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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
Metal-free cantilevered FDPs (feldspathic-veneered zirconia) vs Metal-ceramic cantilevered FDPs
Plaque index (PI) · Adults (18 years or older) needing replacement of one premolar or incisor with a cantilevered fixed dental prosthesis · 24 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
MD -0.10 [-1.04, 0.84]1 study · 19 participantsUngraded
Resin-based fissure sealant (2nd/3rd/4th generation) vs No sealant (control/no treatment)
Adverse effects · Children and adolescents (general population, aged under 20 years)
Pit and fissure sealants for preventing dental decay in permanent teeth (2017) · Cochrane
Two trials measured adverse effects. None were reported.2 studiesUngraded
Metal-free single crowns (full-contour zirconia) vs Cast gold (conventional metal) single crowns
Crown failure · Adults (18 years or older) needing a single crown in the molar or premolar region · 12 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
OR 0.83 [0.05, 13.44]1 study · 194 participantsVery low
Periodontal treatment (scaling and root planing, polishing, or surgery), alone or with oral hygiene counselling, antiseptics, or antimicrobials vs No treatment
Preterm birth < 35 weeks · Pregnant women considered to have periodontal disease (gingivitis or periodontitis) after dental examination
Treating periodontal disease for preventing adverse birth outcomes in pregnant women (2017) · Cochrane
RR 1.19 [0.81, 1.76]2 studies · 2557 participantsVery low
Analgesic (any: NSAID, paracetamol, local anaesthetic or opioid) vs Control (placebo or no treatment)
Quality of life or participant satisfaction · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)
Pharmacological interventions for pain relief during orthodontic treatment (2017) · Cochrane
Reported narratively by 2 studies (Wang 2012: SF-36 and SAS - significant reduction in SF-36 bodily pain at 30 days vs baseline, no significant between-group differences; Minor 2009: STAI and PANAS - no significant…2 studiesUngraded
ART using H-GIC vs Conventional treatment using composite (with local anaesthetic)
Restoration failure (primary teeth) · Children with dental caries in primary teeth · Multiple lesions
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
OR 8.00 [1.24, 51.48]1 study · 30 participantsUngraded
Amifostine vs No treatment/placebo
Disease-free survival · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · 24 months postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
RR 0.94 [0.73, 1.21]1 study · 170 participantsUngraded
Chinese medicine vs No treatment/placebo
Side effects · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · End of intervention; 1 month after RT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
Insufficient evidence of a difference for any side effects2 studiesUngraded
New types of fissure sealant (e.g. ormocer-based) vs No sealant (control)
Outcome NR · Children and adolescents (general population, aged under 20 years)
Pit and fissure sealants for preventing dental decay in permanent teeth (2017) · Cochrane
No studies comparing new types of fissure sealants with no sealant were included.NRNo studies
Amifostine vs No treatment/placebo
Quality of life · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · End of RT; up to 3 months postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
MD 0.52 [-0.02, 1.06]1 study · 233 participantsUngraded
Keratinocyte growth factor (KGF; palifermin or repifermin), intravenous vs Placebo
Number of days unable to take medicine orally · Adults with cancer receiving treatment
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
No studies reported this outcome (planned secondary outcome not measured by any study in the review)0 studiesNo studies
Amifostine vs No treatment/placebo
Salivary flow rate (mg/5 min, unstimulated) · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · 12 months postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
MD 0.32 [0.09, 0.55]1 study · 27 participantsVery low
Amifostine vs No treatment/placebo
Progression-free survival · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · 12 to 24 months postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
HR 0.94 [0.70, 1.27]2 studies · 247 participantsUngraded
ART using high-viscosity glass ionomer cement (H-GIC), hand instruments vs Conventional treatment using H-GIC (rotary instruments)
Pain (during procedure, primary dentition) · People with dental caries in primary teeth (mainly children) · During procedure
