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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)

10,375 questions in 429 reviews · Oral Health

current versions
No 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.

QuestionEffectEvidenceStatus / 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]NRUngraded
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.NRUngraded
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 studiesUngraded
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]NRUngraded
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 extracted1 studyUngraded
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).NRUngraded
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 5353 studiesUngraded
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]NRUngraded
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 studiesUngraded
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 0.743 studiesUngraded
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]NRUngraded
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 studiesUngraded
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 participantsUngraded
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 participantsUngraded
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]NRUngraded
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 participantsUngraded
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 participantsUngraded
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 participantsUngraded
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 0.743 studiesUngraded
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 studyUngraded
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 studyUngraded
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 participantsUngraded
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 studiesModerate
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 studiesUngraded
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]NRUngraded
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 0.743 studiesUngraded
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 studiesUngraded
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 studiesUngraded
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 use1 studyUngraded
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 studiesModerate
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 studiesModerate
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 studiesUngraded
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 participantsUngraded
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 participantsUngraded
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…NRUngraded
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 studiesUngraded
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 studyLow
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]NRUngraded
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 participantsUngraded
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 participantsUngraded
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 studyUngraded
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 participantsUngraded
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 participantsUngraded
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 0.3811 study · 2570 participantsUngraded
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…NRUngraded
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 studiesLow
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 participantsUngraded
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 0.381 study · NA (white-spot correlation analytic sample not reported) participantsUngraded
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]NRUngraded
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 studiesModerate