Gap finder

Search review questions

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)

149 questions in 21 reviews · cluster CL0221

current versions
No studies 35 · 23.5%Ungraded 68 · 45.6%Very low 19 · 12.8%Low 25 · 16.8%Moderate 2 · 1.3%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
Cognitive behavioural (group psychotherapy) therapy vs Placebo pill
Improvement in burning mouth symptoms · Adults over 18 years of age with chronic orofacial pain (burning mouth syndrome) · Not specified
Psychosocial interventions for the management of chronic orofacial pain (2011) · Cochrane
RR 1.77 [0.98, 3.21]1 studyUngraded
Flossing plus toothbrushing (self-performed; manual or automated floss) vs Toothbrushing alone (with or without a negative-control/placebo rinse)
Interproximal caries · Dentate adults aged 16 years or older (excluding orthodontic patients and those with severe periodontal disease)
Flossing for the management of periodontal diseases and dental caries in adults (2011) · Cochrane
Not estimable (0 studies). See comment: No included study assessed caries as an outcome.0 studiesNo studies
Flossing plus toothbrushing (self-performed; manual or automated floss) vs Toothbrushing alone (with or without a negative-control/placebo rinse)
Plaque (0-5 scale; SMD) · Dentate adults aged 16 years or older (excluding orthodontic patients and those with severe periodontal disease) · 6 months
Flossing for the management of periodontal diseases and dental caries in adults (2011) · Cochrane
SMD -0.06 [-0.23, 0.12]3 studies · 487 participantsUngraded
Flossing plus toothbrushing (self-performed; manual or automated floss) vs Toothbrushing alone (with or without a negative-control/placebo rinse)
Clinical attachment loss · Dentate adults aged 16 years or older (excluding orthodontic patients and those with severe periodontal disease)
Flossing for the management of periodontal diseases and dental caries in adults (2011) · Cochrane
Not estimable (0 studies). SoF comment reads (verbatim) 'No included study assessed calculus as an outcome' (apparent copy-paste typo in the clinical attachment loss row; no study assessed clinical attachment loss).0 studiesNo studies
Psychosocial interventions (cognitive behavioural therapy, biofeedback, combination CBT/biofeedback, physical self-regulation/posture self-control) vs Usual care (conservative treatment: education, counselling, intraoral flat plane appliance)
Pain intensity (long term) · Adults over 18 years of age with chronic orofacial pain (temporomandibular disorder (TMD)) · Long term (more than 3 months)
Psychosocial interventions for the management of chronic orofacial pain (2011) · Cochrane
SMD -0.34 [-0.50, -0.18]7 studies · 658 participantsUngraded
Psychosocial interventions (cognitive behavioural therapy, biofeedback, combination CBT/biofeedback, physical self-regulation/posture self-control) vs Usual care (conservative treatment: education, counselling, intraoral flat plane appliance)
Muscle palpation pain (long term) · Adults over 18 years of age with chronic orofacial pain (temporomandibular disorder (TMD)) · Long term (more than 3 months)
Psychosocial interventions for the management of chronic orofacial pain (2011) · Cochrane
Muscle palpation pain long term (greater than 3 months): 3 studies; results not pooled owing to substantial heterogeneity (I2=64%); insufficient evidence to draw conclusions for any individual intervention. One study…3 studiesUngraded
Flossing plus toothbrushing (self-performed; manual or automated floss) vs Toothbrushing alone (with or without a negative-control/placebo rinse)
Bad breath (halitosis) · Dentate adults aged 16 years or older (excluding orthodontic patients and those with severe periodontal disease)
Flossing for the management of periodontal diseases and dental caries in adults (2011) · Cochrane
Not reported. No included study measured halitosis; the review notes it may be important to measure in future trials.0 studiesNo studies
Psychosocial interventions (cognitive behavioural therapy, biofeedback, combination CBT/biofeedback, physical self-regulation/posture self-control) vs Usual care (conservative treatment: education, counselling, intraoral flat plane appliance)
Depression (long term) · Adults over 18 years of age with chronic orofacial pain (temporomandibular disorder (TMD)) · Long term (more than 3 months)
Psychosocial interventions for the management of chronic orofacial pain (2011) · Cochrane
SMD -0.35 [-0.54, -0.16]6 studies · 455 participantsUngraded
Flossing plus toothbrushing (self-performed; manual or automated floss) vs Toothbrushing alone (with or without a negative-control/placebo rinse)
Calculus · Dentate adults aged 16 years or older (excluding orthodontic patients and those with severe periodontal disease)
Flossing for the management of periodontal diseases and dental caries in adults (2011) · Cochrane
Not estimable (0 studies). See comment: No included study assessed calculus as an outcome.0 studiesNo studies
Flossing plus toothbrushing (self-performed; manual or automated floss) vs Toothbrushing alone (with or without a negative-control/placebo rinse)
