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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
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 · Up to and including 3 months postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
RR 0.66 [0.48, 0.92]5 studies · 687 participantsLow
Granulocyte-macrophage colony-stimulating factor (GM-CSF), mouthwash vs Sucralfate mouthwash
Oral mucositis (severe) · 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 0.54 [0.24, 1.21]1 study · 40 participantsUngraded
Keratinocyte growth factor (KGF; palifermin or repifermin), intravenous vs Placebo
Normalcy of diet (supplemental nutrition: TPN, PEG, nasogastric tube or IV hydration) · Adults with cancer receiving treatment · RT to head and neck with cisplatin/fluorouracil
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 1.03 [0.77, 1.37]3 studies · 473 participantsUngraded
Open surgical exposure vs Closed surgical exposure
Treatment time: duration of orthodontic treatment (placement to removal of fixed appliances) · People with maxillary palatally displaced (impacted) canines, unilateral or bilateral (children/adolescents; mean ages… · Fixed-appliance phase
Open versus closed surgical exposure of canine teeth that are displaced in the roof of the mouth (2017) · Cochrane
MD -3.77 [-9.20, 1.66]1 study · 43 participantsUngraded
Transforming growth factor-beta(2) (TGF-beta2) vs Placebo
Oral mucositis (any severity) · Adults receiving chemotherapy alone for colorectal cancer
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 0.10 [0.01, 1.71]1 study · 13 participantsUngraded
Ibuprofen taken pre-emptively (about 1 hour before treatment) vs Ibuprofen taken post-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
No studies in this comparison reported this outcome.0 studiesNo studies
Topical NSAID (ketoprofen chewing gum) vs Local anaesthetic (benzocaine chewing gum)
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
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 · 12 months, Mesial to crown
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
MD -0.03 [-0.42, 0.36]1 study · 18 participantsUngraded
Dementia (any type or severity) vs Older people without dementia
Root caries (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 extracted5 studiesUngraded
Zinc supplements (zinc sulphate, zinc gluconate, zinc picolinate, zinc acetate, or polaprezinc) vs Placebo
Taste acuity improvement - patient-reported outcome · Patients with taste disturbances (dysgeusia/hypogeusia; idiopathic, zinc-deficient, or secondary to chronic renal… · Mean 3 months, Zinc-deficient/idiopathic taste disorder
Interventions for managing taste disturbances (2017) · Cochrane
RR 1.40 [0.94, 2.09]2 studies · 119 participantsVery low
Amifostine (intravenous) vs Amifostine (subcutaneous)
Overall survival · 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 1.36 [0.89, 2.10]1 studyUngraded
Metal-free implant abutments (zirconia) vs Metal implant abutments (titanium)
Implant probing pocket depth (PPD) · 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 -0.22 [-0.60, 0.16]2 studies · 47 participantsUngraded
Open surgical exposure vs Closed surgical exposure
Gum health: midpalatal gingival recession · 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 1.32 [0.63, 2.77]1 study · 62 participantsUngraded
Periodontal treatment (scaling and root planing, alone or with antimicrobials) vs Alternative (less intensive) periodontal treatment, alone or with placebo
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 1.85 [0.69, 4.96]1 study · 756 participantsVery low
Periodontal treatment (scaling and root planing, alone or with antimicrobials) vs Alternative (less intensive) periodontal treatment, alone or with placebo
Bleeding on probing · 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
MD -28.00 [-38.54, -17.46]1 study · 53 participantsUngraded
Metal-free FDPs (lithium disilicate) vs Metal-ceramic FDPs
Bridge complications · Adults (18 years or older) needing a three-unit fixed dental prosthesis (FDP) · 72 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
OR 0.07 [0.01, 0.75]1 study · 22 participantsVery low
Amifostine 200 mg/m2 three times weekly vs Amifostine 200 mg/m2 five times weekly
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 1.00 [0.15, 6.64]1 study · 60 participantsUngraded
Granulocyte-macrophage colony-stimulating factor (GM-CSF) vs Placebo or no treatment
Oral mucositis (moderate to 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 0.72 [0.49, 1.06]1 study · 29 participantsVery low
