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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
Zinc supplements (zinc sulphate, zinc gluconate, zinc picolinate, zinc acetate, or polaprezinc) vs Placebo
Taste acuity improvement - objective outcome (dichotomous data) · Patients with taste disturbances (dysgeusia/hypogeusia; idiopathic, zinc-deficient, or secondary to chronic renal… · Mean 3 months, Idiopathic/zinc-deficient taste disorder
Interventions for managing taste disturbances (2017) · Cochrane
RR 1.42 [1.09, 1.84]2 studies · 292 participantsVery low
Biperiden plus pilocarpine vs No treatment
Dysphagia (WHO grade 3+) · 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 0.25 [0.03, 2.11]1 study · 60 participantsUngraded
Granulocyte-macrophage colony-stimulating factor (GM-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 0.31 [0.01, 7.09]1 study · 29 participantsVery low
Metal-free implant-supported single crowns (zirconia veneered with feldspathic ceramic) vs Metal-ceramic implant-supported single crowns
Implant crown complications · 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
OR 6.33 [0.26, 152.86]1 study · 18 participantsVery low
Open surgical exposure vs Closed surgical exposure
Aesthetics of the treated canine compared with the untreated contralateral canine · 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
SoF (Aesthetics, reported in various manners at different time points): 'This outcome was measured in a variety of ways in the studies that cannot be pooled'; quality very low (⊕⊝⊝⊝). Results: Parkin 2012 -…2 studiesVery low
Acupuncture vs Sham control (deactivated laser sham acupuncture)
Adverse events · Patients with idiopathic dysgeusia and hypogeusia
Interventions for managing taste disturbances (2017) · Cochrane
Results: The acupuncture trial (Brandt 2008) did not give any data on adverse events in either group.0 studiesNo studies
Fluoride supplementation (tablets, drops, lozenges or chewing gum) vs Placebo or no treatment
Decayed or filled primary tooth 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 -0.05 [-0.42, 0.32]1 study · 798 participantsVery low
Keratinocyte growth factor (KGF; palifermin or repifermin), intravenous vs Placebo
Oral mucositis (any severity) · Adults with cancer receiving treatment · Chemotherapy alone for mixed cancers
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 0.71 [0.60, 0.85]2 studies · 215 participantsUngraded
Amifostine vs No treatment/placebo
Quality of life (Patient Benefit Questionnaire, 10-point 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
MD 0.70 [0.20, 1.20]1 study · 180 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)
Extrinsic tooth staining (various staining 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 1.54 [1.22, 1.86]4 studies · 323 participantsUngraded
Bonded molar tubes (attached with adhesive) vs Molar bands (cemented, e.g. with glass ionomer cement)
First time failure at tooth 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
HR 2.92 [1.80, 4.72]2 studies · 190 participantsUngraded
Biperiden plus pilocarpine vs No treatment
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
Insufficient evidence, from a single trial of 60 participants, to determine the effect on unstimulated salivary flow rate at the end of RT (Rode 1999; Analysis 2.1)1 study · 60 participantsUngraded
Epidermal growth factor (EGF), oral spray vs Placebo
Normalcy of diet (total parenteral nutrition) · 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 1.03 [0.55, 1.94]1 study · 136 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… · 4 to 6 weeks
Chlorhexidine mouthrinse as an adjunctive treatment for gingival health (2017) · Cochrane
SMD -1.45 [-1.90, -1.00]12 studies · 950 participantsHigh
Intestinal trefoil factor (ITF), oral spray vs Placebo
Oral mucositis (severe) · Adults receiving chemotherapy alone for colorectal cancer
Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and… (2017) · Cochrane
RR 1.52 [0.06, 36.39]1 study · 99 participantsUngraded
Open surgical exposure vs Closed surgical exposure
Gum health: clinical attachment level (CAL) · 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 -0.10 [-0.45, 0.25]1 study · 62 participantsLow
