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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
Mineral trioxide aggregate (MTA) vs Enamel matrix derivative (EMD)
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 0.14 [0.01, 2.67]1 study · 70 participantsUngraded
0.5% bupivacaine, 1:200,000 epinephrine vs 2% lidocaine, 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
Autologous platelet concentrates (APC) + open flap debridement (OFD) vs OFD (open flap debridement) alone
Oral health-related quality of life · Patients affected by infrabony defects requiring surgical treatment, regardless of their age or gender
Autologous platelet concentrates for treating periodontal infrabony defects (2018) · Cochrane
No quantitative analysis regarding patients' quality of life was possible (no data).0 studiesNo studies
Twin Block functional appliance vs Other functional appliances (Bionator, Herbst, R-appliance, Dynamax, Bite-Jumping)
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 0.08 [-0.6, 0.76]4 studies · 259 participantsLow
CP paint-on gel vs HP strips
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
Not reportedNRNo studies
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 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)
Specificity 95.5 [94, 97]22 studiesUngraded
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)
Positive LR 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)
Positive LR 5.34 [4.2, 6.8]31 studiesUngraded
Planned, regular routine scale and polish (6-monthly; 12-monthly parallel) vs No scheduled scale and polish treatment
Plaque · Dentate adults without severe periodontitis, regularly attending for dental care in primary care (UK general dental… · 24 months, 6-monthly (12-monthly parallel)
Routine scale and polish for periodontal health in adults (2018) · Cochrane
MD -0.04 [-0.13, 0.05]1 study · 207 participantsLow
Electrofulguration + calcium hydroxide (CH) vs Electrofulguration + zinc oxide and eugenol (ZOE)
Radiological failure · Children with extensive decay involving the dental pulp in primary teeth · 6 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 0.94 [0.47, 1.88]1 study · 47 participantsUngraded
Erbium:YAG laser vs Formocresol (FC)
Radiological 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 1.06 [0.28, 4.01]1 study · 97 participantsUngraded
Low 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 · 2003-2004, United States, United States
Socioeconomic status, oral health and dental disease in Australia, Canada, New Zealand and the United States. (2018)
AD 0.22 [0.08, 0.35]1 study · 4568 participantsUngraded
Zinc oxide and eugenol (ZOE) vs 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 0.83 [0.29, 2.38]1 study · 50 participantsUngraded
Photodynamic therapy plus mechanical debridement vs Mechanical debridement alone
Probing pocket depth (mm) · Adults treated for periodontitis and receiving supportive periodontal therapy (SPT) · 12 months
Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis (2018) · Cochrane
MD -0.09 [-1.41, 1.23]1 study · 10 participantsVery low
Early treatment (two-phase) with headgear vs Early treatment (two-phase) with functional appliance
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 -0.04 [-0.49, 0.41]2 studies · 271 participantsUngraded
Low socioeconomic status (>22.4% of the population) vs Not applicable
Mean DMFT · Adult participants in 25 meta-regression studies · Country-level study populations, Model 2 adjusted
Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review… (2018)
Meta-regression coefficient 10.353917 studiesUngraded
GTR rm associated with bone substitutes + CAF vs SCTG + 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
Rosetti 2013: patient satisfaction survey indicated all patients satisfied with aesthetic results of both procedures at 18 months; no significant differences between 18- and 30-month assessments1 studyUngraded
18% CP paint-on gel (4x/day) vs 18% CP paint-on gel (2x/day)
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 1 week
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD 1.39 [0.50, 2.28]1 study · 69 participantsVery low
Secondary education vs University education
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 14.1 [5.1, 23.1]1 study · 2041 participantsUngraded
GTR rm + CAF vs GTR nrm + CAF
Occurrence of adverse effects or postoperative complications · 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
Roccuzzo 1996: membrane exposure reported between the first and second weeks of healing1 studyUngraded
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) occlusal caries · Occlusal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly… · Conventional meta-analysis (all studies)
Visual and radiographic caries detection: a tailored meta-analysis for two different settings, Egypt and… (2018)
Specificity 77.8 [70, 84]14 studiesUngraded
14% HP strip vs Placebo
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 6 weeks
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD 5.16 [4.21, 6.11]1 study · 35 participantsVery low
4% articaine plain vs 4% articaine, 1:200,000 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 0.03 [-0.66, 0.71]2 studies · 102 participantsVery low
Ball (stud) attachment system vs Telescopic attachment system
Prosthodontic maintenance: matrix replaced (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 1.75 [0.71, 4.31]1 study · 22 participantsVery low
Total-etching 36% phosphoric acid + acetone-based total-etch adhesive vs Acetone-based total-etch adhesive
Clinical failure · Children with extensive decay involving the dental pulp in primary teeth · 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
Autologous platelet concentrates (APC) + open flap debridement (OFD) vs OFD (open flap debridement) alone
Change in clinical attachment level (CAL) (mm) · 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 1.47 [1.11, 1.82]12 studies · 510 participantsVery low
Any form of one-to-one oral hygiene advice (OHA) vs No OHA
Adverse events · Children or adults (fit and healthy, or with a well-defined medical condition)
One‐to‐one oral hygiene advice provided in a dental setting for oral health (2018) · Cochrane
No adverse events due to OHA were reported in the included trials (review-wide; assessed across all 19 included studies).NRUngraded
HP strips vs Placebo
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
Mild and transient tooth sensitivity and oral irritation were the most common adverse events reported in most of the trials7 studiesUngraded