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
MD -0.65 [-1.38, 0.07]1 study · 40 participantsLow
Fluoride supplementation (tablets, drops, lozenges or chewing gum) vs Placebo or no treatment
Filled primary surfaces at 5 years · Pregnant women (for preventing dental caries in the primary teeth of their children) · 5 years
Fluoride supplementation (with tablets, drops, lozenges or chewing gum) in pregnant women for preventing… (2017) · Cochrane
MD 0.03 [-0.28, 0.34]1 study · 798 participantsUngraded
Keratinocyte growth factor (KGF; palifermin or repifermin), intravenous vs Placebo
Adverse events · Adults with cancer receiving treatment
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
Adverse events attributed to KGF were typically oral-related or skin-related; mostly mild to moderate with very few serious events; reporting poor and inconsistent, not appropriate to meta-analyse (SoF comments cell,…16 studiesUngraded
Granulocyte-colony stimulating factor (G-CSF; pegfilgrastim, single dose) vs Granulocyte-colony stimulating factor (G-CSF; filgrastim, multiple doses)
Oral mucositis (any severity) · Children receiving bone marrow/stem cell transplantation after conditioning therapy for mixed cancers · Children
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 1.02 [0.82, 1.27]1 study · 61 participantsUngraded
Biperiden plus pilocarpine vs No treatment
Survival · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
Survival not reported.0 studiesNo studies
Metal-free cantilevered FDPs (feldspathic-veneered zirconia) vs Metal-ceramic cantilevered FDPs
Cantilevered bridge failure · Adults (18 years or older) needing replacement of one premolar or incisor with a cantilevered fixed dental prosthesis · 12, 24 and 36 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
At 12 months 19 participants were available; no failure and no complication were reported in either group. No failure was reported at 24 or 36 months.1 study · 19 participantsVery low
Palifermin vs Placebo
Salivary flow rate · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
None of the trials evaluating palifermin provided data on salivary flow rates.0 studiesNo studies
Fluoride supplementation (tablets, drops, lozenges or chewing gum) vs Placebo or no treatment
Children with caries in the primary teeth at 3 years · Pregnant women (for preventing dental caries in the primary teeth of their children) · 3 years
Fluoride supplementation (with tablets, drops, lozenges or chewing gum) in pregnant women for preventing… (2017) · Cochrane
RR 1.46 [0.75, 2.85]1 study · 938 participantsVery low
Chlorhexidine mouthrinse (any concentration; 0.05% to 0.2%) used in conjunction with mechanical oral hygiene procedures vs Placebo/control mouthrinse, or no mouthrinse (mechanical oral hygiene alone); controls pooled (protocol's separate comparisons versus mechanical oral hygiene alone and versus placebo/control merged)
Supragingival calculus formation (various calculus indices) · Children or adults with gingivitis or periodontitis capable of performing normal mechanical oral hygiene procedures… · 4 to 6 weeks
Chlorhexidine mouthrinse as an adjunctive treatment for gingival health (2017) · Cochrane
SMD 0.02 [-0.09, 0.14]2 studies · 102 participantsUngraded
Metal-free cantilevered FDPs (feldspathic-veneered zirconia) vs Metal-ceramic cantilevered FDPs
Gingival index (GI) · Adults (18 years or older) needing replacement of one premolar or incisor with a cantilevered fixed dental prosthesis · 24 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
MD 0.03 [-0.75, 0.81]1 study · 19 participantsUngraded
ART using high-viscosity glass ionomer cement (H-GIC), hand instruments vs Conventional treatment using H-GIC (rotary instruments)
Costs (direct and indirect) · People with dental caries in primary teeth (mainly children)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
No studies reported on costs for this comparison.0 studiesNo studies
Epidermal growth factor (EGF), oral spray vs Placebo
Oral mucositis (moderate to severe) · Adults with cancer receiving treatment · Chemoradiotherapy to the head and neck
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 1.06 [0.78, 1.43]1 study · 136 participantsUngraded
Keratinocyte growth factor (KGF), intravenous vs Chlorhexidine mouthwash
Oral mucositis (any severity) · Children with acute lymphoblastic leukaemia receiving chemotherapy alone · Children
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 0.67 [0.54, 0.85]1 study · 90 participantsUngraded
Fluoride supplementation (tablets, drops, lozenges or chewing gum) vs Placebo or no treatment