Plaque (0-5 scale; SMD) · Dentate adults aged 16 years or older (excluding orthodontic patients and those with severe periodontal disease) · 3 months
Flossing for the management of periodontal diseases and dental caries in adults (2011) · Cochrane
SMD -0.20 [-0.36, -0.04]5 studies · 594 participantsUngraded
Cognitive (behavioural) therapy vs Attention placebo
Burning mouth pain intensity (6-month follow-up) · Adults over 18 years of age with chronic orofacial pain (burning mouth syndrome) · Long term (6-month follow-up)
Psychosocial interventions for the management of chronic orofacial pain (2011) · Cochrane
SMD -2.79 [-3.83, -1.75]1 studyUngraded
Cognitive (behavioural) therapy vs Attention placebo
Burning mouth pain intensity (post-treatment) · Adults over 18 years of age with chronic orofacial pain (burning mouth syndrome) · Short term (post-treatment)
Psychosocial interventions for the management of chronic orofacial pain (2011) · Cochrane
SMD -2.40 [-3.40, -1.40]1 studyUngraded
Psychosocial interventions (cognitive behavioural therapy, biofeedback, combination CBT/biofeedback, physical self-regulation/posture self-control) vs Usual care (conservative treatment: education, counselling, intraoral flat plane appliance)
Pain intensity (short term) · Adults over 18 years of age with chronic orofacial pain (temporomandibular disorder (TMD)) · Short term (3 months or less), Combination CBT/biofeedback
Psychosocial interventions for the management of chronic orofacial pain (2011) · Cochrane
SMD 0.46 [0.02, 0.90]2 studies · 90 participantsUngraded
Psychosocial interventions (cognitive behavioural therapy, biofeedback, combination CBT/biofeedback, physical self-regulation/posture self-control) vs Usual care (conservative treatment: education, counselling, intraoral flat plane appliance)
Pain severity - impact: activity interference / disability (long term) · Adults over 18 years of age with chronic orofacial pain (temporomandibular disorder (TMD)) · Long term (more than 3 months), CBT alone
Psychosocial interventions for the management of chronic orofacial pain (2011) · Cochrane
SMD -0.27 [-0.51, -0.03]4 studies · 285 participantsUngraded
Sonic toothbrushing vs Manual toothbrushing
Patient satisfaction (liked toothbrush) · Adults with dental implants and peri-implant mucositis at baseline · 6 months
Interventions for replacing missing teeth: maintaining and recovering soft tissue health around dental… (2010) · Cochrane
RR 1.48 [1.03, 2.13]1 study · 31 participantsUngraded
Hyaluronic acid gel (brushing) vs Chlorhexidine gel (brushing)
Plaque · Adults with dental implants and healthy peri-implant soft tissues at baseline · 6 months
Interventions for replacing missing teeth: maintaining and recovering soft tissue health around dental… (2010) · Cochrane
MD -0.47 [-1.08, 0.14]1 study · 30 participantsUngraded
Powered toothbrushing vs Manual toothbrushing
Change in probing pocket depth · Adults with dental implants and healthy peri-implant soft tissues at baseline · 6 weeks
Interventions for replacing missing teeth: maintaining and recovering soft tissue health around dental… (2010) · Cochrane
At 6 weeks there was no significant difference in change of probing pocket depths1 study · 40 participantsUngraded
Sonic toothbrushing vs Manual toothbrushing
Ease of maintenance · Adults with dental implants and peri-implant mucositis at baseline · 6 months
Interventions for replacing missing teeth: maintaining and recovering soft tissue health around dental… (2010) · Cochrane
RR 0.94 [0.79, 1.12]1 study · 31 participantsUngraded
Sonic toothbrushing vs Manual toothbrushing
Change in probing pocket depth · Adults with dental implants and peri-implant mucositis at baseline · 6 months
Interventions for replacing missing teeth: maintaining and recovering soft tissue health around dental… (2010) · Cochrane
MD 0.08 [-0.64, 0.80]1 study · 31 participantsUngraded
Powered toothbrushing vs Manual toothbrushing
Plaque · Adults with dental implants and healthy peri-implant soft tissues at baseline · 6 weeks
Interventions for replacing missing teeth: maintaining and recovering soft tissue health around dental… (2010) · Cochrane
MD 0.10 [-0.66, 0.86]1 study · 40 participantsUngraded
Sonic toothbrushing vs Manual toothbrushing
Plaque · Adults with dental implants and peri-implant mucositis at baseline · 6 months
Interventions for replacing missing teeth: maintaining and recovering soft tissue health around dental… (2010) · Cochrane
MD -0.14 [-0.47, 0.19]1 study · 31 participantsUngraded
Cognitive behavioural therapy vs Control (treatment as usual)
Daily mean opiate intake per hour · People with cancer receiving chemotherapy or radiotherapy (or both) who have oral mucositis
Interventions for treating oral mucositis for patients with cancer receiving treatment (2010) · Cochrane
MD -0.20 [-4.29, 3.89]1 study · 21 participantsUngraded
Cognitive behavioural therapy vs Control (treatment as usual)
Average pain scores (0-100 VAS) · People with cancer receiving chemotherapy or radiotherapy (or both) who have oral mucositis
Interventions for treating oral mucositis for patients with cancer receiving treatment (2010) · Cochrane
MD -7.29 [-17.40, 2.83]2 studies · 68 participantsUngraded
