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What do systematic reviews say?

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Evidence found and GRADE certainty

6 questions · 6 findings · 5 reviews · Dental caries

No studies found 2 · 33.3%GRADE not reported 2 · 33.3%Very low 1 · 16.7%Low 0 · 0%Moderate 1 · 16.7%High 0 · 0%

Preformed crown (any material; conventional technique or Hall Technique) vs Filling (any material; with or without complete carious tissue excavation; with or without pulp treatment)

Discomfort associated with the procedure · Children with decayed primary molar teeth

Preformed crown (any material; conventional technique or Hall… probably leads to lower discomfort associated with the procedure compared with filling (any material; with or without complete carious tissue… (moderate certainty).

1 finding from 1 review

Hall technique vs Non-restorative caries treatment

Discomfort associated with the procedure · Children with decayed primary molar teeth

It is very uncertain whether preformed metal crown (fitted using the Hall Technique) changes discomfort associated with the procedure compared with non-restorative caries treatment (very low certainty).

1 finding from 1 review

Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)

Participant discomfort (vibration, smell, noise) · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years)
1 finding from 1 review
  • Lasers for caries removal in deciduous and permanent teeth 2016 · Cochrane All outcomes
    during treatment
    Five studies reported participant discomfort (Belcheva 2014; Evans 2000; Hadley 2000; Keller 1998; Liu 2006). Keller 1998 (90 adults): discomfort significantly lower with laser (Analysis 1.6). Hadley 2000 (66 adults):…
    5 studies
    GRADE not reported

Repair of a defective amalgam restoration in a permanent molar or premolar tooth (with amalgam) vs Replacement of a defective amalgam restoration in a permanent molar or premolar tooth (with amalgam)

Perioperative or postoperative pain or discomfort · Adults (16 years or over) with one or more defective amalgam restoration(s) in a molar or premolar tooth/teeth

The review found no eligible studies for this question.

1 finding from 1 review

Repair of a defective resin composite restoration in a permanent molar or premolar tooth (with resin composite) vs Replacement of a defective resin composite restoration in a permanent molar or premolar tooth (with resin composite)

Perioperative or postoperative pain or discomfort · Adults (16 years or over) with one or more defective resin composite restoration(s) in a molar or premolar tooth/teeth

The review found no eligible studies for this question.

1 finding from 1 review

High-viscosity glass-ionomer ART restorations vs Conventional treatment using H-GIC (rotary instruments)

Discomfort associated with the procedure · People with dental caries in primary teeth (mainly children)

ART using high-viscosity glass ionomer cement (H-GIC), hand… showed no clear difference in participant experience (discomfort during procedure) compared with conventional treatment using H-GIC (rotary instruments); GRADE not reported.

1 finding from 1 review