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Search review questions

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. Every word you type has to appear somewhere in the question, and the closest matches are ranked first.

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
Ball (stud) attachment system vs Telescopic attachment system
Prosthodontic maintenance: reline of implant overdenture (short term) · Edentulous adults receiving mandibular implant overdentures (opposing conventional complete maxillary dentures) · Short term (1 to 3 years)
Interventions for replacing missing teeth: attachment systems for implant overdentures in edentulous jaws (2018) · Cochrane
RR 2.33 [0.81, 6.76]1 study · 22 participantsVery low
4% articaine, 1:100,000 epinephrine vs 2% mepivacaine, 1:100,000 epinephrine
Adverse effects: paraesthesia following injection · Participants of any age and gender undergoing dental procedures, and volunteers who took part in simulated scenario…
Injectable local anaesthetic agents for dental anaesthesia (2018) · Cochrane
SoF: Not measured.0 studiesNo studies
Medium income vs High income
Mean number of decayed teeth (mean DT) · Adults aged 25 years and older in Australia, Canada, New Zealand, and the United States · 2007-2009, Canada, Canada
Socioeconomic status, oral health and dental disease in Australia, Canada, New Zealand and the United States. (2018)
AD 0.4 [0.2, 0.5]1 study · 3278 participantsUngraded
Orthodontic treatment without extraction of permanent teeth (removable, fixed, or functional braces, or headgear) vs No treatment (or delayed treatment)
Dento-occlusal results of treatment, measured with the PAR index · Children (80% aged <= 16 years) with a Class II division 2 malocclusion (deep bite and retroclined upper front teeth)
Orthodontic treatment for deep bite and retroclined upper front teeth in children (2018) · Cochrane
No data are available as no RCTs or CCTs have been conducted.0 studiesNo studies
Photodynamic therapy plus mechanical debridement vs Mechanical debridement alone
Tooth loss · Adults treated for periodontitis and receiving supportive periodontal therapy (SPT)
Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis (2018) · Cochrane
Not measured0 studiesNo studies
GTR rm associated with bone substitutes + CAF vs SCTG + CAF
Keratinized tissue width change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm) · Short term (6 to 12 months)
Root coverage procedures for treating localised and multiple recession‐type defects (2018) · Cochrane
MD -2.38 [-2.84, -1.92]2 studiesUngraded
Photodynamic therapy plus mechanical debridement vs Mechanical debridement alone
Adverse events · Adults treated for periodontitis and receiving supportive periodontal therapy (SPT)
Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis (2018) · Cochrane
Not measured0 studiesNo studies
Diode laser vs Formocresol (FC)
Clinical failure · Children with extensive decay involving the dental pulp in primary teeth · 12 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 0.33 [0.01, 7.95]1 study · 80 participantsUngraded
Mineral trioxide aggregate (MTA) vs Simvastatin
Clinical failure · Children with extensive decay involving the dental pulp in primary teeth · 12 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 0.17 [0.04, 0.70]1 study · 160 participantsLow
0.5% bupivacaine, 1:200,000 epinephrine vs 2% lidocaine, 1:100,000 epinephrine
Success of local anaesthesia (pulpal, electric pulp tester; healthy pulps) · Participants of any age and gender undergoing dental procedures, and volunteers who took part in simulated scenario…
Injectable local anaesthetic agents for dental anaesthesia (2018) · Cochrane
RR 0.80 [0.62, 1.05]3 studies · 90 participantsLow
Personalised one-to-one OHA vs Routine one-to-one OHA
Periodontal health: plaque levels · Children or adults (fit and healthy, or with a well-defined medical condition) · 2 to 12 months
One‐to‐one oral hygiene advice provided in a dental setting for oral health (2018) · Cochrane
SoF: 1 study showed a benefit for personalised OHA at 3 and 12 months; 1 study in children reported 'statistically significant (P < 0.05) improvement' but no usable data; 1 study showed little or no difference at 3…3 studies · 308 participantsVery low
Activator functional appliance vs Fixed functional appliance (FORSUS FRD EZ)
Final overjet · Adolescents (age 12 to 16 years) receiving orthodontic treatment to correct prominent upper front teeth (Class II… · End of orthodontic treatment
Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents (2018) · Cochrane
MD 2.19 [0.58, 3.8]1 study · 24 participantsUngraded
Conventional restorative treatment with resin composite (CRT-RC) vs Sealing (resin sealant over caries)
Caries lesion arrestment · Children with dentin caries lesions in the outer half of dentin on occlusal surfaces of primary teeth · Mixed follow-up (6 months to 1.5 years; pooled), Dental clinic; children in Brazil (Borges 2012, Hesse 2014)
