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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 Ferric sulphate (FS)
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 0.58 [0.25, 1.36]3 studies · 130 participantsLow
10% 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… · 15 days
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD 1.93 [1.34, 2.52]1 study · 40 participantsVery low
Late treatment (one-phase) with fixed 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 -5.46 [-6.63, -4.28]2 studies · 61 participantsLow
Autologous platelet concentrates (APC) + open flap debridement (OFD) vs OFD (open flap debridement) alone
Pocket closure (complete pocket closure) · 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 complete pocket closure was reported (outcome addressed across included studies; no usable comparative estimate).NRUngraded
Self-management (self-administered/self-monitored OHA) vs Professional OHA
Patient-reported changes in knowledge, attitudes and quality of life · 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
Aljafari 2017 reported child's dietary knowledge; measured, not synthesised or GRADE-rated.1 studyUngraded
FMA stepwise advancement (SWG) vs FMA single step advancement (SSG)
Final ANB · 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 -0.69 [-1.19, -0.19]1 study · 34 participantsUngraded
4% articaine, 1:200,000 epinephrine vs 0.5% bupivacaine, 1:200,000 epinephrine
Duration of anaesthesia (soft tissue, simulated) · 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 -172.61 [-239.69, -105.53]2 studies · 39 participantsVery low
10% CP gel in tray vs 6% HP gel in tray
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 2 weeks, medium-dark and light baseline shade
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD -2.22 [-2.63, -1.81]2 studiesVery low
Radiographic caries detection vs Reference standard (often histological; also invasive opening)
Advanced proximal carious lesions · Permanent molar surfaces in diagnostic accuracy studies (mostly in vitro; clinical) · Egypt public health clinic, Tailored meta-analysis (Egypt)
Visual and radiographic caries detection: a tailored meta-analysis for two different settings, Egypt and… (2018)
Positive LR 9.82 [7.3, 13.3]22 studiesUngraded
XCM + CAF vs CAF
Occurrence of adverse effects or postoperative complications · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)
Root coverage procedures for treating localised and multiple recession‐type defects (2018) · Cochrane
Jepsen 2013: no differences regarding pain and discomfort between XCM + CAF and CAF (for all defects)1 studyUngraded
Calcium hydroxide + sodium hypochlorite (NaOCl) vs Calcium hydroxide (CH)
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 0.63 [0.23, 1.70]1 study · 62 participantsUngraded
6% HP paint-on gel vs Placebo
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 2 weeks
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
SMD 0.67 [0.19, 1.14]2 studies · 148 participantsVery low
Low polymerization shrinkage resin composite (silorane, ormocer, bulk-fill or other modified-monomer composite) vs Conventional methacrylate-based resin composite
Marginal adaptation (clinically detectable deterioration) · People with permanent posterior teeth restored with class I or II direct restorations · 24 months, Posterior class I/II restorations in permanent teeth; multicenter randomized controlled trials conducted across Europe, the Americas, and the Middle East
Meta-analysis of the clinical behavior of posterior direct resin restorations: Low polymerization shrinkage… (2018)
Odds ratio (OR) 1.46 [0.92, 2.33]7 studiesUngraded
Routine scale and polish provided by a dentist vs Routine scale and polish provided by a dental care professional (dental therapist or hygienist)
Participant satisfaction · Dentate adults without severe periodontitis, regularly attending for dental care in primary care (UK general dental…
Routine scale and polish for periodontal health in adults (2018) · Cochrane
no estimate extracted0 studiesNo studies
10% CP gel in tray + KN + NaF vs 10% CP gel in tray
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 2 weeks
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
SMD 0.32 [-0.20, 0.84]2 studies · 58 participantsVery low
Early treatment (two-phase: phase 1 in childhood, phase 2 in adolescence) with functional appliance vs Late treatment (one-phase in adolescence) 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 orthodontic treatment (phase II)
Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents (2018) · Cochrane
MD -0.02 [-0.47, 0.43]3 studies · 347 participantsModerate
Planned, regular routine scale and polish (6-monthly; 12-monthly parallel) vs No scheduled scale and polish treatment
Tooth loss · Dentate adults without severe periodontitis, regularly attending for dental care in primary care (UK general dental…
Routine scale and polish for periodontal health in adults (2018) · Cochrane
no estimate extracted0 studiesNo studies
Self-etch adhesive + acetone-based total-etch adhesive vs Total-etching 36% phosphoric acid + acetone-based total-etch adhesive
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 0.33 [0.04, 2.94]1 study · 40 participantsVery low
Sodium hypochlorite (NaOCl) vs 1:5 diluted formocresol (FC)
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 1.86 [0.52, 6.59]2 studies · 150 participantsUngraded
Calcium hydroxide cement (Dycal) vs Calcium sulphate hemihydrate (DentoGen)
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 1.67 [0.46, 6.06]1 study · 40 participantsVery low
Biodentine vs Propolis
Clinical 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 0.33 [0.01, 7.81]1 study · 50 participantsUngraded
20% CP gel in tray vs 7.5% HP gel in tray
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 12 weeks
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD -0.25 [-0.40, -0.10]1 study · 24 participantsVery low
4% articaine, 1:200,000 epinephrine vs 4% articaine, 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 0.15 [-0.42, 0.73]5 studies · 162 participantsVery low
GTR rm + CAF vs SCTG + CAF
Keratinized tissue 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 -1.77 [-2.66, -0.89]3 studies · 98 participantsVery low
Twin Block functional appliance vs Other functional appliances (Bionator, Herbst, R-appliance, Dynamax, Bite-Jumping)
Incidence of incisal trauma · 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
Incidence of incisal trauma: Not measuredNRNo studies
