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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
Periodontal treatment (scaling and root planing, polishing, or surgery), alone or with oral hygiene counselling, antiseptics, or antimicrobials vs No treatment
Mean gestational age (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
Six studies (2573 participants) reported mean gestational age in weeks; data not pooled due to skewness; mean difference ranged between -0.1 and 1.4 weeks. Two studies reported gestational age as time-to-event data…6 studies · 2573 participantsUngraded
ART using high-viscosity glass ionomer cement (H-GIC), hand instruments vs Conventional treatment using H-GIC (rotary instruments)
Adverse events · People with dental caries in primary teeth (mainly children)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
Adverse events: Not measured.0 studiesNo studies
ART using resin-modified glass ionomer cement (RM-GIC) vs Conventional treatment using RM-GIC
Costs (direct and indirect) · Older adults with root caries in permanent (mature) teeth (mean age 75 years)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
No studies reported on costs for this comparison.0 studiesNo studies
Analgesic (any: NSAID, paracetamol, local anaesthetic or opioid) vs Control (placebo or no 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 -21.19 [-28.31, -14.06]12 studies · 1012 participantsModerate
Erythropoietin mouthwash vs Placebo
Oral mucositis (moderate to severe) · Adults receiving bone marrow/stem cell transplantation after conditioning therapy for haematological cancers
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 0.43 [0.24, 0.79]1 study · 80 participantsUngraded
Metal-free tooth-supported FDPs (pressed veneering ceramic) vs Metal-free tooth-supported FDPs (layered veneering ceramic)
Aesthetic evaluation · Adults (18 years or older) needing a three-unit tooth-supported fixed dental prosthesis
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
No comparative data were presented with regard to aesthetics. Aesthetics evaluated by the patient was reported dichotomously (yes/no) in the trial but no between-group estimate was presented.1 studyUngraded
Fluoride supplementation (tablets, drops, lozenges or chewing gum) vs Placebo or no treatment
Missing primary surfaces (ms) · 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
Metal-free implant abutments (zirconia) vs Metal implant abutments (titanium)
Gingival/mucosal recession (REC) · Adults (18 years or older) with one missing tooth in the aesthetic zone needing an implant-supported single crown on… · 12 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
MD 0.00 [-0.22, 0.22]2 studies · 47 participantsUngraded
Open surgical exposure vs Closed surgical exposure
Treatment time: time from surgical exposure to eruption/bonding a bracket · People with maxillary palatally displaced (impacted) canines, unilateral or bilateral (children/adolescents; mean ages… · Exposure to bonding
Open versus closed surgical exposure of canine teeth that are displaced in the roof of the mouth (2017) · Cochrane
MD -3.81 [-5.80, -1.82]1 study · 43 participantsUngraded
Resin-based fissure sealant (2nd/3rd/4th generation) vs No sealant (control/no treatment)
Caries on occlusal surfaces of permanent molars (48-54 months) · Children and adolescents (general population, aged under 20 years) · 48-54 months
Pit and fissure sealants for preventing dental decay in permanent teeth (2017) · Cochrane
OR 0.21 [0.16, 0.28]4 studiesUngraded
Pilocarpine vs No treatment/placebo
Salivary flow rate (unstimulated) · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · Up to and including 3 months postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
MD -0.06 [-0.23, 0.11]1 study · 24 participantsVery low
Amifostine 200 mg/m2 three times weekly vs Amifostine 200 mg/m2 five times weekly
Survival (overall survival and locoregional control) · 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
Insufficient evidence reported on overall survival or locoregional tumour control (Analysis 4.2; 4.3)1 studyUngraded
Resorbable (bioresorbable) plates or screws for fixation vs Titanium plates or screws for fixation
Postoperative pain during the immediate recovery period (VAS 0 to 10) · Adults (>16 years old) undergoing orthognathic surgery · 2 weeks (immediate recovery period)
Resorbable versus titanium plates for orthognathic surgery (2017) · Cochrane
MD -0.77 [-1.92, 0.38]1 study · 60 participantsVery low
Keratinocyte growth factor (KGF; palifermin or repifermin), intravenous vs Placebo
Quality of life · 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
Resorbable (bioresorbable) plates or screws for fixation vs Titanium plates or screws for fixation
Costs (fixation materials, hospital bed days, retreatment) · Adults (>16 years old) undergoing orthognathic surgery · Up to 3 years postoperatively
Resorbable versus titanium plates for orthognathic surgery (2017) · Cochrane
None of the studies reported on the cost incurred in the treatment.0 studiesNo studies
Biperiden plus pilocarpine vs No treatment
Side effects · 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
No data were reported on side effects.0 studiesNo studies
Open surgical exposure vs Closed surgical exposure
