Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

3,032 questions · 3,358 findings · 190 reviews · Oral Health · related questions CL0289

No studies found 599 · 17.8%GRADE not reported 1,759 · 52.4%Very low 612 · 18.2%Low 269 · 8%Moderate 107 · 3.2%High 12 · 0.4%

DHAT-delivered dental care vs Dentist-delivered dental care

Caregiver satisfaction · Caregivers of Alaska Native children aged 6 to 17 years

More than 90% of caregivers reported being usually or always satisfied with DHAT care, without a GRADE rating.

1 finding from 1 review

Intraoral distalising appliance vs Headgear (extraoral appliance)

Movement of upper first molars (mm) · Children and adolescents (aged 16 years or less at the start of treatment) undergoing orthodontic treatment to distalise upper first…

It is very uncertain whether intraoral distalising appliance changes movement of upper first molars (mm) compared with headgear (extraoral appliance) (very low certainty).

1 finding from 1 review

Capitation remuneration vs Fee-for-service remuneration

Mean number of decayed teeth (mean DT) · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

Capitation remuneration showed no clear difference in patient outcomes: mean number of decayed teeth per 14- to… compared with fee-for-service remuneration (low certainty).

4 findings from 1 review
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Prophylactic antibiotic at one dose or duration vs Same antibiotic at a different dose or duration

Outcome not reported · Adults undergoing dental implant placement
1 finding from 1 review

Visual screening (oral visual inspection) by trained health workers vs No screening

Harms of screening (false-positive/false-negative outcomes) · Apparently healthy adults aged 35 years or older (general population), living in 13 clusters in rural areas of Trivandrum city, Kerala,…

The review found no eligible studies for this question.

1 finding from 1 review

Progressive loading vs Direct loading

Outcome not reported · Patients who are having osseointegrated root-form dental implants

The review found no eligible studies for this question.

1 finding from 1 review

Capitation remuneration vs Fee-for-service remuneration

Unintended effects: self-reported temptation to under-prescribe (0- to 100-point visual analogue scale) · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

Capitation remuneration showed no clear difference in unintended effects: self-reported temptation to under-prescribe (0-… compared with fee-for-service remuneration; GRADE not reported.

1 finding from 1 review

Capitation remuneration vs Fee-for-service remuneration

Measures of clinical activity: mean percentage of 0- to 15-year-olds receiving active preventive advice · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

Capitation remuneration may leads to higher measures of clinical activity: mean percentage of 0- to 15-year-olds… compared with fee-for-service remuneration (low certainty).

4 findings from 1 review
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Acupuncture vs sham

Unstimulated whole saliva (UWS) · Adults with dry mouth due to radiotherapy (head and neck cancer) or Sjogren's Syndrome

Acupuncture may leads to higher unstimulated whole saliva (UWS) compared with placebo (sham acupuncture) (low certainty).

2 findings from 1 review

DHAT-delivered dental care vs Dentist-delivered dental care

Composite restoration deficiency · Alaska dental health aide therapists

Composite restoration deficiency was 15% for DHATs versus 12% for dentists, without a GRADE rating.

1 finding from 1 review

Combined paracetamol plus ibuprofen in a single tablet (e.g. paracetamol 1000 mg/ibuprofen 400 mg or 500/200 mg) vs Single drugs given separately (paracetamol 1000 mg or ibuprofen 400 mg)

Participant‐reported pain relief of 50% or greater · Patients with pain after surgical removal of lower wisdom teeth (third molars) requiring bone removal or with baseline moderate to severe…

Combined paracetamol plus ibuprofen in a single tablet (e.g.… probably leads to higher proportion of patients with >50% maximum pain relief (TOTPAR) over 6… compared with single drugs given separately (paracetamol 1000 mg or ibuprofen 400… (moderate certainty).

1 finding from 1 review

Orthodontic distalising appliance (intraoral or extraoral) vs no intervention

Number of visits to complete treatment · Children and adolescents (aged 16 years or less at the start of treatment) undergoing orthodontic treatment to distalise upper first…

The review found no eligible studies for this question.

1 finding from 1 review

Two miniplates (transbuccal approach) vs One miniplate plus two screws (intraoral approach at external oblique ridge)

Post-operative infection · Adults with fractures of the mandibular angle

Two miniplates (transbuccal approach) showed no clear difference in post-operative infection compared with one miniplate plus two screws (intraoral approach at external…; GRADE not reported.

1 finding from 1 review

Visual screening (oral visual inspection) by trained health workers vs No screening

Oral cancer incidence · Apparently healthy adults aged 35 years or older (general population), living in 13 clusters in rural areas of Trivandrum city, Kerala,…

Visual screening (oral visual inspection) by trained health workers showed no clear difference in oral cancer incidence compared with no screening; GRADE not reported.

2 findings from 1 review

Ibuprofen (single postoperative oral dose; 200 mg to 512 mg) vs paracetamol

Proportion of patients with >50% maximum pain relief (TOTPAR) over 2 hours · Patients with pain after surgical removal of lower wisdom teeth (third molars) requiring bone removal or with baseline moderate to severe…

Ibuprofen (single postoperative oral dose; 200 mg to 512 mg) leads to higher proportion of patients with >50% maximum pain relief (TOTPAR) over 2… compared with paracetamol (acetaminophen) (single postoperative oral dose; 600 mg… (high certainty).

1 finding from 1 review

2 mm titanium plates vs 2.5 mm bioresorbable plates

Restoration of function (inability to chew hard food) · Adults (16 to 68 years) with mandibular fractures excluding condylar involvement

2 mm titanium plates showed no clear difference in restoration of function (inability to chew hard food) compared with 2.5 mm bioresorbable plates; GRADE not reported.

1 finding from 1 review

Fee‐for‐service (FFS) vs no intervention or control intervention (control)

Measures of clinical activity: mean percentage of 12- to 14-year-olds receiving fissure sealants for second permanent molars per dentist (weighted by number of children seen) - unadjusted · Dentists seeing children with erupted second permanent molars (Scotland, in areas representing the four most deprived categories out of…

It is very uncertain whether fee-for-service remuneration changes measures of clinical activity: mean percentage of 12- to… compared with no specific intervention (control) (very low certainty).

1 finding from 1 review