Scientific evidence for the management of dentin caries lesions in pediatric dentistry: A systematic review… (2018)
RR 1.02 [0.96, 1.08]2 studies · 66 participantsLow
Radiographic caries detection (bitewing radiography) vs Reference standard (histological validation or cavity/lesion opening; advanced = cavitated/dentin-involved lesions, all = enamel-confined initial lesions also counted)
Sensitivity for detecting all (initial and advanced) proximal caries · Proximal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly… · Private practice, rural northern Germany, Tailored to Germany
Visual and radiographic caries detection: a tailored meta-analysis for two different settings, Egypt and… (2018)
Sensitivity 40.5 [33, 48]34 studiesUngraded
Early treatment (two-phase) with headgear vs Late treatment (one-phase in adolescence) with headgear
Final ANB · Children (7 to 11 years) and adolescents (12 to 16 years) with prominent upper front teeth (Class II malocclusion) · End of phase I (growth modification phase)
Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents (2018) · Cochrane
MD -0.72 [-1.18, -0.27]2 studies · 277 participantsUngraded
Self-etch adhesive + acetone-based total-etch adhesive vs Non-rinse conditioner + acetone-based total-etch adhesive
Clinical failure · Children with extensive decay involving the dental pulp in primary teeth · 6, 12 and 24 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 3.00 [0.13, 69.52]1 study · 40 participantsVery low
Radiographic caries detection (bitewing radiography) vs Reference standard (histological validation or cavity/lesion opening; advanced = cavitated/dentin-involved lesions, all = enamel-confined initial lesions also counted)
Specificity for detecting all (initial and advanced) proximal caries · Proximal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly… · Public health clinic, Giza (Cairo), Egypt, Tailored to Egypt
Visual and radiographic caries detection: a tailored meta-analysis for two different settings, Egypt and… (2018)
Specificity 92.5 [91, 94]31 studiesUngraded
Populations with a low level of schooling (>=33.60% of the population with low schooling) vs Populations with a higher level of schooling (<33.60% of the population with low schooling)
Dental caries experience (DMFT) · Adults aged 19-60 years · Population/community-based studies of adults aged 19-60 years across multiple countries (studies published 1975-2016), Higher schooling (<33.60% with low schooling)
Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review… (2018)
MEAN 11.95 [7.26, 16.64]6 studiesUngraded
4% articaine, 1:100,000 epinephrine vs 2% lidocaine, 1:100,000 epinephrine
Speed of onset of anaesthesia (pulpal, electric pulp tester; healthy pulps) · Participants of any age and gender undergoing dental procedures, and volunteers who took part in simulated scenario…
Injectable local anaesthetic agents for dental anaesthesia (2018) · Cochrane
MD -0.63 [-1.69, 0.42]6 studies · 202 participantsVery low
Autologous platelet concentrates (APC) + enamel matrix derivative (EMD) vs EMD (enamel matrix derivative) alone
Tooth survival · Patients affected by infrabony defects requiring surgical treatment, regardless of their age or gender
Autologous platelet concentrates for treating periodontal infrabony defects (2018) · Cochrane
All studies in all groups reported a survival rate of 100% for the treated teeth (no comparative estimate; not GRADE-rated).2 studiesUngraded
Populations with low socioeconomic status (>=22.4% of the population with low SES) vs Populations with higher socioeconomic status (<22.4% of the population with low SES)
Dental caries experience (DMFT) · Adults aged 19-60 years · Population/community-based studies of adults aged 19-60 years across multiple countries (studies published 1975-2016), Higher SES (<22.4% with low SES)
Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review… (2018)
MEAN 5.50 [-1.04, 12.03]3 studiesUngraded
0.5% bupivacaine, 1:200,000 epinephrine vs 2% lidocaine, 1:100,000 epinephrine
Success of local anaesthesia (soft tissue, self-reported; 100% success in all studies) · Participants of any age and gender undergoing dental procedures, and volunteers who took part in simulated scenario…
Injectable local anaesthetic agents for dental anaesthesia (2018) · Cochrane
'Other comparisons with 100% success': IANB - Sampaio 2012 35/35 vs 35/35; Fernandez 2005 39/39 vs 39/39. Both formulations 100% successful; no meta-analysis (no difference).2 studies · 74 participantsUngraded
Ferric sulphate (FS) vs Zinc oxide and eugenol (ZOE)
Clinical failure · Children with extensive decay involving the dental pulp in primary teeth · 24 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 1.20 [0.42, 3.43]1 study · 50 participantsUngraded
Autologous platelet concentrates (APC) + guided tissue regeneration (GTR) vs GTR (guided tissue regeneration) alone
Change in clinical attachment level (CAL) (mm) · Patients affected by infrabony defects requiring surgical treatment, regardless of their age or gender · 3 to 6 months, Split-mouth studies only