Acupuncture vs Sham control (deactivated laser sham acupuncture)
Taste acuity improvement · Patients with idiopathic dysgeusia and hypogeusia
Interventions for managing taste disturbances (2017) · Cochrane
Results: There were no data on taste acuity improvement in the included acupuncture trial (Brandt 2008).0 studiesNo studies
Metal-free single crowns (full-contour zirconia) vs Cast gold (conventional metal) single crowns
Periodontal/peri-implant status and occlusal wear (secondary outcomes) · Adults (18 years or older) needing a single crown in the molar or premolar region
Metal‐free materials for fixed prosthodontic restorations (2017) · Cochrane
No data were presented for any of the pre-specified secondary outcomes.0 studiesNo studies
Bethanechol vs Artificial saliva
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
Ibuprofen taken pre-emptively (about 1 hour before treatment) vs Ibuprofen taken post-treatment
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
No studies in this comparison reported any adverse events.0 studiesNo studies
Keratinocyte growth factor (KGF; palifermin or repifermin), intravenous vs Placebo
Oral mucositis (severe) · 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 0.79 [0.69, 0.90]3 studies · 471 participantsHigh
Selenium vs No intervention
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 data on salivary flow rates were reported.0 studiesNo studies
Ormocer-based sealant vs Low-viscosity glass ionomer sealant
Dentine caries in permanent molars · Children and adolescents (general population, aged under 20 years) · 24 months
Pit and fissure sealants for preventing dental decay in permanent teeth (2017) · Cochrane
Guler 2013 (N=50) compared ormocer-based sealant versus low-viscosity glass ionomer; not separately meta-analysed1 study · 50 participantsUngraded
Fluoride supplementation (tablets, drops, lozenges or chewing gum) vs Placebo or no treatment
Decayed 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 -0.06 [-0.17, 0.05]1 study · 798 participantsUngraded
Biperiden plus pilocarpine vs No treatment
Xerostomia · 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 xerostomia data related to the effectiveness of biperiden and pilocarpine were reported (Rode 1999).0 studiesNo studies
Antimicrobial lozenge 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
No data on salivary flow rates were reported.0 studiesNo studies
Metal-free implant abutments (zirconia) vs Metal implant abutments (titanium)
Aesthetic evaluation (Implant Crown Aesthetic Index, ICAI) · 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
Primary outcome aesthetic evaluation data were reported as the frequency of distribution of the Implant Crown Aesthetic Index (ICAI); no comparative summary estimate was presented.2 studies · 47 participantsVery low
Resorbable (bioresorbable) plates or screws for fixation vs Titanium plates or screws for fixation
Satisfactory radiographic appearance (cephalometric radiographs) · 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
Metal-free cantilevered FDPs (feldspathic-veneered zirconia) vs Metal-ceramic cantilevered FDPs
Aesthetic evaluation (patient VAS) · 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 -0.34 [-0.85, 0.17]1 study · 19 participantsVery low
ART using H-GIC vs Conventional treatment using amalgam
Pain (primary dentition) · Children with dental caries in primary teeth · Single and multiple lesions
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
OR 1.44 [0.45, 4.60]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)
Extrinsic tooth staining (various staining 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 1.07 [0.80, 1.34]8 studies · 415 participantsModerate
Amifostine (intravenous) vs Amifostine (subcutaneous)
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 1.03 [0.76, 1.40]1 study · 263 participantsUngraded
ART using resin-modified glass ionomer cement (RM-GIC) vs Conventional treatment using RM-GIC
Restoration failure (permanent, mature dentition; root surfaces) · Older adults with root caries in permanent (mature) teeth (mean age 75 years) · 6 months, Root caries
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
