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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.
10,375 questions in 429 reviews · Oral Health
current versionsNo studies 1,344 · 13%Ungraded 6,832 · 65.9%Very low 1,228 · 11.8%Low 613 · 5.9%Moderate 290 · 2.8%High 68 · 0.7%
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.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Intervention NR Composite: Preference for replacement over repair - Scenario 2: loss of dental hard substance adjacent to the restoration · Coverage: Not covering Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 0.66 [0.49, 0.90] | NR | Ungraded |
Health expenditure per capita vs Not applicable OHRQoL sum score transformed to 0-100 · Community-dwelling adults aged 60 years or older · Baseline for longitudinal studies Association between oral health-related quality of life and structural determinants of health among elderly… (2025) | There was no statistically significant difference in OHRQoL based on per capita expenditure on health care. | NR | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 1: partial loss or fracture of the restoration · Continent: South America Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 0.70 [0.60, 0.81] | 2 studies | Ungraded |
Very high Human Development Index (HDI >=0.800) vs High Human Development Index (HDI 0.700-0.799) Odds of higher caries (DMFT) category · 12-year-old children across European countries (national/regional epidemiological surveys, 2011-2022) · Cross-sectional (survey data 2011-2022), Human Development Index (ordinal logistic regression, adjusted) Caries status in 12-year-old children, geographical location and socioeconomic conditions across European… (2025) | OR 1.82 [0.32, 10.47] | NR | Ungraded |
Ion-releasing restorations (IRR): RMGIC, HVGIC, GIC, compomer/PMRC, giomer vs Composite resin (CR), including bulk-fill composite Absence of wear · Children receiving dental restorations (aged 4-11 years; primary teeth; Class I/II/V cavities) · 2 years Clinical effectiveness of ion-releasing restorations compared to composite restorations in pediatric dental… (2025) | no estimate extracted | 1 study | Ungraded |
Country-level edentulism prevalence (Global Burden of Disease) vs Low vs high edentulism prevalence Oral health-related quality of life (OHRQoL sum score, transformed 0-100) · Community-dwelling elderly persons aged ≥60 years · Across edentulism prevalence categories Association between oral health-related quality of life and structural determinants of health among elderly… (2025) | No statistically significant difference in OHRQoL based on edentulism prevalence (Fig. 4c). | NR | Ungraded |
Dental treatments including dental care and services Aesthetics as a factor of choice · Potential patients in dental care, including parents or caregivers making treatment decisions; excludes patients with… Decision-making regarding dental treatments - What factors matter from patients' perspective? A systematic… (2025) | Number of articles identifying factor 53 | 53 studies | Ungraded |
Obesity or overweight (higher BMI, mostly WHO BMI ≥25/≥30; 2 studies used waist circumference) vs Normal weight (not overweight or obese) Dental caries (study-defined binary; assessed by DMFT, number of dental caries, or dentist diagnosis) · Adults (≥18 years) · By confounder adjustment: not adjusted Multimorbidity patterns of dental caries and obesity/overweight among adults: a systematic review and… (2025) | OR 1.17 [1.04, 1.29] | NR | Ungraded |
Intervention NR Log diagnostic odds ratio · Imaging modality: Intraoral photographic images Examining the diagnostic accuracy of artificial intelligence for detecting dental caries across a range of… (2025) | Log DOR 3.69 [2.80, 4.59] | 7 studies | Ungraded |
quantitative light-induced fluorescence (QLF) vs reference standard detection of proximal caries · human primary or permanent teeth with dental caries lesions · Permanent dentition (all 3 included studies) Diagnostic accuracy of quantitative light-induced fluorescence in detecting caries of various types and… (2025) | Specificity 0.74 | 3 studies | Ungraded |
Intervention NR Amalgam: Preference for replacement over repair - Scenario 1: partial loss or fracture of the restoration · Coverage: Not covering Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 3.85 [2.51, 5.93] | NR | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 1: partial loss or fracture of the restoration · Continent: Africa Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 0.86 [0.74, 1.00] | 2 studies | Ungraded |