Patient response (pain/discomfort reported soon after surgery) · People with maxillary palatally displaced (impacted) canines, unilateral or bilateral (children/adolescents; mean ages… · 1 to 10 days postoperative
Open versus closed surgical exposure of canine teeth that are displaced in the roof of the mouth (2017) · Cochrane
SoF (Patient response, pain and discomfort reported in different ways between 1 to 10 days postoperatively): 'This outcome was measured in a variety of ways in the studies that cannot be pooled'; quality very low…2 studiesVery low
ART using composite resin vs Conventional treatment using composite resin
Pain · Children with dental caries in primary teeth (mean age 7 years)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
Pain: Not measured.0 studiesNo studies
Dementia (any type or severity) vs Older people without dementia
DMFT index (mean) · 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 extracted8 studiesUngraded
Amifostine (intravenous) vs Amifostine (subcutaneous)
Locoregional tumour control · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · 48 months postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
HR 1.34 [0.76, 2.36]1 studyUngraded
Bethanechol vs Placebo
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
No survival data were reported.0 studiesNo studies
Amifostine vs No treatment/placebo
Cost (mean per-patient supportive care costs) · 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
Mean per-patient supportive care costs lower with amifostine (USD 4401) than control (USD 5873); P = 0.02 (Buntzel 1998 / Bennett 2001)1 study · 28 participantsUngraded
Open surgical exposure vs Closed surgical exposure
Aesthetics: canine rated as abnormal position in the dental arch · People with maxillary palatally displaced (impacted) canines, unilateral or bilateral (children/adolescents; mean ages… · End of treatment
Open versus closed surgical exposure of canine teeth that are displaced in the roof of the mouth (2017) · Cochrane
RR 2.39 [0.52, 10.99]1 study · 43 participantsUngraded
Dementia (any type or severity) vs Older people without dementia
Denture use (prevalence) · 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 extracted12 studiesUngraded
NSAID (systemic) vs Paracetamol
Adverse events · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)
Pharmacological interventions for pain relief during orthodontic treatment (2017) · Cochrane
In one study, one participant (<1%) in the paracetamol group experienced drug hypersensitivity (a 'red, blotchy and itchy rash') that resolved without treatment within 1 week (Bradley 2007 / McAlinden 2005); 1 RCT;…1 studyVery low
Resin-based fissure sealant (2nd/3rd/4th generation) vs No sealant (control/no treatment)
Caries on occlusal surfaces of permanent molars (12 months) · Children and adolescents (general population, aged under 20 years) · 12 months
Pit and fissure sealants for preventing dental decay in permanent teeth (2017) · Cochrane
OR 0.17 [0.10, 0.30]7 studiesUngraded
One type of adhesive used to bond molar tubes (chemically-cured composite, light-cured composite, conventional glass ionomer, poly-acid modified composite/compomer, or resin-modified glass ionomer) vs Any other type of adhesive used to bond molar tubes
First-time bond failure · Participants with full arch fixed orthodontic appliance(s) with molar tubes bonded to first or second permanent…
Adhesives for bonded molar tubes during fixed brace treatment (2017) · Cochrane
no estimate extracted0 studiesNo studies
Pilocarpine vs No treatment/placebo
Xerostomia (objective, LENT-SOMA scale) · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · 6 months postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
MD -0.40 [-0.69, -0.11]1 study · 39 participantsUngraded
Zinc supplements (zinc sulphate, zinc gluconate, zinc picolinate, zinc acetate, or polaprezinc) vs Placebo
Taste acuity improvement - objective outcome (continuous) - individual taste sensations · Patients with taste disturbances (dysgeusia/hypogeusia; idiopathic, zinc-deficient, or secondary to chronic renal… · Chronic renal failure
Interventions for managing taste disturbances (2017) · Cochrane
Results (Mahajan 1980, chronic renal failure; Analysis 1.3): mean difference by taste sensation - salt MD 285 (95% CI 238.75 to 331.25); sweet MD 190 (142.36 to 237.64); sour MD 10 (-16.43 to 36.43); bitter MD 2.40…1 study · 22 participantsUngraded
Topical NSAID (ketoprofen chewing gum) vs Local anaesthetic (benzocaine chewing gum)
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
Fluoride supplementation (tablets, drops, lozenges or chewing gum) vs Placebo or no treatment
Children with caries in the primary 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 0.84 [0.53, 1.33]1 study · 798 participantsVery low
NSAID (systemic) vs Paracetamol
Time off school or work · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)
Pharmacological interventions for pain relief during orthodontic treatment (2017) · Cochrane
No studies in this comparison reported this outcome.0 studiesNo studies
NSAID (systemic) vs Paracetamol
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
No studies in this comparison reported this outcome.0 studiesNo studies
Resorbable (bioresorbable) plates or screws for fixation vs Titanium plates or screws for fixation
Analgesic medication used (type, dose, frequency) · Adults (>16 years old) undergoing orthognathic surgery · Up to 3 years postoperatively