OR 2.71 [0.94, 7.81]1 study · 64 participantsVery low
Oral health education (advice and training) vs Standard care (oral health advice not specifically emphasised beyond usual care)
Service use: Emergency medical/dental treatment · People with serious mental illness (all included participants had schizophrenia); majority aged 18 to 65 years per…
Oral health education (advice and training) for people with serious mental illness (2016) · Cochrane
No study reported useable data0 studiesNo studies
Dietary supplements (alpha lipoic acid +/- vitamins/lycopene/green tea; hypericum; Catuama; lycopene) vs Placebo
Relief of burning/discomfort (symptom relief; pain intensity) · People with primary burning mouth syndrome (BMS), that is, oral mucosal pain with no dental or medical cause for such… · short-term (up to 3 months)
Interventions for treating burning mouth syndrome (2016) · Cochrane
SoF5 Dietary supplements vs placebo. Symptom relief short-term: insufficient or contradictory evidence regarding benefit of any evaluated dietary supplement; 628 participants (12 RCTs); very low. Subgroups: ALA without…12 studies · 628 participantsVery low
Educational intervention with information and practical components (theoretical oral health education plus practical skills training) for nursing staff and/or residents vs (Optimised) usual care
Denture plaque · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses) · 3 to 60 months
Oral health educational interventions for nursing home staff and residents (2016) · Cochrane
SMD -0.60 [-1.25, 0.05]5 studies · 816 participantsLow
Chemically cured glass ionomer cement vs Light-cured compomer (polyacid-modified composite resin)
Taste preference (patient preference) · Patients with full arch fixed orthodontic appliances with bands attached to molars (patients with cleft lip/palate or… · Approximately 12 months (to end of treatment)
Adhesives for fixed orthodontic bands (2016) · Cochrane
Williams 2005 (30 participants): a statistically significant difference in patient taste preference in favour of the glass ionomer over the light-cured composite resin (compomer).1 study · 30 participantsUngraded
Topical treatments (benzydamine hydrochloride oral rinse) vs Placebo
Relief of burning/discomfort (symptom relief; pain intensity) · People with primary burning mouth syndrome (BMS), that is, oral mucosal pain with no dental or medical cause for such… · short-term (up to 3 months), benzydamine hydrochloride
Interventions for treating burning mouth syndrome (2016) · Cochrane
SoF9 Topical treatments vs placebo. Symptom relief short-term: insufficient or contradictory evidence regarding benefit of any evaluated topical treatment; 150 participants (4 RCTs); very low. Subgroups: benzydamine (1…4 studies · 150 participantsVery low
NSAIDs (ketorolac oral rinse; systemic celecoxib) vs Placebo or no treatment
Clinical resolution (oral lesion not completely resolved) · People with a diagnosis of oral leukoplakia · 3 months
Interventions for treating oral leukoplakia to prevent oral cancer (2016) · Cochrane
SoF 3, Clinical resolution (not completely resolved) at 3 months: '1 study evaluated systemic treatment and 1 evaluated topical treatment. Neither found benefit for NSAIDs.' No GRADE. Effects text: celecoxib…2 studiesUngraded
Adhesively bonded amalgam restorations in conventional preparations utilising deliberate retention (all bonding agents) vs Traditional non‐bonded amalgam restorations
Marginal deterioration of the restoration and fracture of the remaining tooth tissue · Adults and adolescents with permanent posterior molar and premolar teeth suitable for Class I and II, but excluding… · Mean 24 months
Adhesively bonded versus non‐bonded amalgam restorations for dental caries (2016) · Cochrane
Marginal deterioration of the restoration and fracture of the remaining tooth tissue - Follow‐up: mean 24 months | Study population | Relative effect (95% CI): Not estimable | Number of participants (studies): 31 (1…1 study · 31 participantsLow
Mineral trioxide aggregate (MTA) root-end filling vs SuperEBA
Healing - 1 year · People requiring retreatment of periapical lesions (failed root canal therapy) · 1 year