Genetically predicted DMFS (dental caries) vs Lower genetically predicted DMFS Postmenopausal osteoporosis with pathological fracture · European GWAS participants · SVMR Weighted Median From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 1.214 [0.746, 1.977] | 281786 participants | Ungraded |
Genetically predicted periodontitis vs Reference (lower genetically predicted periodontitis liability) Fracture of forearm · European-ancestry adults · Lifelong genetic liability, MVMR (IVW), adjusted for DMFS From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 0.995 [0.953, 1.039] | 490889 participants | Ungraded |
Human Development Index (HDI) vs Higher vs lower HDI categories Oral health-related quality of life (OHRQoL sum score, transformed 0-100) · Community-dwelling elderly persons aged ≥60 years · Medium HDI Association between oral health-related quality of life and structural determinants of health among elderly… (2025) | MEAN 63.5 [54.3, 72.7] | NR | Ungraded |
Replacement of the defective restoration vs Repair of the defective restoration Amalgam: Preference for replacement over repair - Scenario 1: partial loss or fracture of the restoration · Dentists managing a defective direct amalgam restoration (posterior occlusal Class I; standardized vignette of a… · Not applicable (single time-point survey, June to October 2023), Continent: Asia Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 4.38 [2.91, 6.61] | 11 studies · 1917 participants | Ungraded |
Mineral trioxide aggregate (MTA) vs Calcium hydroxide (CaOH) Clinical and radiographic success · Vital permanent teeth (mature or immature) with deep or extremely deep caries and asymptomatic pulp or reversible… · >=12 months Effectiveness of calcium hydroxide compared to hydraulic calcium silicate cements for direct pulp capping in… (2025) | OR 3.05 [1.70, 5.45] | 4 studies · 311 participants | Ungraded |
Partial pulpotomy vs Full (complete) pulpotomy Radiographic hard-tissue (dentine) barrier formation · Mature permanent (molar) teeth with deep caries and symptoms indicative of irreversible pulpitis (spontaneous pain) · 1 year The effectiveness of partial pulpotomy compared with full pulpotomy in managing deep caries in vital… (2025) | Ramani: radiographic hard-tissue barrier formation evident in 24.4% of full pulpotomy cases vs 11.6% of partial pulpotomy cases; difference not significant (p>.05). | 1 study · 106 participants | Ungraded |
quantitative light-induced fluorescence (QLF) vs reference standard detection of proximal caries · human primary or permanent teeth with dental caries lesions · permanent dentition Diagnostic accuracy of quantitative light-induced fluorescence in detecting caries of various types and… (2025) | Specificity 0.74 | 3 studies | Ungraded |
Intervention NR Sensitivity · Imaging modality: CBCT Examining the diagnostic accuracy of artificial intelligence for detecting dental caries across a range of… (2025) | Sensitivity 0.73 [0.68, 0.77] | 1 study | Ungraded |
Simple childhood caries prediction models with at least two predictors vs No competing model Dental caries discrimination (area under the curve) · Children and adolescents (≤18 years) · Validation assessment; prediction horizon not reported, Yaxuan (2023) Risk prediction models for dental caries in children and adolescents: a systematic review and meta-analysis. (2025) | AUC 0.931 [0.876, 0.967] | 1 study | Ungraded |
Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability Femur fracture · European GWAS participants · SVMR Weighted Median From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 1.055 [0.979, 1.136] | 489106 participants | Ungraded |
Calcium phosphate agent (e.g., CPP-ACP, Ca/P-PILP, niobophosphate) vs Calcium-based agent Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Self-Etch + chemical ACAD Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) | MD 2.663 [-2.395, 7.722] | 4 studies | Moderate |
Intervention NR Composite: Preference for replacement over repair - Scenario 5: open margin · Continent: Asia Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 3.71 [2.01, 6.82] | 11 studies | Ungraded |
HAART (highly active antiretroviral therapy, >=3 drugs) vs HIV-positive not receiving HAART (standard ART or HAART-naive) Dental caries severity (DMFT index, permanent dentition) · Children and adolescents under 18 years with HIV · Not specified (case-control), Case-control studies; DMFT index Association between antiretroviral therapy and dental caries in children and adolescents with HIV: a… (2025) | MD 2.02 [1.24, 2.80] | NR | Ungraded |