Autologous platelet concentrates for treating periodontal infrabony defects (2018) · Cochrane
MD 0.54 [0.18, 0.89]3 studies · 134 participantsUngraded
Fluorides combined with CPP-ACP vs Fluorides alone (monotherapy)
Total lesion area divided by total surface area (visual) · Patients with early caries lesions in permanent teeth (non-fluoridated water area) · Post-treatment (8-24 weeks), In vivo clinical trial (human oral cavity; smooth-surface early caries lesions; visual measurement), Location of lesions: smooth surfaces
Efficacy of fluorides and CPP-ACP vs fluorides monotherapy on early caries lesions: A systematic review and… (2018)
MD 4.37 [-0.51, 9.26]2 studiesUngraded
Medium income vs High income
Prevalence of fair/poor self-rated oral health · Adults aged 25 years and older in Australia, Canada, New Zealand, and the United States · 2004-2006, Australia, Australia
Socioeconomic status, oral health and dental disease in Australia, Canada, New Zealand and the United States. (2018)
AD 3.1 [0.9, 5.2]1 study · 5073 participantsUngraded
4% articaine, 1:100,000 epinephrine vs 2% lidocaine, 1:100,000 epinephrine
Adverse effects: pain on injection (solution deposition), Heft-Parker VAS 0-170 mm · Participants of any age and gender undergoing dental procedures, and volunteers who took part in simulated scenario… · 0-1 minute following needle insertion
Injectable local anaesthetic agents for dental anaesthesia (2018) · Cochrane
MD 4.74 [-1.98, 11.46]3 studies · 157 participantsModerate
Low income vs High income
Prevalence of untreated decay (% DT > 0) · Adults aged 25 years and older in Australia, Canada, New Zealand, and the United States · 2009, New Zealand, New Zealand
Socioeconomic status, oral health and dental disease in Australia, Canada, New Zealand and the United States. (2018)
AD 17.46 [8.00, 26.92]1 study · 2041 participantsUngraded
Low income vs High income
Prevalence of fair/poor self-rated oral health · Adults aged 25 years and older in Australia, Canada, New Zealand, and the United States · 2007-2009, Canada, Canada
Socioeconomic status, oral health and dental disease in Australia, Canada, New Zealand and the United States. (2018)
AD 16.91 [8.91, 24.91]1 study · 3278 participantsUngraded
HP strip vs HP mouthwash
Adverse effects · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline…
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
Tooth sensitivity and oral irritation more common in strip group; all mild (Gerlach 2005)1 studyUngraded
Secondary education vs University education
Prevalence of fair/poor self-rated oral health · Adults aged 25 years and older in Australia, Canada, New Zealand, and the United States · 2009, New Zealand, New Zealand
Socioeconomic status, oral health and dental disease in Australia, Canada, New Zealand and the United States. (2018)
AD 6.7 [-1.3, 14.7]1 study · 2041 participantsUngraded
EMP + CAF vs CAF
Keratinized tissue width change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm) · Short term (6 to 12 months)
Root coverage procedures for treating localised and multiple recession‐type defects (2018) · Cochrane
MD 0.35 [0.13, 0.56]3 studies · 136 participantsLow
GTR rm + CAF vs SCTG + CAF
Patients' preference for a specific procedure · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm) · Short term (6 to 12 months)
Root coverage procedures for treating localised and multiple recession‐type defects (2018) · Cochrane
Wang 2001: participants reported greater overall satisfaction with GTR rm than SCTG (reduced treatment time, no need for a second surgical site)1 studyUngraded
Visual caries detection (ICDAS visual/visual-tactile inspection) vs Reference standard (histological validation or cavity/lesion opening; advanced = cavitated/dentin-involved lesions, all = enamel-confined initial lesions also counted)
Specificity for detecting all (initial and advanced) occlusal caries · Occlusal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly… · Public health clinic, Giza (Cairo), Egypt, Tailored to Egypt
Visual and radiographic caries detection: a tailored meta-analysis for two different settings, Egypt and… (2018)
Specificity 77.0 [73, 81]51 studiesUngraded
GTR rm associated with bone substitutes + CAF vs GTR rm + CAF
Aesthetic condition change related to patient's opinion · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm) · Short term (6 to 12 months)
Root coverage procedures for treating localised and multiple recession‐type defects (2018) · Cochrane
Aesthetic condition change was not reported for this comparison0 studiesNo studies
Mineral trioxide aggregate (MTA) vs Ferric sulphate (FS)
Clinical failure · Children with extensive decay involving the dental pulp in primary teeth · 24 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 0.52 [0.20, 1.39]3 studies · 130 participantsVery low
Intravenous midazolam vs Placebo (including no intervention)
Behaviour (Houpt/behavioural score) · Children and adolescents (0 to 16 years) needing dental treatment