Fluorosis (maxillary teeth) at 5 years · Pregnant women (for preventing dental caries in the primary teeth of their children) · 5 years
Fluoride supplementation (with tablets, drops, lozenges or chewing gum) in pregnant women for preventing… (2017) · Cochrane
RR 1.79 [0.95, 3.40]1 study · 798 participantsVery low
ART using H-GIC vs Conventional treatment using composite (with local anaesthetic)
Pain (primary dentition) · Children with dental caries in primary teeth
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
OR 2.22 [0.51, 9.61]1 studyUngraded
Amifostine vs No treatment/placebo
Dysgeusia (grade >= 2, 0-4 scale) · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · End of RT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
RR 0.24 [0.10, 0.61]1 study · 28 participantsUngraded
Ibuprofen taken pre-emptively (about 1 hour before treatment) vs Ibuprofen taken post-treatment
Pain intensity (VAS 0-100 mm) · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies) · 24 hours
Pharmacological interventions for pain relief during orthodontic treatment (2017) · Cochrane
MD -9.74 [-47.88, 28.40]2 studies · 69 participantsVery low
Zinc supplements vs Acupuncture
Outcome NR · Patients with taste disturbances (dysgeusia/hypogeusia; idiopathic, zinc-deficient, or secondary to chronic renal…
Interventions for managing taste disturbances (2017) · Cochrane
Authors' conclusions: We were unable to draw any conclusions regarding the superiority of zinc supplements or acupuncture as none of the trials compared these interventions.0 studiesNo studies
Periodontal treatment (scaling and root planing, alone or with antimicrobials) vs Alternative (less intensive) periodontal treatment, alone or with placebo
Mean birth weight · Pregnant women considered to have periodontal disease (gingivitis or periodontitis) after dental examination
Treating periodontal disease for preventing adverse birth outcomes in pregnant women (2017) · Cochrane
Not pooled. Pirie 2013 (99 participants): mean difference in birth weight -0.07 kilograms. Macones 2010 (756 participants): difference in mean birth weight -67.7 grams.2 studiesUngraded
Resorbable (bioresorbable) plates or screws for fixation vs Titanium plates or screws for fixation
Patient satisfaction (VAS 0 to 10) · Adults (>16 years old) undergoing orthognathic surgery · 4 to 6 months
Resorbable versus titanium plates for orthognathic surgery (2017) · Cochrane
MD 0.17 [-0.67, 1.01]1 study · 60 participantsVery low
Granulocyte-colony stimulating factor (G-CSF; pegfilgrastim, single dose) vs Granulocyte-colony stimulating factor (G-CSF; filgrastim, multiple doses)
Normalcy of diet (total parenteral nutrition) · Children receiving bone marrow/stem cell transplantation after conditioning therapy for mixed cancers · Children
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 1.00 [0.94, 1.06]1 study · 61 participantsUngraded
Open surgical exposure vs Closed surgical exposure
Complications or adverse effects · People with maxillary palatally displaced (impacted) canines, unilateral or bilateral (children/adolescents; mean ages… · Perioperative to alignment
Open versus closed surgical exposure of canine teeth that are displaced in the roof of the mouth (2017) · Cochrane
SoF (Complications, no GRADE rating given): 'One surgical failure was due to detachment of the gold chain (closed group). One study reported two complications following surgery, both in the closed group: a…1 studyUngraded
NSAID (systemic) vs Paracetamol
Rescue analgesia · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)
Pharmacological interventions for pain relief during orthodontic treatment (2017) · Cochrane
RR 1.5 [0.6, 3.6]1 study · 159 participantsVery low
Selenium vs No intervention
Xerostomia · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · 6 weeks after end of RT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
No evidence that selenium reduced xerostomia; data unusable (bar charts with no standard deviations) (Buntzel 2010)1 studyUngraded
Chlorhexidine mouthrinse (any concentration; 0.05% to 0.2%) used in conjunction with mechanical oral hygiene procedures vs Placebo/control mouthrinse, or no mouthrinse (mechanical oral hygiene alone); controls pooled (protocol's separate comparisons versus mechanical oral hygiene alone and versus placebo/control merged)
Gingivitis (gingival inflammation) measured by Gingival Index of Loe and Silness · Children or adults with gingivitis or periodontitis capable of performing normal mechanical oral hygiene procedures… · 4 to 6 weeks