Quantitative light-induced fluorescence (QLF) vs Reference standard (histology, radiography) Proximal caries detection: specificity · Extracted human teeth (in vitro); permanent teeth, proximal (approximal) surfaces · Overall (all studies permanent) Diagnostic accuracy of quantitative light-induced fluorescence in detecting caries of various types and… (2025) | Specificity 0.74 | 3 studies | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 6: superficial discoloration · HDI: Medium Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 0.34 [0.24, 0.49] | 2 studies | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 1: partial loss or fracture of the restoration · HDI: Low Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 0.75 [0.64, 0.87] | 2 studies | Ungraded |
Intervention NR Tooth loss and dental symptoms (cracked teeth, toothache) associated with e-cigarette use · Yang et al. [31] An Umbrella Review of E-Cigarettes' Impact on Oral Microbiota and Biofilm Buildup. (2025) | Qualitative (narrative synthesis) Increased tooth loss and dental symptoms with daily e-cigarette use | 1 study | Ungraded |
Flavonoids (e.g., quercetin, proanthocyanidin) vs HEMA/EGDMA-based desensitizer Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Self-Etch + chemical ACAD Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) | MD 2.705 [-5.654, 11.063] | 0 studies | Moderate |
Self-assembling/remineralizing peptide (e.g., P11-4, PAA-PASP) vs Hydroxyapatite (e.g., nano-HAp) Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Self-Etch + chemical ACAD Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) | MD 4.446 [-0.440, 9.332] | 0 studies | Moderate |
Intervention NR Amalgam: Preference for replacement over repair - Scenario 6: corrosion · Continent: Asia Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 1.69 [1.12, 2.55] | 11 studies | Ungraded |
Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability Femur fracture · European GWAS participants · SVMR Maximum Likelihood From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 1.044 [0.983, 1.109] | 489106 participants | Ungraded |
Replacement of the defective restoration vs Repair of the defective restoration Composite: Preference for replacement over repair - Scenario 3: secondary caries · Dentists managing a defective direct resin composite restoration (posterior occlusal Class I; standardized vignette of… · Not applicable (single time-point survey, June to October 2023), Continent: Asia Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 2.13 [1.40, 3.24] | 11 studies · 1917 participants | Ungraded |
E-cigarette aerosol / e-liquid exposure (flavored and unflavored; nicotine and non-nicotine) vs Unexposed controls / unflavored e-liquid / conventional cigarette smoke Enamel/dental hard-tissue changes and e-liquid cariogenic properties (demineralization, colour change, pH, sugar content, metals) · Oral bacteria (streptococci), dental hard tissue (enamel/dentin) and e-liquids studied in vitro/ex vivo (with a few… The effects of electronic smoking on dental caries and proinflammatory markers: a systematic review and… (2025) | Narrative synthesis. In vitro studies showed e-liquids can be acidic (Fairchild 2021: 84% of vapes pH<5.5) and contain sugars (Fagan 2018 sucrose ~125 ug/ml; Kubica 2014 sucrose 0.76-72.93 ug/g), and e-cigarette… | NR | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 2: loss of dental hard substance adjacent to the restoration · HDI: Low Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 1.12 [0.68, 1.86] | 2 studies | Ungraded |
Mesoporous silica (SiO2) vs No biomimetic remineralization (control) Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Self-Etch + chemical ACAD Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) | MD 0.840 [-5.270, 6.950] | 1 study | Low |
Higher drinking-water fluoride exposure vs Null / lowest drinking-water fluoride exposure (reference) Risk of fragility fractures · General population (both sexes, all ages) · Long-term / lifetime fluoride exposure, Sensitivity (excluding high risk-of-bias studies): 1.8 mg/L vs null The association of fluoride exposure with bone density and fracture risk: a dose-response meta-analysis. (2025) | RR 0.95 [0.70, 1.29] | NR | Ungraded |
Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability Postmenopausal osteoporosis with pathological fracture · European GWAS participants · SVMR Weighted Median From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 0.979 [0.826, 1.159] | 281786 participants | Ungraded |