Sedation of children undergoing dental treatment (2018) · Cochrane
SMD 1.21 [0.24, 2.18]1 study · 20 participantsVery low
Radiographic caries detection (bitewing radiography) vs Reference standard (histological validation or cavity/lesion opening; advanced = cavitated/dentin-involved lesions, all = enamel-confined initial lesions also counted)
Negative LR for detecting advanced proximal caries · Proximal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly… · Private practice, rural northern Germany, Tailored to Germany
Visual and radiographic caries detection: a tailored meta-analysis for two different settings, Egypt and… (2018)
Negative LR 0.58 [0.52, 0.65]22 studiesUngraded
Low-level laser therapy (LLLT) + calcium hydroxide vs Formocresol (FC)
Clinical failure · Children with extensive decay involving the dental pulp in primary teeth · 6 and 12 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
No clinical failure in any participant (Fernandes 2015); not estimable1 study · 30 participantsUngraded
Populations with low socioeconomic status (>=22.4% of the population with low SES) vs Populations with higher socioeconomic status (<22.4% of the population with low SES)
Association with dental caries experience (DMFT) by random-effects meta-regression · Adults aged 19-60 years · Population/community-based studies of adults aged 19-60 years across multiple countries (studies published 1975-2016), Adjusted (Model 2)
Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review… (2018)
Meta-regression coefficient 10.35391NRUngraded
Non-surgical technique A vs Non-surgical technique B
Outcome NR · People of any age with oro-antral communications, fistulae, or both caused by dental procedures
Interventions for treating oro‐antral communications and fistulae due to dental procedures (2018) · Cochrane
no estimate extracted0 studiesNo studies
Late treatment (one-phase) with removable functional appliance vs No treatment
Final overjet · Adolescents (age 12 to 16 years) receiving orthodontic treatment to correct prominent upper front teeth (Class II… · End of orthodontic treatment
Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents (2018) · Cochrane
MD -4.62 [-5.33, -3.92]3 studies · 122 participantsLow
1.5% HP + 0.05% HF mouthwash vs Placebo
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 6 months
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
OR 10.89 [5.08, 23.35]1 study · 78 participantsVery low
SPT performed by non-specialist clinicians (general dental practitioners under specialist prescription) vs SPT performed by specialists (specialist practice)
Clinical attachment loss · Adults treated for periodontitis and receiving supportive periodontal therapy (SPT)
Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis (2018) · Cochrane
Not measured0 studiesNo studies
Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA) + sodium hypochlorite (NaOCl)
Radiological failure · Children with extensive decay involving the dental pulp in primary teeth · 12 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 8.00 [1.06, 60.21]1 study · 62 participantsUngraded
Autologous platelet concentrates (APC) + open flap debridement (OFD) vs OFD (open flap debridement) alone
Change in radiographic bone defect filling (RBF) (%) · Patients affected by infrabony defects requiring surgical treatment, regardless of their age or gender · 9 to 12 months
Autologous platelet concentrates for treating periodontal infrabony defects (2018) · Cochrane
MD 34.26 [30.07, 38.46]9 studies · 401 participantsVery low
Autologous platelet concentrates (APC) + guided tissue regeneration (GTR) vs GTR (guided tissue regeneration) alone
Change in radiographic bone defect filling (RBF) (%) · Patients affected by infrabony defects requiring surgical treatment, regardless of their age or gender · All follow-ups
Autologous platelet concentrates for treating periodontal infrabony defects (2018) · Cochrane
No RBF (radiographic bone defect filling) data were available for the APC + GTR versus GTR comparison.0 studiesNo studies
Sodium hypochlorite (NaOCl) vs 1:5 diluted formocresol (FC)
Clinical failure · Children with extensive decay involving the dental pulp in primary teeth · 24 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 3.00 [0.13, 70.30]2 studies · 150 participantsUngraded
Artesunate vs Quinine
Death · Patients with severe malaria · Network meta-regression covariate: average age (years)
Graphs of study contributions and covariate distributions for network meta-regression. (2018)
no estimate extractedNRUngraded
Routine scale and polish every 6 months vs Routine scale and polish every 12 months
Participant satisfaction (perceived oral cleanliness) · Dentate adults without severe periodontitis, regularly attending for dental care in primary care (UK general dental… · 36 months
Routine scale and polish for periodontal health in adults (2018) · Cochrane
RR 1.11 [0.85, 1.47]1 study · 207 participantsVery low