Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

262 questions · 304 findings · 19 reviews · Dental caries

No studies found 28 · 9.2%GRADE not reported 200 · 65.8%Very low 61 · 20.1%Low 6 · 2%Moderate 9 · 3%High 0 · 0%

ART/HAART duration <3 years vs ART/HAART duration >=3 years

Other orofacial opportunistic infections (linear gingival erythema, hairy leukoplakia, angular cheilitis, oral ulcers) · Children and adolescents living with HIV on ART/HAART

ART/HAART duration had minimal influence on the prevalence of orofacial opportunistic infections other than candidiasis (no significant differences).

1 finding from 1 review
  • Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A Systematic Review… 2022 All outcomes
    Cross-sectional (case-control; single time point) · HIV pediatric/ART clinics, AIDS centers, and hospitals in Brazil, India, Saudi Arabia, and West Africa (Cote d'Ivoire, Mali, Senegal) · ART/HAART duration <3 years vs >=3 years
    Except for candidiasis, no significant differences in the prevalence of opportunistic infection manifestations (linear gingival erythema, hairy leukoplakia, angular cheilitis, oral ulcers) between ART duration <3 years…
    2 studies
    GRADE not reported

Resin-modified glass ionomer cement for bonding orthodontic brackets vs Resin composite restoration

Restoration failure · Children with carious primary teeth

No comparative effect estimate was reported; both arms had 16% failure.

1 finding from 1 review

CD4+ T-cell count below 250 cells/mm3

HIV-related oral lesions · Children living with HIV receiving ART

One reported study did not show a clear difference in HIV-related oral lesions for children with CD4+ T-cell counts below 250 cells/mm3.

2 findings from 1 review

Bulk-fill composite resin with 15-second dentine etching vs Bulk-fill composite resin with 7-second dentine etching

Restoration failure · Children with carious primary teeth

No comparative effect estimate was reported; the 7-second etching arm had a lower tabulated failure rate.

1 finding from 1 review

HVGIC Fuji IX Gold Label vs HVGIC Vitro Molar and Maxxion R

Restoration failure · Children with carious primary teeth

No comparative effect estimate was reported; failure rates were tabulated.

1 finding from 1 review

CD4+ T-cell count below 250 cells/mm3 vs CD4+ T-cell count >=250 cells/mm3

HIV-related oral lesions · Children and adolescents living with HIV on ART/HAART

Lower CD4+ counts (<250 cells/mm3) were associated with roughly twice the odds of HIV-related oral lesions in two studies (not pooled).

1 finding from 1 review
  • Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A Systematic Review… 2022 All outcomes
    Cross-sectional (case-control; single time point) · HIV pediatric/ART clinics, AIDS centers, and hospitals in Brazil, India, Saudi Arabia, and West Africa (Cote d'Ivoire, Mali, Senegal) · CD4+ T-cell count <250 cells/mm3 vs higher
    CLWH with CD4+ <250 cells/mm3 were about twice as likely to have HIV-related oral lesions: Baghirath 2013 OR 1.916 (95% CI 0.613 to 2.513), p=0.001; Divakar 2015 OR 1.999 (95% CI 0.129 to 3.688), p=0.001. Not pooled.
    2 studies
    GRADE not reported

Conventional GIC vs Compomer and glass carbomer

Restoration failure · Children with carious primary teeth

No comparative effect estimate was reported; cumulative failure was highest for glass carbomer.

1 finding from 1 review

High-viscosity glass-ionomer cement (HVGIC) restoration (conventional restorative approach) vs Resin composite restoration

Restoration failure · Children with carious primary teeth

No comparative effect estimate was reported; composite resin outperformed HVGIC in the review narrative.

1 finding from 1 review

HVGIC with chlorhexidine cavity disinfectant vs HVGIC without cavity disinfectant

Restoration failure · Children with carious primary teeth

No comparative effect estimate was reported; cavity disinfectant did not affect success in the review narrative.

1 finding from 1 review

Amalgam vs Light-cured compomer (polyacid-modified composite resin)

Restoration failure · Children with carious primary teeth

No comparative effect estimate was reported; the review described similar clinical performance.

1 finding from 1 review

Compomer (Dyract) vs HVGIC Equia Forte and Chemfil Rock

Restoration failure · Children with carious primary teeth

No comparative effect estimate was reported; compomer had more favorable retention in the review narrative.

1 finding from 1 review