What do systematic reviews say?

Dietary counselling tailored to a Stage of Change (Transtheoretical Model) to increase fruit and vegetable intake (two counselling sessions) vs usual care

• One‐to‐one dietary interventions undertaken in a dental setting to change dietary behaviour 2012 · Cochrane All outcomes

  6 weeks after receiving replacement dentures (about 10 weeks after baseline)
  At follow-up 75% (22) of the intervention group versus 29% (8) of the control were in the Action Stage of Change for fruit consumption (P<0.001); baseline 20% (6) versus 8% (2). Significant difference between groups.…
  1 study · 58 participants
  GRADE not reported

Dietary counselling tailored to a Stage of Change (Transtheoretical Model) to increase fruit and vegetable intake (two counselling sessions) vs usual care

• One‐to‐one dietary interventions undertaken in a dental setting to change dietary behaviour 2012 · Cochrane All outcomes

  6 weeks after receiving replacement dentures (about 10 weeks after baseline)
  At follow-up 75% (22) of the intervention group versus 21% (6) of the control were in the Action Stage of Change for vegetable consumption (P<0.001); baseline 23% (7) versus 25% (7). Significant difference between…
  1 study · 58 participants
  GRADE not reported

Package of oral health education/promotion including oral hygiene advice for pregnant women, mothers, infants and young children, plus dietary and feeding practice advice for infants and young children vs usual care

• Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries 2024 · Cochrane All outcomes
  Three trials (Muhoozi 2017; Pereira 2021; Yu 2021) reported changes in child oral health behaviours (other data): some benefit in favour of the intervention.
  3 studies
  GRADE not reported

Package of oral health education/promotion including oral hygiene advice for pregnant women, mothers, infants and young children, plus dietary and feeding practice advice for infants and young children vs usual care

• Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries 2024 · Cochrane All outcomes
  Two trials (Batliner 2018; Plutzer 2008) provided information on changes in mother oral health behaviours (other data): some benefit in favour of the intervention.
  2 studies
  GRADE not reported

Rectal midazolam vs A different sedative agent

• Sedation of children undergoing dental treatment 2018 · Cochrane All outcomes
  Any behavioural score - Rectal midazolam versus (other sedatives): 90 (1); VERY LOW
  1 study · 90 participants
  Very low

Intravenous midazolam vs A different sedative agent

• Sedation of children undergoing dental treatment 2018 · Cochrane All outcomes
  Any behavioural score - Intravenous midazolam versus (other sedatives): 70 (2); VERY LOW
  2 studies · 70 participants
  Very low

Hydroxyzine vs Different dosage/timing of hydroxyzine

• Sedation of children undergoing dental treatment 2018 · Cochrane All outcomes
  Any behavioural score - Hydroxyzine: 30 (1 study); VERY LOW. Insufficient evidence to determine whether any specific dose of hydroxyzine is effective.
  1 study · 30 participants
  Very low

Dexmedetomidine vs A different sedative agent

• Sedation of children undergoing dental treatment 2018 · Cochrane All outcomes
  Any behavioural score - Dexmedetomidine versus (other sedatives): 120 (2); VERY LOW
  2 studies · 120 participants
  Very low

Chloral hydrate/promethazine vs A different sedative agent

• Sedation of children undergoing dental treatment 2018 · Cochrane All outcomes
  Any behavioural score - Chloral hydrate/promethazine versus (other sedatives): 24 (1); VERY LOW
  1 study · 24 participants
  Very low

Chloral hydrate/hydroxyzine vs A different sedative agent

• Sedation of children undergoing dental treatment 2018 · Cochrane All outcomes
  Any behavioural score - Chloral hydrate/hydroxyzine versus (other sedatives): 235 (6); VERY LOW
  6 studies · 235 participants
  Very low

Ketamine vs A different sedative agent

• Sedation of children undergoing dental treatment 2018 · Cochrane All outcomes
  Any behavioural score - Ketamine versus (other sedatives): 494 (8); VERY LOW
  8 studies · 494 participants
  Very low

Midazolam (any mode of delivery) vs Different dosage of the same sedative

• Sedation of children undergoing dental treatment 2018 · Cochrane All outcomes
  Any behavioural score - Midazolam (any mode of delivery): 394 (10 studies); VERY LOW. Insufficient evidence to determine whether any specific dose of intranasal midazolam is effective; weak evidence oral midazolam…
  10 studies · 394 participants
  Very low

Sevoflurane vs A different sedative agent

• Sedation of children undergoing dental treatment 2018 · Cochrane All outcomes
  Any behavioural score - Sevoflurane versus (other sedatives): 1140 (3); VERY LOW
  3 studies · 1140 participants
  Very low

Ketamine/midazolam vs A different sedative agent

• Sedation of children undergoing dental treatment 2018 · Cochrane All outcomes
  Any behavioural score - Ketamine/midazolam versus (other sedatives): 27 (1); VERY LOW
  1 study · 27 participants
  Very low

Oral midazolam vs A different sedative agent

• Sedation of children undergoing dental treatment 2018 · Cochrane All outcomes
  Any behavioural score - Oral midazolam versus (other sedatives): 654 (7); VERY LOW
  7 studies · 654 participants
  Very low

Oral health education/promotion (oral hygiene advice plus diet and feeding practice advice) combined with clinical treatment for mother's dentition (basic restorative and preventive; 1 trial included CHX varnish application) vs usual care

• Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries 2024 · Cochrane All outcomes
  One trial (Shenoy 2022) reported changes in child oral health behaviours (other data): some benefit in favour of the intervention.
  1 study
  GRADE not reported

Dietary advice on how to achieve a healthy diet for infants (tailored advice focused on a diet low in saturated fat and cholesterol intake) vs usual care

• Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries 2024 · Cochrane All outcomes
  Data on oral health behaviours from Lapinleimu 1995 (other data) showed no evidence of a difference between groups.
  1 study
  GRADE not reported

Advice about a healthy diet (including breastfeeding promotion and sugar avoidance) and feeding practices (e.g. relating to bottle-feeding and sleep) for infants and young children vs usual care

• Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries 2024 · Cochrane All outcomes
  Two trials (Feldens 2007; Watt 2009) reported infant/child oral health behaviours; not suitable for meta-analysis. Both observed some evidence of benefit favouring the intervention.
  2 studies
  GRADE not reported

Clinical examination with risk-based recall vs Clinical examination with 24-month recall

Clinical examination with risk-based recall showed no clear difference in oral health behaviour (1-9 scale) compared with clinical examination with 24-month recall; GRADE not reported.

• Recall intervals for oral health in primary care patients 2020 · Cochrane All outcomes

  4 years
  MD 0.01 [-0.02, 0.04]
  1 study · 304 participants
  GRADE not reported

Clinical examination with risk-based recall vs Clinical examination with 6-month recall

Clinical examination with risk-based recall showed no clear difference in oral health behaviour (1-9 scale) compared with clinical examination with 6-month recall; GRADE not reported.

• Recall intervals for oral health in primary care patients 2020 · Cochrane All outcomes

  4 years
  MD 0.00 [-0.01, 0.01]
  1 study · 1608 participants
  GRADE not reported