Gap finder

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
Bonded molar tubes (attached with adhesive) vs Molar bands (cemented, e.g. with glass ionomer cement)
Decalcification (participant level) · 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
RR 1.85 [1.22, 2.79]1 study · 74 participantsUngraded
Granulocyte-macrophage colony-stimulating factor (GM-CSF), mouthwash vs Sucralfate mouthwash
Normalcy of diet (percutaneous endoscopic gastrostomy) · Adults receiving radiotherapy to the head and neck · RT to head and neck
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 0.18 [0.01, 3.56]1 study · 40 participantsUngraded
Bethanechol vs Artificial saliva
Xerostomia (dry mouth, yes/no) · 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 0.63 [0.30, 1.29]1 study · 36 participantsUngraded
Chinese medicine vs No treatment/placebo
Xerostomia (VAS) · 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
Difference in favour of Chinese medicine on VAS xerostomia (P < 0.05); standard deviations not available (Wang 1998)1 study · 50 participantsUngraded
Granulocyte-colony stimulating factor (G-CSF) vs Placebo or no treatment
Oral mucositis (any severity) · Adults with cancer receiving treatment · Chemotherapy alone for lung cancer
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 0.59 [0.40, 0.87]1 study · 195 participantsUngraded
Antimicrobial lozenge vs Placebo
Xerostomia · 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
RR 1.16 [0.97, 1.40]1 study · 133 participantsUngraded
Metal-free FDPs (zirconia ceramic) vs Metal-ceramic FDPs
Periodontal/peri-implant status (secondary outcomes) · Adults (18 years or older) needing a three-unit fixed dental prosthesis (FDP)
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
No data were presented for any of the pre-specified secondary outcomes. The trial registered pocket depth, bleeding on probing and mobility at follow-up visits but did not report the data.0 studiesNo studies
Open surgical exposure vs Closed surgical exposure
Gum health: gingival recession (six-point probing) · 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
RR 0.19 [0.01, 3.76]1 study · 43 participantsUngraded
Open surgical exposure vs Closed surgical exposure
Patient response: total discomfort score (pain, difficulty eating, brushing, speaking, bad taste) · 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 0.10 [-4.17, 4.37]1 study · 60 participantsUngraded
Antiseptic mouthrinse vs Placebo
Quality of life · 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 quality of life data were reported.0 studiesNo studies
Selenium vs No intervention
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
Metal-free cantilevered FDPs (feldspathic-veneered zirconia) vs Metal-ceramic cantilevered FDPs
Cantilevered bridge complications · 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
OR 5.59 [0.23, 133.61]1 study · 19 participantsVery low
Keratinocyte growth factor (KGF; palifermin or repifermin), intravenous vs Placebo
Oral mucositis (moderate to severe) · Adults with cancer receiving treatment · BMT/SCT after conditioning for haematological cancers
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 0.89 [0.80, 0.99]6 studies · 852 participantsLow
Polaprezinc vs Azulene oral rinse
Xerostomia (severe) · 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 0.17 [0.04, 0.65]1 study · 31 participantsUngraded
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 · 12 months postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
RR 0.70 [0.40, 1.23]7 studies · 682 participantsLow
Chinese medicine vs No treatment/placebo
Xerostomia (dichotomous, Shenqi Fanghou recipe) · 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 0.39 [0.28, 0.55]1 study · 140 participantsUngraded
Keratinocyte growth factor (KGF; palifermin or repifermin), intravenous vs Placebo
Oral pain (mean worst pain, 0 to 10 scale) · Adults with cancer receiving treatment · BMT/SCT after conditioning for haematological cancers
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
MD -0.85 [-3.00, 1.30]1 study · 42 participantsUngraded
Metal-free implant-supported single crowns (zirconia veneered with feldspathic ceramic) vs Metal-ceramic implant-supported single crowns
Aesthetic evaluation (patient satisfaction VAS) · Adults (18 years or older) with one missing tooth in the aesthetic zone needing an implant-supported single crown · 12 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
MD -4.65 [-18.75, 9.45]1 study · 18 participantsVery low
Metal-free single crowns (full-contour zirconia) vs Cast gold (conventional metal) single crowns
Crown complications · Adults (18 years or older) needing a single crown in the molar or premolar region · 60 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
OR 1.44 [0.59, 3.52]1 study · 158 participantsVery low