Chlorhexidine mouthrinse as an adjunctive treatment for gingival health (2017) · Cochrane
MD -0.21 [-0.31, -0.11]10 studies · 805 participantsHigh
Fluoride supplementation (tablets, drops, lozenges or chewing gum) vs Placebo or no treatment
Decayed, missing and filled primary teeth (dmft) · Pregnant women (for preventing dental caries in the primary teeth of their children)
Fluoride supplementation (with tablets, drops, lozenges or chewing gum) in pregnant women for preventing… (2017) · Cochrane
no estimate extractedNRNo studies
Palifermin vs Placebo
Overall survival · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · 42 to 72 months from baseline
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
HR 1.00 [0.72, 1.39]3 studiesModerate
Topical NSAID (ketoprofen lysinate mouthwash, 160 mg) vs Topical NSAID (benzidamine hydrochloride mouthwash, 22.5 mg)
Failure to complete orthodontic treatment due to pain · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)
Pharmacological interventions for pain relief during orthodontic treatment (2017) · Cochrane
The study did not report this outcome.0 studiesNo studies
Periodontal treatment (scaling and root planing, alone or with antimicrobials) vs Alternative (less intensive) periodontal treatment, alone or with placebo
Gestational age (preterm birth < 37 weeks) · Pregnant women considered to have periodontal disease (gingivitis or periodontitis) after dental examination · SRP + antimicrobial vs alternative mechanical treatment + placebo
Treating periodontal disease for preventing adverse birth outcomes in pregnant women (2017) · Cochrane
RR 1.40 [0.67, 2.92]1 study · 243 participantsVery low
Metal-free implant-supported single crowns (zirconia veneered with feldspathic ceramic) vs Metal-ceramic implant-supported single crowns
Marginal bone level (first bone to implant contact, FBIC) · Adults (18 years or older) with one missing tooth in the aesthetic zone needing an implant-supported single crown · 24 months, Mesial to crown
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
MD -0.01 [-0.93, 0.91]1 study · 18 participantsUngraded
Periodontal treatment (scaling and root planing, alone or with antimicrobials) vs Alternative (less intensive) periodontal treatment, alone or with placebo
Pre-eclampsia · Pregnant women considered to have periodontal disease (gingivitis or periodontitis) after dental examination
Treating periodontal disease for preventing adverse birth outcomes in pregnant women (2017) · Cochrane
Pre-eclampsia: Not reported for this comparison.0 studiesNo studies
ART using glass ionomer cement (GIC) vs Conventional treatment using amalgam
Restoration failure (primary teeth) · Children and adolescents with dental caries (primary teeth and permanent immature teeth) · Lesion type not reported
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
OR 0.78 [0.30, 2.02]1 study · 80 participantsUngraded
Dementia (any type or severity) vs Older people without dementia
Retained roots (mean number) · Older people (aged 60 years or older) with dementia · Older people aged 60 years or older; community-dwelling, assisted-living, and nursing-home settings
Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard… (2017)
no estimate extracted3 studiesUngraded
Granulocyte-colony stimulating factor (G-CSF) vs Placebo or no treatment
Oral mucositis (severe) · Adults with cancer receiving treatment · RT to head and neck
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 0.37 [0.15, 0.87]2 studies · 54 participantsLow
Antiseptic mouthrinse vs Placebo
Salivary flow rate · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
Salivary flow rate was only reported during radiotherapy (i.e. not at any of the time points of interest); no usable data (Lanzos 2010)1 studyUngraded
Open surgical exposure vs Closed surgical exposure
Patient response: pain/soreness score (visual analogue scale 1 to 10) · People with maxillary palatally displaced (impacted) canines, unilateral or bilateral (children/adolescents; mean ages… · Postoperative
Open versus closed surgical exposure of canine teeth that are displaced in the roof of the mouth (2017) · Cochrane
MD 0.00 [-1.09, 1.09]1 study · 60 participantsUngraded
Resin-based fissure sealant (2nd/3rd/4th generation) vs No sealant (control/no treatment)
Caries on occlusal surfaces of permanent molars (36 months) · Children and adolescents (general population, aged under 20 years) · 36 months
Pit and fissure sealants for preventing dental decay in permanent teeth (2017) · Cochrane
OR 0.17 [0.11, 0.27]7 studiesUngraded