Remineralization / reduction in lesion severity (change in QLF, laser fluorescence, or lesion area) · Patients with white spot lesions / early caries lesions (WSLs/ECLs), including orthodontic and non-orthodontic lesions, active caries…
Self-assembling peptide P11-4 significantly improved remineralization versus control (SMD -0.56, 95% CI -0.96 to -0.15); certainty of evidence not assessed (no GRADE).
1 finding from 1 review
Secondary caries · Patients requiring dental restoration; deciduous (primary) teeth
Over 2 or more years in deciduous teeth, secondary caries did not differ significantly between compomer and RMGIC (RR 1.68, 95% CI 0.87-3.25; low certainty).
1 finding from 1 review
Cariogenic bacteria (Mutans streptococci) · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)
Herbal mouthwash reduced Mutans streptococci versus placebo, but certainty is very low.
1 finding from 1 review
Intervention not reported
Pulp necrosis
1 finding from 1 review
Proportion 1.19
1 study
GRADE not reported
Salivary flow rate · Elderly (>60 years) and medically compromised adults with xerostomia / dry mouth
Across 19 studies the effect of gum chewing on stimulated and/or unstimulated salivary flow rate was mixed (9 positive, 10 no effect); this broad outcome was not meta-analyzed.
1 finding from 1 review
The effect of gum chewing on xerostomia and salivary flow rate in elderly and medically compromised subjects: a… 2023 All outcomesVarious (single session to 12 months) · Haemodialysis units, elderly / geriatric care, cancer and palliative care, and xerostomia / hyposalivation clinics (studies from multiple countries)
Narrative vote-count: of 19 studies measuring stimulated and/or unstimulated saliva flow rate, 9 found a positive effect of gum chewing [17,18,22,24,27,35,36,38,39] and 10 detected no effect…
19 studies
GRADE not reported
Pulp necrosis · Vital teeth
The pooled incidence with GIC permanent cement was 5.33%.
1 finding from 1 review
Remineralization / reduction in lesion severity (change in QLF, laser fluorescence, or lesion area) · Patients with white spot lesions / early caries lesions (WSLs/ECLs), including orthodontic and non-orthodontic lesions, active caries…
P11-4 plus fluoride varnish was significantly better than fluoride varnish alone (SMD -0.71, 95% CI -1.13 to -0.29); certainty of evidence not assessed (no GRADE).
1 finding from 1 review
Dental caries · Children (<19 years)
Children with vitamin D deficiency had a 22% higher risk of dental caries than those with normal vitamin D levels (unadjusted RR 1.22; ungraded).
5 findings from 1 review
Show 2 more findings
RR 1.16 [1.10, 1.22]
Studies not reported
GRADE not reported
RR 1.05 [1.00, 1.09]
3 studies
GRADE not reported
Reduction in frequency and severity of drooling · Adults with Parkinson's disease and sialorrhea (drooling)
Type A botulinum toxin significantly reduced DSFS scores versus placebo (SMD -0.80, 95% CI -1.25 to -0.36; ungraded subgroup).
3 findings from 1 review
Dental caries · Children with permanent dentition (>12 years)
In children with permanent dentition, vitamin D deficiency was associated with a 28% higher caries risk (RR 1.28; ungraded).
1 finding from 1 review
RR 1.28 [1.21, 1.35]
2 studies
GRADE not reported
Poor oral health-related quality of life (OHRQoL) · Indians
Malocclusion is associated with poor OHRQoL but certainty is very low.
1 finding from 1 review
Overall success (composite of clinical and radiographic success) · Patients with carious pulp exposure in permanent teeth of mixed/unspecified root maturation
In mixed-maturation teeth, the effect of MTA versus calcium hydroxide on success is very uncertain (OR 1.11, 95% CI 0.17-7.11; very low certainty).
1 finding from 1 review
Dental caries · Children with deciduous dentition (<6 years)
In children with deciduous dentition, vitamin D deficiency was associated with a 68% higher caries risk (RR 1.68; ungraded).
1 finding from 1 review
RR 1.68 [1.57, 1.79]
6 studies
GRADE not reported
Tooth discoloration · Patients with carious pulp exposure in permanent teeth undergoing DPC or pulpotomy
More tooth discoloration was observed with MTA than with Biodentine, but odds ratios were implausibly large and not pooled (3 RCTs; ungraded).
1 finding from 1 review
Gingival inflammation-related index · Orthodontic patients (any age) undergoing orthodontic treatment (mostly fixed appliances)
Short-term fluoride mouthwash has uncertain effects on gingival inflammation-related indexes versus blank control (very low certainty).
1 finding from 1 review
Remineralization / reduction in lesion severity (change in QLF, laser fluorescence, or lesion area) · Patients with white spot lesions / early caries lesions (WSLs/ECLs), including orthodontic and non-orthodontic lesions, active caries…
Resin infiltration was significantly better than CPP-ACP (SMD -0.77, 95% CI -1.31 to -0.23); certainty of evidence not assessed (no GRADE).
1 finding from 1 review
Oral health-related quality of life · Indian adults and elderly (general, police, teachers, institutionalised)
Evidence on periodontal disease (CPI) and OHRQoL is inconsistent across studies (very low certainty).
3 findings from 1 review
Periodontal disease (CPI) vs none: studies show inconsistency; two studies showed poor QoL (Nagarajappa 2015, Saxena 2018), one no significant association (Shivakumar 2018); 1345 participants, 3 observational studies;…
3 studies · 1345 participants
Very low
SMD -0.18 [-0.53, 0.18]
4 studies · 3064 participants
Very low
Periodontal disease (CPI) and QoL (continuous, GOHAI): CPI scores negatively correlated with QoL in one study (Rekhi 2016); no significant relation in another (Marya 2020, P>0.05). Not pooled.
2 studies
GRADE not reported
Oral health-related quality of life · Indians
Continuous analyses (GOHAI, OHIP-14) of gingivitis and OHRQoL were inconsistent and mostly non-significant; ungraded.
2 findings from 1 review
Gingivitis and QoL (continuous): GOHAI - one study found poorer QoL (Appukuttan 2016, P<0.05), one no significant association (Marya 2020, P=0.08); OHIP-14 - no impact (Sreela 2020, P=0.0762). Not pooled.
3 studies
GRADE not reported
Gingivitis vs no gingivitis: studies show inconsistency; one study showed poor QoL (Shivakumar 2018, OR 1.39, 95% CI 1.09 to 1.67), two studies no significant association (Baiju 2019, Singh 2020); 943 participants, 3…
3 studies · 943 participants
Very low
Plaque · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)
Long-term fluoride mouthwash showed mixed plaque-index effects, with very low-certainty evidence.
2 findings from 1 review
PI was similar to blank control [37]; API was slightly reduced compared to blank control and significant at 6 and 9 months [59].
2 studies
Very low
TI was significantly reduced compared to baseline [34]; PI was significantly reduced compared to baseline but similar to blank control [46].
2 studies
Very low
Overall success (composite of clinical and radiographic success) · Patients with carious pulp exposure in immature permanent teeth
The effect of MTA versus CH in immature teeth is very uncertain (very low certainty).
1 finding from 1 review