Hyaluronic acid gel (brushing) vs Chlorhexidine gel (brushing)
Change in probing pocket depth · Adults with dental implants and healthy peri-implant soft tissues at baseline · 6 months
Interventions for replacing missing teeth: maintaining and recovering soft tissue health around dental… (2010) · Cochrane
MD 0.00 [-0.65, 0.65]1 study · 30 participantsUngraded
Brushing vs No treatment
Total anaerobes (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers
Interventions for cleaning dentures in adults (2009) · Cochrane
MD -1.06 [-1.39, -0.73]1 study · 18 participantsUngraded
Brushing vs No treatment
Fusobacteria (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers
Interventions for cleaning dentures in adults (2009) · Cochrane
MD -0.89 [-1.55, -0.23]1 study · 18 participantsUngraded
Brushing vs Effervescent tablets
Fusobacteria (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers
Interventions for cleaning dentures in adults (2009) · Cochrane
MD 3.62 [2.98, 4.26]1 study · 18 participantsUngraded
Association of brushing and effervescent tablets vs No treatment
Total anaerobes (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers
Interventions for cleaning dentures in adults (2009) · Cochrane
MD -6.70 [-7.45, -5.95]1 study · 18 participantsUngraded
Brushing vs Effervescent tablets
Visual plaque score · American complete denture (CD) wearers · 12 weeks
Interventions for cleaning dentures in adults (2009) · Cochrane
Tarbet 1984 compared brushing with two types of effervescent tablets. No standard deviations were reported and therefore no data were entered for this outcome. Brushing was associated with significantly lower plaque…1 study · 75 participantsUngraded
Association of brushing and effervescent tablets vs No treatment
Fusobacteria (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers
Interventions for cleaning dentures in adults (2009) · Cochrane
MD -3.75 [-4.16, -3.34]1 study · 18 participantsUngraded
Brushing vs Effervescent tablets
Total anaerobes (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers
Interventions for cleaning dentures in adults (2009) · Cochrane
MD 4.44 [3.36, 5.52]1 study · 18 participantsUngraded
Brushing vs Association of brushing and effervescent tablets
Fusobacteria (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers
Interventions for cleaning dentures in adults (2009) · Cochrane
MD 2.86 [2.25, 3.47]1 study · 18 participantsUngraded
Brushing vs Association of brushing and effervescent tablets
Total anaerobes (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers
Interventions for cleaning dentures in adults (2009) · Cochrane
MD 5.64 [4.86, 6.42]1 study · 18 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs No (active) intervention (usual/standard dental care or no-treatment control)
Observed flossing skill · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis) · 4 months
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Little 1997 observed and rated participants on flossing skill; Analysis of Covariance found a significant difference favouring the intervention group.1 study · 107 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs No (active) intervention (usual/standard dental care or no-treatment control)
Plaque score · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
The impact of psychological interventions on clinical markers was assessed in three studies (Little 1997; Stewart 1991; Weinstein 1996). All three found that psychological interventions resulted in improved plaque…3 studiesUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs No (active) intervention (usual/standard dental care or no-treatment control)
Self-efficacy beliefs (flossing) · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Stewart 1996: the psychological intervention group demonstrated significantly higher change in self efficacy scores for flossing at post-intervention compared to the other two groups (control and educational). Flossing…1 study · 117 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs Attention control (attention/contact without an active psychological intervention)
Plaque score · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Weinstein 1996 reported that the psychological intervention led to improvements in plaque score greater than that noted in the attention control group; however the sample size in each arm was very small (n=5) and the…2 studiesUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs No (active) intervention (usual/standard dental care or no-treatment control)
Pocket (probing) depth · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis) · 4 months
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Little 1997: no change in pocket depth; there were no differences between the intervention and control groups in overall change in pocket depth. (Some analyses suggested greater change in the intervention group when…1 study · 107 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs No (active) intervention (usual/standard dental care or no-treatment control)
Attachment loss · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis) · 4 months
