUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Dental caries, prevalence · Primary school children in Ethiopia · Overall (all included studies)
Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024)
Prevalence 35 [27, 43]7 studies · 3711 participantsUngraded
Mixed breast- and bottle-feeding vs Bottle-feeding only
Dental caries (early childhood caries) · Healthy children under 6 years in South Africa
Maternal and infant risk factors and risk indicators associated with early childhood caries in South Africa:… (2022)
OR 1.04 [0.76, 1.41]2 studies · 863 participantsUngraded
Food and nonalcoholic beverage marketing (exposure) vs No, less, or less powerful food marketing
Dental caries · Children and adolescents aged 0-19 years · Nonrandomized studies
Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022)
Vote counting: 1 of 2 studies (50%; 95% CI, 9%-90.5%) showed an association of public health harm; 1 moderate-quality study found a clear association with caries and 1 high-quality study found no association.2 studiesVery low
Parental tertiary education vs Parental high school (secondary) education
Dental caries (early childhood caries) · Healthy children under 6 years in South Africa
Maternal and infant risk factors and risk indicators associated with early childhood caries in South Africa:… (2022)
OR 1.77 [1.22, 2.57]2 studies · 505 participantsUngraded
Bottle-feeding only vs Breastfeeding only
Dental caries (early childhood caries) · Healthy children under 6 years in South Africa
Maternal and infant risk factors and risk indicators associated with early childhood caries in South Africa:… (2022)
OR 1.30 [0.84, 2.02]2 studies · 911 participantsUngraded
High snack consumption vs Low snack consumption
Severe early childhood caries · Children aged 5-6 years in Ajman schools · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
OR 1.80 [1.26, 2.58]1 study · 1036 participantsUngraded