ART using composite resin vs Conventional treatment using composite resin
Restoration failure (permanent dentition) · Children with dental caries in primary teeth (mean age 7 years)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
No studies reported on restoration failure in the permanent dentition for this comparison.0 studiesNo studies
Metal-free single crowns (full-contour zirconia) vs Cast gold (conventional metal) single crowns
Crown complications · 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 4.31 [0.49, 37.57]1 study · 194 participantsVery low
Metal-free implant-supported single crowns (zirconia veneered with feldspathic ceramic) vs Metal-ceramic implant-supported single crowns
Aesthetic evaluation (patient satisfaction VAS) · Adults (18 years or older) with one missing tooth in the aesthetic zone needing an implant-supported single crown · 24 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
MD -0.03 [-7.65, 7.59]1 study · 18 participantsVery low
Topical NSAID (ketoprofen lysinate mouthwash, 160 mg) vs Topical NSAID (benzidamine hydrochloride mouthwash, 22.5 mg)
Pain intensity (VAS) · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies) · 4 days (not usable)
Pharmacological interventions for pain relief during orthodontic treatment (2017) · Cochrane
One study (Lauritano 2000) compared ketoprofen 160 mg with benzidamine chloride 22.5 mg mouthwashes; it presented data at 4 days only, so the data could not be used in this review; no GRADE rating.1 studyUngraded
Fluoride supplementation (tablets, drops, lozenges or chewing gum) vs Placebo or no treatment
Fluorosis (mandibular 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 0.89 [0.35, 2.29]1 study · 798 participantsVery low
Amifostine (intravenous) vs Amifostine (subcutaneous)
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
Increased hypotension with intravenous delivery (20% vs 8%; P = 0.007); skin rash (10% vs 22%; P = 0.012) and local pain at injection site (0% vs 8%; P = 0.001) worse with subcutaneous; inconclusive for…1 studyUngraded
Resorbable (bioresorbable) plates or screws for fixation vs Titanium plates or screws for fixation
Status of occlusion (e.g. ANB, Angle's classification, Wits analysis) · Adults (>16 years old) undergoing orthognathic surgery · Up to 3 years postoperatively
Resorbable versus titanium plates for orthognathic surgery (2017) · Cochrane
Weidner 2005 provided analyses of mean changes in ANB from scanned radiographs. The ANB data were incomplete for many of the five time periods and were reported as 'grad' rather than the conventionally accepted…1 study · 43 participantsUngraded
Topical NSAID (ketoprofen chewing gum) vs Local anaesthetic (benzocaine chewing gum)
Pain intensity (VAS 0-100 mm) · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies) · 2 hours
Pharmacological interventions for pain relief during orthodontic treatment (2017) · Cochrane
MD 13 [-3.45, 29.45]1 study · 48 participantsVery low
Periodontal treatment (scaling and root planing, polishing, or surgery), alone or with oral hygiene counselling, antiseptics, or antimicrobials vs No treatment
Low birth weight < 1500 g · 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 0.80 [0.38, 1.70]2 studies · 2550 participantsVery low
Granulocyte-colony stimulating factor (G-CSF) vs Placebo or no treatment
Oral mucositis (any severity) · 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 1.02 [0.86, 1.22]2 studies · 54 participantsUngraded
Resorbable (bioresorbable) plates or screws for fixation vs Titanium plates or screws for fixation
Need for retreatment or replacement of fixation due to failure of the fixation · Adults (>16 years old) undergoing orthognathic surgery · Mean 1 year
Resorbable versus titanium plates for orthognathic surgery (2017) · Cochrane
SoF row (Resorbable plates compared to titanium plates for stabilization after orthognathic surgery). Need for retreatment or replacement of fixation due to failure of the fixation (plates failed or removed in each…1 study · 60 participantsVery low
Bethanechol vs Placebo
Quality of life · 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 on either quality of life or other oral related symptoms were reported.0 studiesNo studies
Topical NSAID (ketoprofen chewing gum) vs Local anaesthetic (benzocaine chewing gum)
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
The study did not report this outcome.0 studiesNo studies
Open surgical exposure vs Closed surgical exposure
Aesthetics: canine rated as abnormal tooth inclination · 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 1.91 [0.78, 4.66]1 study · 43 participantsUngraded
Amifostine vs No treatment/placebo
Vomiting (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 4.90 [2.87, 8.38]5 studies · 601 participantsLow
Ibuprofen taken pre-emptively (about 1 hour before treatment) vs Ibuprofen taken post-treatment