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Little 1997: no change in attachment loss; no differences between the intervention and control groups in overall change in attachment (loss of attachment) markers.1 study · 107 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs Attention control (attention/contact without an active psychological intervention)
Self-reported flossing · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis) · 5 weeks (2 weeks post-intervention)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Stewart 1991: there were no differences between the attention control group and the cognitive behavioural (psychological) intervention group for self reported flossing; it cannot be concluded that the cognitive…1 study · 50 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs No (active) intervention (usual/standard dental care or no-treatment control)
Observed tooth brushing skill · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis) · 4 months
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Little 1997 observed and rated participants on brushing skill; Analysis of Covariance found a significant difference favouring the intervention group (one of four measures on which significant differences were found…1 study · 107 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs Educational intervention (oral hygiene education/instruction)
Self-reported tooth brushing · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis) · 5 weeks (2 weeks post-intervention)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Stewart 1991: for self reported brushing only the comparison of the control group with the cognitive behavioural intervention was significant; the cognitive behavioural (psychological) intervention showed no…1 study · 50 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs No (active) intervention (usual/standard dental care or no-treatment control)
Self-efficacy beliefs (tooth brushing) · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Stewart 1996: the psychological intervention had no discernible effect on self efficacy beliefs concerning tooth brushing; the data on perceived self efficacy for tooth brushing were not analysed due to ceiling effects…1 study · 117 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs No (active) intervention (usual/standard dental care or no-treatment control)
Self-reported flossing · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Self assessed flossing was assessed in two studies (Little 1997; Stewart 1991); both reported improvements for the intervention groups. Little 1997: Analysis of Covariance found significant differences favouring the…2 studiesUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs Attention control (attention/contact without an active psychological intervention)
Self-reported tooth brushing · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis) · 5 weeks (2 weeks post-intervention)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Stewart 1991: for self reported brushing only the comparison of the control group with the cognitive behavioural intervention was significant; the cognitive behavioural (psychological) intervention conveyed no…1 study · 50 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs Educational intervention (oral hygiene education/instruction)
Plaque score · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis) · 5 weeks (2 weeks post-intervention)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Stewart 1991: while the educational intervention group and the cognitive behavioural intervention group both showed significant differences compared to the control group in plaque scores, the cognitive behavioural…1 study · 50 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs Educational intervention (oral hygiene education/instruction)
Self-reported flossing · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis) · 5 weeks (2 weeks post-intervention)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Stewart 1991: there were no differences between the educational intervention group and the cognitive behavioural (psychological) intervention group for self reported flossing; improvements in flossing could not be…1 study · 50 participantsUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs No (active) intervention (usual/standard dental care or no-treatment control)
Self-reported tooth brushing · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Self assessed brushing was assessed in two studies (Little 1997; Stewart 1991); both found the intervention groups reported improved brushing. Little 1997: Analysis of Covariance found significant differences favouring…2 studiesUngraded
Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs Educational intervention (oral hygiene education/instruction)
Self-efficacy beliefs (flossing) · Adults (aged 18 or over) diagnosed with periodontal disease (gingivitis or periodontitis)
Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal… (2007) · Cochrane
Stewart 1996: the psychological intervention group demonstrated significantly higher change in self efficacy scores for flossing at post-intervention compared to the educational group (there was no difference in the…1 study · 78 participantsUngraded