Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

1,052 questions · 1,797 findings · 134 reviews

No studies found 10 · 0.6%GRADE not reported 1,630 · 90.7%Very low 95 · 5.3%Low 23 · 1.3%Moderate 22 · 1.2%High 17 · 0.9%

Slum / urban-disadvantaged setting vs Non-slum urban / general-urban / national population

Dental caries prevalence · Adult residents of slums and non-slum urban settings of LMICs

Dental caries prevalence in LMIC urban/slum populations ranges widely (13%-76%); not GRADE-rated (narrative synthesis).

1 finding from 1 review

Slum / urban-disadvantaged setting vs Non-slum urban setting

Oral disease prevalence · Adult residents of slums and non-slum urban settings of LMICs

Oral disease prevalence was generally high and worse in slum settings where compared, but no meta-analysis was conducted.

1 finding from 1 review

Institutionalization (living in an orphanage/institution) vs Parented children living with their families

Dental caries prevalence · Institutionalized orphan children (roughly 3 to 18 years)

Institutionalized orphan children may be at higher risk of dental caries than parented children (pooled RR 1.19), but the estimate is imprecise and not statistically significant (very low certainty).

1 finding from 1 review

Carious dentin vs Sound dentin

Cathepsin K (CT-K) presence/activity · Human ex vivo carious dentin (mostly coronal), natural caries lesions

Cathepsin K may be increased in carious dentin (one study), but no certainty rating was assigned (ungraded).

1 finding from 1 review

Irradiated carious dentin vs Non-irradiated carious dentin

MMP-2 expression/activity · Human ex vivo carious dentin (head/neck radiotherapy)

MMP-2 showed no difference between irradiated and non-irradiated carious dentin (one study; ungraded).

1 finding from 1 review

Carious dentin vs Sound dentin

MMP-8 expression/activity · Human ex vivo carious dentin (mostly coronal), natural caries lesions

For MMP-8, no clear direction of difference between carious and sound dentin was found; the evidence is very uncertain (very low certainty).

1 finding from 1 review

Carious dentin vs Sound dentin

MMP-2 presence/activity · Human ex vivo carious dentin (mostly coronal), natural caries lesions

MMP-2 may be increased in carious dentin compared with sound dentin, but the evidence is very uncertain (very low certainty).

1 finding from 1 review

Carious dentin vs Sound dentin

MMP-9 presence/activity · Human ex vivo carious dentin (mostly coronal), natural caries lesions

MMP-9 may be increased in carious dentin compared with sound dentin, but the evidence is very uncertain (very low certainty).

1 finding from 1 review

Root carious dentin vs Coronal carious dentin

MMP-2 presence/activity · Human ex vivo carious dentin

MMP-2 shows no difference between root and coronal carious dentin; the evidence is very uncertain (very low certainty).

1 finding from 1 review

Carious dentin vs Sound dentin

MMP-13 presence/activity · Human ex vivo carious dentin (mostly coronal), natural caries lesions

MMP-13 may be increased in carious dentin compared with sound dentin, but the evidence is very uncertain (very low certainty).

1 finding from 1 review

Fluoride varnish vs Placebo varnish, resin sealant, or standard care (oral hygiene instructions)

Prevalence of white spot lesions (WSL) at debonding, subject level · Healthy adolescents and adults undergoing orthodontic treatment with fixed multi-bracket appliances

Fluoride varnish applied regularly during fixed orthodontic treatment may reduce the prevalence of white spot lesions at debonding (pooled RR 0.64, 95% CI 0.42 to 0.98), but the certainty of evidence is very low.

1 finding from 1 review