Early childhood caries vs Caries-free controls Streptococcus mutans and Veillonella spp. levels · Young children with early childhood caries and caries-free controls A systematic review of Streptococcus Mutans and Veillonellae species interactions in dental caries… (2025) | Veillonella spp. significantly greater in caries subjects, but detection unrelated to lesion development and unlikely to modify caries attack (qualitative) | 1 study · 9 participants | Ungraded |
Tooth brushing method (per source) vs Reference brushing method Early childhood caries (ECC) · Children aged 0-5 years in North Africa Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025) | OR 1.435 [1.207, 2.915] | 1 study | Ungraded |
School-based supervised toothbrushing (STB) vs No intervention Dental caries increment, DMFT/dmft (whole-tooth level) · Children in school or kindergarten settings (aged 3-14 years) · 3-4 years follow-up The effectiveness of school-based supervised tooth brushing intervention for preventing dental caries: a… (2025) | SMD 0.05 [-0.27, 0.37] | 2 studies · 1239 participants | Ungraded |
Replacement of the defective restoration vs Repair of the defective restoration Amalgam: Preference for replacement over repair - Scenario 3: secondary caries · Dentists managing a defective direct amalgam restoration (posterior occlusal Class I; standardized vignette of a… · Not applicable (single time-point survey, June to October 2023), Overall (all 21 countries pooled) Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 6.94 [5.53, 8.71] | 21 studies · 3680 participants | Ungraded |
Dental treatments including dental care and services Delay of dental care during the COVID-19 pandemic · Potential patients in dental care, including parents or caregivers making treatment decisions; excludes patients with… · US patients at COVID-19 onset (Papautsky et al. convenience sample, n=2570) Decision-making regarding dental treatments - What factors matter from patients' perspective? A systematic… (2025) | Proportion reporting delays 0.381 | 1 study · 2570 participants | Ungraded |
Caries-active status (presence of dental caries) vs Caries-free status Oral microbial community composition and diversity (other caries-associated taxa; alpha- and beta-diversity) · Systemically healthy individuals (children and adults, aged 40 months to 50 years) assessed for dental caries · Cross-sectional Streptococcus mutans and Caries: A Systematic Review and Meta-Analysis. (2025) | Narrative synthesis (no pooled estimate): no bacterial genus or species other than S. mutans was consistently (reported in more than 2 studies) associated with caries-active status (Table 3; 15 of 19 studies for… | NR | Ungraded |
Breastfeeding for 12-24 months vs Not breastfed at the same age Prevalence of early childhood caries · Children up to 71 months · 12-24 months Risk of Early Childhood Dental Caries Associated With Prolonged Breastfeeding: A Systematic Review and… (2025) | PR 3.32 [1.57, 5.07] | 2 studies | Low |
Genetically predicted DMFS (dental caries) vs Lower genetically predicted DMFS Lumbar spine and pelvis fracture · European GWAS participants · SVMR MR-Egger From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 0.994 [0.729, 1.355] | 490700 participants | Ungraded |
Early childhood caries vs NA (within-white-spot-lesion correlation, not a caries vs caries-free comparison) Correlation of Veillonella spp. with acidogenic streptococci · Young children with early childhood caries and caries-free controls A systematic review of Streptococcus Mutans and Veillonellae species interactions in dental caries… (2025) | R² 0.38 | 1 study · NA (white-spot correlation analytic sample not reported) participants | Ungraded |
Partial pulpotomy with immediate permanent restoration vs No comparator Clinical and radiographic success rate · Adults aged 18 years or older with mature permanent teeth and carious pulp exposure · Immediate restoration Partial pulpotomy for carious pulp exposure in adult mature permanent teeth: a systematic review and… (2025) | Success rate (%) 89.9 [78.5, 99.8] | NR | Ungraded |
Self-assembling/remineralizing peptide (e.g., P11-4, PAA-PASP) vs Calcium phosphate agent (e.g., CPP-ACP, Ca/P-PILP, niobophosphate) Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Etch-and-Rinse + biological ACAD Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) | MD -2.914 [-8.210, 2.382] | 2 studies | Moderate |