Granulocyte-macrophage colony-stimulating factor (GM-CSF) vs Placebo or no treatment
Oral pain (mean pain score, 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 0.60 [-0.85, 2.05]1 study · 90 participantsUngraded
Keratinocyte growth factor (KGF; palifermin or repifermin), intravenous vs Placebo
Interruptions to cancer treatment (chemotherapy delays/discontinuations) · Adults with cancer receiving treatment · RT to head and neck with cisplatin/fluorouracil
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 0.96 [0.62, 1.47]2 studies · 374 participantsUngraded
ART using H-GIC vs Conventional treatment using RM-GIC (with local anaesthetic)
Restoration failure (permanent, mature teeth) · Adults with root caries in permanent (mature) teeth · Coronal and root caries
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
OR 1.46 [0.74, 2.88]2 studies · 210 participantsUngraded
Amifostine vs No treatment/placebo
Asthenia (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 2.91 [0.31, 27.24]1 study · 130 participantsUngraded
Intestinal trefoil factor (ITF), oral spray vs Placebo
Oral mucositis (any severity) · Adults receiving chemotherapy alone for colorectal cancer
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 0.52 [0.35, 0.79]1 study · 99 participantsUngraded
Resorbable (bioresorbable) plates or screws for fixation vs Titanium plates or screws for fixation
Wound dehiscence (adverse effect) · Adults (>16 years old) undergoing orthognathic surgery · Up to 3 years postoperatively
Resorbable versus titanium plates for orthognathic surgery (2017) · Cochrane
Three patients (10%) in the titanium group and two patients (6.7%) in the resorbable group presented with wound dehiscence. One patient in each group with dehisced wounds became infected; all non-infected wounds closed…1 study · 60 participantsUngraded
ART using high-viscosity glass ionomer cement (H-GIC), hand instruments vs Conventional treatment using H-GIC (rotary instruments)
Secondary caries · People with dental caries in primary teeth (mainly children)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
Two studies reported on secondary caries, but this outcome was not reported by trial arm (Yu 2004; Roeleveld 2006).2 studiesUngraded
Chinese medicine vs No treatment/placebo
Xerostomia (other Chinese medicines) · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · End of RT; 1 month after RT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
No evidence of a difference for Tianwang Buxin Mini-pills (Lin 2014, 71 participants) or Jinlong capsules (Han 2010, 95 participants)2 studiesUngraded
Metal-free implant-supported FDPs (zirconia-toughened alumina; In-Ceram Zirconia) vs Metal-free implant-supported FDPs (yttria-stabilized tetragonal zirconia; Denzir)
Bridge failure · Adults (18 years or older) needing an implant-supported fixed dental prosthesis in the posterior region · 12, 36, 60 and 120 months
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
No FDP failures were reported in either group at 12, 36, 60 or 120 months (18 participants; 17 at 120 months).1 study · 18 participantsVery low
Metal-free implant-supported single crowns (zirconia veneered with feldspathic ceramic) vs Metal-ceramic implant-supported single crowns
Aesthetic evaluation (pink and white aesthetic score, PES and WES total) · 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 -0.77 [-3.00, 1.46]1 study · 18 participantsVery low
Pilocarpine vs No treatment/placebo
Overall survival · Patients receiving radiotherapy on its own or in addition to chemotherapy to the head and neck region · Up to and including 6 months postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
RR 1.07 [0.80, 1.43]1 study · 60 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… · 6 months
Chlorhexidine mouthrinse as an adjunctive treatment for gingival health (2017) · Cochrane
SMD 0.80 [0.33, 1.26]4 studies · 323 participantsUngraded
Periodontal treatment (scaling and root planing, polishing, or surgery), alone or with oral hygiene counselling, antiseptics, or antimicrobials vs No treatment
Severe pre-eclampsia (progression from mild 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
RR 1.21 [0.77, 1.92]1 study · 60 participantsVery low
Intestinal trefoil factor (ITF), oral spray vs Placebo
Adverse events · Adults receiving chemotherapy alone for colorectal cancer
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
Adverse events narratively reported (not GRADE-rated)1 studyUngraded