Calcium-enriched mixture (CEM) cement vs Mineral trioxide aggregate (MTA)
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 0.33 [0.04, 2.94]1 study · 80 participantsUngraded
Vitapex (calcium hydroxide/iodoform) vs Sealapex (eugenol-free calcium hydroxide)
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 0.20 [0.01, 3.92]1 study · 40 participantsUngraded
Orthodontic treatment without extraction of permanent teeth vs Orthodontic treatment involving extraction of permanent teeth
Number of visits to complete treatment · 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 estimate extracted0 studiesNo studies
19% SPC paint-on gel vs 18% CP paint-on gel
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 14 days
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD -0.58 [-0.95, -0.21]1 study · 38 participantsVery low
Biofunctional Prosthetic System (BPS): closed-mouth two stage-two step final impression with addition silicone elastomer vs Conventional complete denture technique (CCD): open-mouth two stage-two step conventional technique using elastomer
Participant preference for dentures · Completely edentulous people · 3 months
Final‐impression techniques and materials for making complete and removable partial dentures (2018) · Cochrane
When participants were asked which denture they would prefer to use long term, nine out of 10 opted for the one made with the BPS complete denture technique.1 study · 10 participantsUngraded
Post-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 · 2004-2006, Australia, Australia
Socioeconomic status, oral health and dental disease in Australia, Canada, New Zealand and the United States. (2018)
AD 4.1 [2.0, 6.3]1 study · 5073 participantsUngraded
Fluoride in varnish vs Fluoride in rinse
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
EMP + CAF vs CAF
Clinical attachment level change (short and medium term) · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm) · Short and medium term (6 to 24 months)
Root coverage procedures for treating localised and multiple recession‐type defects (2018) · Cochrane
MD 0.35 [0.09, 0.61]3 studiesUngraded
Zinc oxide and eugenol (ZOE) 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 1.67 [0.71, 3.89]1 study · 50 participantsUngraded
4% prilocaine, 1:200,000 epinephrine vs 4% prilocaine plain
Success of local anaesthesia (clinical/EPT; orphan data) · 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
No data available for meta-analysis; data summarized in Table 5 (orphan). Not pooled/graded.NRUngraded
Antifibrinolytic therapy - locally-applied tranexamic acid (TXA) mouthwash/solution (SoF eligibility: TXA or EACA; all included trials used topical TXA) vs Placebo (placebo solution/mouthwash)
Amount of postoperative blood loss (mL) · People on continuous VKA treatment undergoing minor oral surgery or dental extractions (eligibility included DOACs and…
Antifibrinolytic therapy for preventing oral bleeding in people on anticoagulants undergoing minor oral… (2018) · Cochrane
no estimate extracted0 studiesNo studies
10% 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… · day 8
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD 2.24 [1.72, 2.76]1 study · 36 participantsVery low
STPP chewing gum 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
Not reportedNRNo studies
Diode laser vs Electrosurgery
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 0.64 [0.19, 2.18]2 studies · 50 participantsLow
Oral 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 1.96 [1.59, 2.33]6 studies · 202 participantsModerate
Intervention NR
Dental caries (presence; primary or permanent dentition) · Trim-and-fill adjusted (publication-bias sensitivity)
Association between passive tobacco exposure and caries in children and adolescents. A systematic review and… (2018)
OR 1.50 [1.36, 1.64]21 studiesUngraded
Self-management (self-administered/self-monitored OHA) vs Professional OHA
Periodontal health: plaque levels · Children or adults (fit and healthy, or with a well-defined medical condition) · 2 to 6 months
One‐to‐one oral hygiene advice provided in a dental setting for oral health (2018) · Cochrane
SoF: 2 studies reported no significant differences but no usable data; 1 study gave weak evidence of a benefit in plaque reduction at 3 months for self-management; 1 study in adults with hyposalivation gave very weak…4 studies · 181 participantsVery low
Maxillary distraction osteogenesis vs Orthognathic surgery (conventional Le Fort I osteotomy)
Speech: nasal emission · Adolescents or adults (15 years or older) with an established diagnosis of complete cleft lip and alveolar process, or… · 17 months
Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients (2018) · Cochrane
RR 3.00 [0.14, 66.53]1 study · 22 participantsUngraded
Non-rinse conditioner + acetone-based total-etch adhesive vs Acetone-based total-etch adhesive
Radiological 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
Low level of schooling (>33.60% of the population) vs Not applicable
Mean DMFT · Adult participants in 25 meta-regression studies · Country-level study populations, Model 1 adjusted
Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review… (2018)
Meta-regression coefficient 7.2054536 studiesUngraded
Visual caries detection vs Reference standard (often histological; also invasive opening)
Advanced occlusal carious lesions · Permanent molar surfaces in diagnostic accuracy studies (mostly in vitro; clinical) · All included studies, Conventional meta-analysis (all studies)
Visual and radiographic caries detection: a tailored meta-analysis for two different settings, Egypt and… (2018)
Specificity 90.9 [88, 93]94 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 orthodontic treatment (phase II)
Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents (2018) · Cochrane
MD -0.27 [-0.8, 0.26]2 studies · 231 participantsLow
Fluoride in varnish vs Placebo
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
Calcium-enriched mixture (CEM) cement vs Mineral trioxide aggregate (MTA)
Clinical 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 3.00 [0.13, 69.70]1 study · 42 participantsVery low
Routine scale and polish provided by a dentist vs Routine scale and polish provided by a dental care professional (dental therapist or hygienist)
Costs (NHS perspective) · Dentate adults without severe periodontitis, regularly attending for dental care in primary care (UK general dental…
Routine scale and polish for periodontal health in adults (2018) · Cochrane
no estimate extracted0 studiesNo studies