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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)

13 questions in 6 reviews · cluster CL0287

current versions
No studies 2 · 15.4%Ungraded 11 · 84.6%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%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
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