Resorbable (bioresorbable) plates or screws for fixation vs Titanium plates or screws for fixation
Postoperative chronic or lasting pain (wound discomfort) at 4 to 6 months (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 -0.77 [-1.58, 0.04]1 study · 60 participantsVery low
Polaprezinc vs Azulene oral rinse
Oral pain (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 0.36 [0.17, 0.77]1 study · 31 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)
Dental plaque (various plaque indices) · Children or adults with gingivitis or periodontitis capable of performing normal mechanical oral hygiene procedures… · 6 months
Chlorhexidine mouthrinse as an adjunctive treatment for gingival health (2017) · Cochrane
SMD -1.43 [-1.76, -1.10]11 studies · 2075 participantsHigh
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) · 2 hours
Pharmacological interventions for pain relief during orthodontic treatment (2017) · Cochrane
MD -11.30 [-16.27, -6.33]1 study · 41 participantsVery low
Metal-free implant-supported FDPs (zirconia-toughened alumina; In-Ceram Zirconia) vs Metal-free implant-supported FDPs (yttria-stabilized tetragonal zirconia; Denzir)
Aesthetic evaluation · Adults (18 years or older) needing an implant-supported fixed dental prosthesis in the posterior region
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
No data were presented with regard to aesthetics.0 studiesNo studies
Open surgical exposure vs Closed surgical exposure
Patient response: satisfaction with treatment (satisfactory vs unsatisfactory) · People with maxillary palatally displaced (impacted) canines, unilateral or bilateral (children/adolescents; mean ages… · After orthodontic treatment
Open versus closed surgical exposure of canine teeth that are displaced in the roof of the mouth (2017) · Cochrane
RR 1.00 [0.92, 1.09]1 study · 43 participantsUngraded
Chinese medicine 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 intervention to 3 months postRT
Pharmacological interventions for preventing dry mouth and salivary gland dysfunction following radiotherapy (2017) · Cochrane
Insufficient evidence to determine any effect on quality of life (Lin 2014; Analysis 6.5)1 studyUngraded
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) · 6 hours
Pharmacological interventions for pain relief during orthodontic treatment (2017) · Cochrane
MD -24.27 [-31.44, -17.11]9 studies · 535 participantsModerate
Fluoride supplementation (tablets, drops, lozenges or chewing gum) vs Placebo or no treatment
Decayed primary surfaces 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
MD 0.05 [-0.02, 0.12]1 study · 938 participantsUngraded
Chinese medicine vs No treatment/placebo
Overall survival · 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
Insufficient evidence to determine any effect on overall survival (Hu 2005; Analysis 6.4)1 studyUngraded
Analgesic (any: NSAID, paracetamol, local anaesthetic or opioid) vs Control (placebo or no 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
Pilocarpine vs No treatment/placebo
Other oral related symptoms (oral discomfort, eating difficulty, mucosal pain, oral complications) · 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
Insufficient evidence of a difference: oral discomfort MD -18.00 (95% CI -37.41 to 1.41); eating difficulties MD -14.40 (95% CI -35.38 to 6.58); mucosal pain MD -14.80 (95% CI -37.07 to 7.47); oral complications RR…2 studiesUngraded
Amifostine (intravenous) vs Amifostine (subcutaneous)
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
Bethanechol vs Artificial saliva
Salivary flow rate (stimulated, 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 0.21 [0.01, 0.41]1 study · 29 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)
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… · 6 months
Chlorhexidine mouthrinse as an adjunctive treatment for gingival health (2017) · Cochrane
MD -0.20 [-0.30, -0.11]13 studies · 2616 participantsHigh
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… · 6 months
Chlorhexidine mouthrinse as an adjunctive treatment for gingival health (2017) · Cochrane
SMD -0.72 [-1.02, -0.42]8 studies · 1132 participantsUngraded
Topical NSAID (ketoprofen lysinate mouthwash, 160 mg) vs Topical NSAID (benzidamine hydrochloride mouthwash, 22.5 mg)
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
The study did not report this outcome.0 studiesNo studies
Epidermal growth factor (EGF), oral spray 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 narratively reported; no serious events attributed to EGF (not GRADE-rated)2 studiesUngraded