ADMG + CAF vs 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 related to patient's opinion: Not reported (SoF 2)0 studiesNo studies
Vitapex (calcium hydroxide/iodoform) vs ZOE + calcium hydroxide + iodoform (MPRCF, unnamed product)
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 21.79 [1.32, 360.78]1 study · 109 participantsUngraded
SPT performed by non-specialist clinicians (general dental practitioners under specialist prescription) vs SPT performed by specialists (specialist practice)
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
Chemical cured composite vs Compomer (polyacid-modified resin composite)
Bracket (bond) failure · Patients with fixed orthodontic appliances attached to their teeth · To end of appliance treatment
Adhesives for fixed orthodontic brackets (2018) · Cochrane
OR 0.86 [0.24, 2.98]1 study · 45 participantsUngraded
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 · 2009, New Zealand, New Zealand
Socioeconomic status, oral health and dental disease in Australia, Canada, New Zealand and the United States. (2018)
AD 0.4 [0.2, 0.6]1 study · 2041 participantsUngraded
3% prilocaine, 0.03 IU felypressin vs 2% lidocaine, 1:100,000 epinephrine
Speed of onset of anaesthesia · 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
14% HP strip vs Placebo
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 3 weeks
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD 7.60 [6.18, 9.02]1 study · 28 participantsVery low
Any form of one-to-one oral hygiene advice (OHA) vs No OHA
Periodontal health: plaque levels · Children or adults (fit and healthy, or with a well-defined medical condition) · 6 to 36 months
One‐to‐one oral hygiene advice provided in a dental setting for oral health (2018) · Cochrane
SoF: Both studies at all time points consistently showed a benefit in plaque reduction for OHA. Results: Hetland 1982 MD -0.41 (-0.54 to -0.28) at 3mo, -0.44 (-0.56 to -0.32) at 6mo; Hugoson 2007 MD -13.00 (-19.89 to…2 studies · 235 participantsLow
1% STPP chewing gum vs Placebo
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 6 weeks
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD 0.18 [0.10, 0.26]1 study · 108 participantsVery low
4% prilocaine, 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 1.14 [0.91, 1.43]2 studies · 48 participantsLow
Calcium hydroxide (CH) vs Zinc oxide and eugenol (ZOE)
Radiological failure · Children with extensive decay involving the dental pulp in primary teeth · 6 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 2.50 [0.50, 12.50]2 studies · 110 participantsLow
Fluoride in varnish vs No treatment
Caries increment in permanent teeth · Children or adolescents · At least 1 year or school year, Randomisation year, NMR covariate
Graphs of study contributions and covariate distributions for network meta-regression. (2018)
no estimate extractedNRUngraded
Endoflas (CH + ZOE + iodoform) vs Zinc oxide and eugenol (ZOE)
Radiological failure · Children with extensive decay involving the dental pulp in primary teeth · 6 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 0.26 [0.05, 1.50]2 studies · 80 participantsModerate
3% prilocaine, 0.03 IU felypressin vs 2% lidocaine, 1:100,000 epinephrine
Success of local anaesthesia, absence of pain (clinical testing of healthy pulps, hard and soft tissues) · Participants of any age and gender undergoing dental procedures, and volunteers who took part in simulated scenario… · Not reported (estimated < 2 hours)
Injectable local anaesthetic agents for dental anaesthesia (2018) · Cochrane
RR 0.86 [0.79, 0.95]2 studies · 907 participantsModerate
3% prilocaine, 0.03 IU felypressin vs 2% lidocaine, 1:100,000 epinephrine
Adverse effects: pain 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
Autologous platelet concentrates (APC) + guided tissue regeneration (GTR) vs GTR (guided tissue regeneration) alone
Change in probing depth (PD) (mm) · 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 0.68 [-0.66, 2.02]5 studies · 164 participantsUngraded
Metapex (calcium hydroxide/iodoform) vs Zinc oxide and eugenol (ZOE)
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 1.00 [0.31, 3.27]2 studies · 62 participantsModerate
4% articaine, 1:100,000 epinephrine vs 2% lidocaine, 1:100,000 epinephrine
Adverse effects: pain following injection, Heft-Parker VAS 0-170 mm · Participants of any age and gender undergoing dental procedures, and volunteers who took part in simulated scenario… · Measured at the time anaesthesia wore off
Injectable local anaesthetic agents for dental anaesthesia (2018) · Cochrane
MD 6.41 [1.01, 11.8]3 studies · 156 participantsModerate
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)
Negative LR for detecting 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)
Negative LR 0.29 [0.2, 0.4]55 studiesUngraded
Placebo vs No treatment
Caries increment in permanent teeth (DMFS change from baseline) · Children or adolescents · At least 1 year or school year, Network meta-regression covariate: randomization year
Graphs of study contributions and covariate distributions for network meta-regression. (2018)
no estimate extractedNRUngraded
Any surgical or non-surgical technique or material used for the treatment of post-extraction bleeding vs Another active intervention, placebo, or no treatment
Treatment-associated average cost · People of any age and either gender with post-extraction bleeding, regardless of type of teeth (anterior or posterior,…
Interventions for treating post‐extraction bleeding (2018) · Cochrane
No data are available as no RCTs have been conducted on interventions to treat post-extraction bleeding0 studiesNo studies
Single-stage alginate impression (simplified method) vs Two stage-two step zinc-oxide eugenol (ZoE) traditional method
Operator-assessed quality of the denture (retention and stability) · Completely edentulous people · 3 to 6 months
Final‐impression techniques and materials for making complete and removable partial dentures (2018) · Cochrane
There was insufficient evidence of a clear difference between groups for operator-assessed quality of the dentures for retention and stability of dentures (Regis 2013).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)
Positive LR for detecting all (initial and advanced) occlusal caries · Occlusal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly… · Conventional meta-analysis (all studies)
Visual and radiographic caries detection: a tailored meta-analysis for two different settings, Egypt and… (2018)
Positive LR 3.46 [2.8, 4.3]67 studiesUngraded