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
RR 0.97 [0.91, 1.04]1 study · 192 participantsLow
Job-related or family-related stress and pessimistic attitude to life vs Lower stress and no pessimistic attitude
Periodontal disease and serum IL-1β IL-6 and cortisol · Patients with aggressive or chronic periodontitis at a university periodontology department
Social-Biological Interactions in Oral Disease: A 'Cells to Society' View. (2016)
no estimate extracted1 study · 80 participantsUngraded
Educational intervention with information and practical components (theoretical oral health education plus practical skills training) for nursing staff and/or residents vs (Optimised) usual care
Caries/root caries · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses) · 6 to 18 months
Oral health educational interventions for nursing home staff and residents (2016) · Cochrane
SoF: Caries/root caries (follow-up 6 to 18 months). No meta-analysis. 178 participants (2 RCTs); low quality. Comment: 2 studies at unclear (Frenkel 2001) or high risk of bias (Mojon 1998) showed no apparent…2 studies · 178 participantsLow
Vitamin A or retinoids (systemic or topical; incl. 13-cis-retinoic acid, acitretin) vs Placebo or no treatment
Oral cancer development · People with a diagnosis of oral leukoplakia · 24 months (treatment lasted 12 months)
Interventions for treating oral leukoplakia to prevent oral cancer (2016) · Cochrane
RR 0.11 [0.01, 2.05]1 study · 85 participantsVery low
Topical bleomycin vs Placebo or no treatment
Oral cancer development · People with a diagnosis of oral leukoplakia · up to 7 years
Interventions for treating oral leukoplakia to prevent oral cancer (2016) · Cochrane
RR 3.00 [0.32, 27.83]1 study · 20 participantsVery low
Perioperative infraorbital nerve block vs Infiltration of the incision (peri-incisional infiltration)
Duration of postoperative analgesia · Children up to 13 years of age, undergoing cleft lip repair surgery
Infraorbital nerve block for postoperative pain following cleft lip repair in children (2016) · Cochrane
This outcome was not reported.0 studiesNo studies
Light-cured resin-modified glass ionomer cement vs Light-cured compomer (polyacid-modified composite resin)
Band failure (band adhesive loosening) · Patients with full arch fixed orthodontic appliances with bands attached to molars (patients with cleft lip/palate or… · Approximately 12 months (to end of treatment)
Adhesives for fixed orthodontic bands (2016) · Cochrane
Fricker 1997 was a three-arm split-mouth trial that included a light-cured resin-modified glass ionomer arm (compared with light-cured compomer and chemically cured glass ionomer). Failure rates were reported but not…1 studyUngraded
Adhesively bonded amalgam restorations in conventional preparations utilising deliberate retention (all bonding agents) vs Traditional non‐bonded amalgam restorations
Survival of the restoration · Adults and adolescents with permanent posterior molar and premolar teeth suitable for Class I and II, but excluding… · Mean 24 months
Adhesively bonded versus non‐bonded amalgam restorations for dental caries (2016) · Cochrane
Survival of the restoration - Follow‐up: mean 24 months | Illustrative comparative risks: Assumed risk (Control) See comment; Corresponding risk (Adhesive bonding) See comment | Relative effect (95% CI): Not estimable…1 study · 31 participantsLow
Benzodiazepines (topical clonazepam) vs Placebo
Relief of burning/discomfort (symptom relief; pain intensity) · People with primary burning mouth syndrome (BMS), that is, oral mucosal pain with no dental or medical cause for such… · short-term (up to 3 months), topical clonazepam
Interventions for treating burning mouth syndrome (2016) · Cochrane
MD -1.89 [-2.19, -1.59]2 studies · 111 participantsVery low
Anticonvulsants (gabapentin 300 mg/day, +/- alpha lipoic acid) vs Placebo
Relief of burning/discomfort (symptom relief; pain intensity) · People with primary burning mouth syndrome (BMS), that is, oral mucosal pain with no dental or medical cause for such… · short-term (up to 3 months)
Interventions for treating burning mouth syndrome (2016) · Cochrane
RR 4.00 [2.09, 7.67]1 study · 100 participantsVery low