Resorbable versus titanium plates for orthognathic surgery (2017) · Cochrane
No data available for this outcome.0 studiesNo studies
Periodontal treatment (scaling and root planing, polishing, or surgery), alone or with oral hygiene counselling, antiseptics, or antimicrobials vs No treatment
Adverse effects of therapy · 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
0% in both groups; Not estimated; 2389 participants (4 RCTs)4 studies · 2389 participantsUngraded
NSAID (systemic) vs Paracetamol
Pain intensity (VAS 0-100 mm) · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies) · 6 hours
Pharmacological interventions for pain relief during orthodontic treatment (2017) · Cochrane
MD -5.17 [-11.71, 1.37]7 studies · 664 participantsLow
Metal-free tooth-supported FDPs (pressed veneering ceramic) vs Metal-free tooth-supported FDPs (layered veneering ceramic)
Periodontal/peri-implant status (secondary outcomes) · Adults (18 years or older) needing a three-unit tooth-supported fixed dental prosthesis
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
No comparative data were presented for the pre-specified secondary outcomes. The trial analyzed and reported plaque index, bleeding on probing and pocket probing depth but no between-group estimate was presented in the…1 studyUngraded
Amifostine (intravenous) vs Amifostine (subcutaneous)
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
No salivary flow rate data related to routes of administration of amifostine were reported.0 studiesNo studies
Amifostine vs No treatment/placebo
Adverse effects (other reported events) · 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
Alopecia, skin toxicity, hot flush, drowsiness, sneezing, hiccupping, dizziness and fatigue reported narratively or only for the amifostine group; insufficient evidence of a differenceNRUngraded
Amifostine vs No treatment/placebo
Xerostomia (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 0.35 [0.19, 0.67]3 studies · 119 participantsLow
Periodontal treatment (scaling and root planing, polishing, or surgery), alone or with oral hygiene counselling, antiseptics, or antimicrobials vs No treatment
Preterm birth < 32 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 1.35 [0.78, 2.32]3 studies · 2755 participantsVery low
Analgesic (any: NSAID, paracetamol, local anaesthetic or opioid) vs Control (placebo or no treatment)
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
Use of rescue analgesia recorded in 7 studies; only 2 reported counts (Tuncer 2014: 2 participants; Bruno 2011: 6 participants); no class/dose/timing reported; not pooled. SoF cell: 'Not reported'.7 studiesUngraded
Amifostine vs No treatment/placebo
Allergic response (adverse effect) · 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
RR 7.51 [1.40, 40.39]3 studies · 524 participantsLow
Resorbable (bioresorbable) plates or screws for fixation vs Titanium plates or screws for fixation
Re-operation and revision rate / plate removal (adverse effect) · Adults (>16 years old) undergoing orthognathic surgery · Up to 3 years postoperatively
Resorbable versus titanium plates for orthognathic surgery (2017) · Cochrane
Plate removal rates were 1.53% (3/196) of the titanium plates and 3.63% (6/165) of the resorbable ones. Out of a total of nine, two in each group were removed because of plate exposure, one patient in the titanium and…1 study · 60 participantsUngraded
Granulocyte-colony stimulating factor (G-CSF) vs Placebo or no treatment
Adverse events · Adults with cancer receiving treatment
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
Limited evidence of adverse events for G-CSF; 2 of 6 studies did not report; low rates of mild to moderate events, most commonly bone pain (SoF comments cell, not GRADE-rated)6 studiesUngraded
Polaprezinc vs Azulene oral rinse
Taste disturbance (severe, > 2 on 0-3 scale) · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · Over RT period
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
RR 0.12 [0.02, 0.83]1 study · 31 participantsUngraded
Topical NSAID (ketoprofen lysinate mouthwash, 160 mg) vs Topical NSAID (benzidamine hydrochloride mouthwash, 22.5 mg)
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
The study did not report this outcome.0 studiesNo studies
Palifermin vs Placebo
Adverse effects · 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
No evidence of a difference in reported adverse events across the three trials (nausea, fever, constipation, diarrhoea, headache, fatigue and others)3 studiesUngraded
Metal-free implant abutments (zirconia) vs Metal implant abutments (titanium)
Abutment failure · Adults (18 years or older) with one missing tooth in the aesthetic zone needing an implant-supported single crown on… · 12 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
OR 7.63 [0.33, 177.14]2 studies · 47 participantsVery low
Open surgical exposure vs Closed surgical exposure
Gum health: bleeding on probing (Papilla Bleeding Index) · People with maxillary palatally displaced (impacted) canines, unilateral or bilateral (children/adolescents; mean ages… · 3 months post-debond
Open versus closed surgical exposure of canine teeth that are displaced in the roof of the mouth (2017) · Cochrane
MD 0.21 [-0.14, 0.56]1 study · 43 participantsUngraded