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
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… · 7 to 12 weeks
Chlorhexidine mouthrinse as an adjunctive treatment for gingival health (2017) · Cochrane
SMD 0.32 [-0.04, 0.69]6 studies · 425 participantsUngraded
Periodontal treatment (scaling and root planing, alone or with antimicrobials) vs Alternative (less intensive) periodontal treatment, alone or with placebo
Perinatal mortality (including fetal and neonatal deaths up to the first 28 days after birth) · 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 1.06 [0.60, 1.85]2 studies · 855 participantsVery low
ART using resin-modified glass ionomer cement (RM-GIC) vs Conventional treatment using RM-GIC
Secondary caries · Older adults with root caries in permanent (mature) teeth (mean age 75 years) · 6 months
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
One study reported data on secondary caries for this comparison (Cruz 2016). The odds of secondary caries at six months were greater with ART than with conventional treatment.1 studyUngraded
Zinc supplements (zinc sulphate, zinc gluconate, zinc picolinate, zinc acetate, or polaprezinc) vs Placebo
Taste acuity improvement - objective outcome (continuous) - taste detection (cross-over trial) · Patients with taste disturbances (dysgeusia/hypogeusia; idiopathic, zinc-deficient, or secondary to chronic renal… · 6 months, Children with chronic renal failure
Interventions for managing taste disturbances (2017) · Cochrane
MD 2.50 [0.93, 4.07]1 study · 14 participantsVery low
Ibuprofen taken pre-emptively (about 1 hour before treatment) vs Ibuprofen taken post-treatment
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
No studies in this comparison reported this outcome.0 studiesNo studies
Selenium vs No intervention
Quality of life and other oral related symptoms (loss of taste, dysphagia) · 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
Insufficient evidence of differences for loss of taste or dysphagia; data largely unusable (no standard deviations). Ageusia milder in selenium group (not significant); dysphagia significant only at week 7 (P = 0.05)…1 studyUngraded
Erythropoietin mouthwash vs Placebo
Oral mucositis (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 0.40 [0.14, 1.17]1 study · 80 participantsUngraded
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)
Gingival bleeding (various bleeding 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 -0.56 [-0.79, -0.33]8 studies · 649 participantsUngraded
Metal-free implant-supported FDPs (zirconia-toughened alumina; In-Ceram Zirconia) vs Metal-free implant-supported FDPs (yttria-stabilized tetragonal zirconia; Denzir)
Bridge complications · Adults (18 years or older) needing an implant-supported fixed dental prosthesis in the posterior region · 36 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
OR 0.02 [0.00, 0.30]1 study · 18 participantsVery low
Open surgical exposure vs Closed surgical exposure
Patient response: moderate or severe pain at 1 day postoperative · People with maxillary palatally displaced (impacted) canines, unilateral or bilateral (children/adolescents; mean ages… · 1 day postoperative
Open versus closed surgical exposure of canine teeth that are displaced in the roof of the mouth (2017) · Cochrane
RR 0.86 [0.61, 1.20]1 study · 32 participantsUngraded
ART using composite resin vs Conventional treatment using composite resin
Adverse events · Children with dental caries in primary teeth (mean age 7 years)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
Adverse events: Not measured.0 studiesNo studies
Glass ionomer-based sealant vs No sealant (control/no treatment)
Dentine caries in permanent molars (24 months) · Children and adolescents (general population, aged under 20 years) · 24 months
Pit and fissure sealants for preventing dental decay in permanent teeth (2017) · Cochrane
Inconclusive results: two studies slightly favoured glass ionomers (Liu 2014b OR 0.46 (0.23-0.91); Tagliaferro 2011) evaluating 426 children; one study (Songpaisan 1995) found no difference (MD DFS -0.18 (-0.39 to…3 studies · 830 participantsVery low
Amifostine 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 · End of RT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
MD 0.34 [0.07, 0.61]83 participantsUngraded
Acupuncture vs Sham control (deactivated laser sham acupuncture)
Taste discrimination improvement · Patients with idiopathic dysgeusia and hypogeusia · 8 weeks
Interventions for managing taste disturbances (2017) · Cochrane
MD 2.80 [-1.18, 6.78]1 study · 37 participantsVery low
Bethanechol vs Artificial saliva
Salivary flow rate (unstimulated, ml/min) · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · 8 to 40 weeks postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
MD 0.07 [-0.02, 0.16]1 study · 33 participantsUngraded