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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
Antidepressants (trazodone 200 mg/day) vs Placebo
Adverse effects: dizziness · 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 11.61 [1.66, 81.04]1 study · 37 participantsVery low
Cognitive behavioural therapy (CBT) vs No special instructions (control)
Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · Adults undergoing orthodontic treatment · 3 days
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
MD -27.91 [-40.10, -15.72]1 study · 24 participantsUngraded
Topical bleomycin 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
RR 0.55 [0.29, 1.04]1 study · 22 participantsVery low
Psychological therapies (cognitive therapy) vs Placebo
Change in feeling of dryness · 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
SoF8: No included study reported change in feeling of dryness.0 studiesNo studies
Selective or stepwise carious tissue removal vs Non-selective or complete carious tissue removal
Proportion of dentists selecting selective or stepwise removal · Dentists surveyed about deep carious lesions in permanent teeth · Oen 2007
Understanding dentists' management of deep carious lesions in permanent teeth: a systematic review and… (2016)
Proportion (%) 18 [11, 27]1 study · 85 participantsUngraded
Selective or stepwise carious tissue removal vs Non-selective or complete carious tissue removal
Proportion of dentists selecting selective or stepwise removal · Dentists surveyed about deep carious lesions in permanent teeth · Weber 2013
Understanding dentists' management of deep carious lesions in permanent teeth: a systematic review and… (2016)
Proportion (%) 21 [12, 34]1 study · 53 participantsUngraded
Intermediate restorative material (IRM) root-end filling vs SuperEBA
Healing - 1 year or longer · People requiring retreatment of periapical lesions (failed root canal therapy) · 1 year or longer
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
RR 1.11 [0.99, 1.24]1 study · 194 participantsVery low
Perceived psychosocial stress vs No or lower perceived stress
GCF elastase activity and non-surgical periodontal treatment outcome (salivary cortisol, ICTP measured; no effect reported) · Adults with periodontitis needing non-surgical periodontal treatment · 6-month follow-up
Social-Biological Interactions in Oral Disease: A 'Cells to Society' View. (2016)
no estimate extracted1 study · 45 participantsUngraded
Perceived stress vs Lower perceived stress
Gingival inflammation and GCF IL-1β IL-6 and IL-8 · Adults with gingivitis or periodontitis from a private periodontics practice
Social-Biological Interactions in Oral Disease: A 'Cells to Society' View. (2016)
no estimate extracted1 study · 80 participantsUngraded
Papilla base incision (PBI) vs Complete papilla mobilisation (sulcular incision)
Postoperative pain (VAS 0-100) - 3 days · People requiring retreatment of periapical lesions (failed root canal therapy) · 3 days
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
MD -22.00 [-26.81, -17.19]1 study · 38 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
Nutritional status · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)
Oral health educational interventions for nursing home staff and residents (2016) · Cochrane
OR 1.0 [0.3, 3.1]1 studyUngraded
Job-stress-related depression vs Women without depression
Periodontitis and GCF IL-6 · Women on long-term sick leave for depression
Social-Biological Interactions in Oral Disease: A 'Cells to Society' View. (2016)
no estimate extracted1 study · 49 participantsUngraded
Benzodiazepines (topical clonazepam) vs Placebo
Change in feeling of dryness · 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
SoF3: No included studies reported change in feeling of dryness.0 studiesNo studies
Selective or stepwise carious tissue removal vs Non-selective or complete carious tissue removal
Proportion of dentists selecting selective or stepwise removal · Dentists surveyed about deep carious lesions in permanent teeth · Chisini 2015
Understanding dentists' management of deep carious lesions in permanent teeth: a systematic review and… (2016)
Proportion (%) 62 [55, 69]1 study · 171 participantsUngraded
Perioperative infraorbital nerve block vs Placebo (sham block)
Time to feeding after surgery · 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
Electromagnetic radiation (low-level laser therapy) 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
MD -30.36 [-44.22, -16.50]1 study · 58 participantsVery low
Professionally applied 5% sodium fluoride (NaF) varnish vs Untreated lesions (single-arm before vs after proportion)
Remineralisation of early enamel caries (proportion of lesions remineralised) · Children with early enamel caries or white spot lesions
Caries remineralisation and arresting effect in children by professionally applied fluoride treatment - a… (2016)
Proportion 0.636 [0.360, 0.912]4 studiesUngraded
Nano-silver fluoride vs Not specified
Arrest of dentine caries · Children with active dentine caries
Caries remineralisation and arresting effect in children by professionally applied fluoride treatment - a… (2016)
A randomised trial using nano-silver fluoride found it was effective to arrest dentine caries without causing dark staining.1 studyUngraded
Adhesively bonded amalgam restorations in conventional preparations utilising deliberate retention (all bonding agents) vs Traditional non‐bonded amalgam restorations
Economic data: direct costs of materials and any reported associated indirect costs · Adults and adolescents with permanent posterior molar and premolar teeth suitable for Class I and II, but excluding…
Adhesively bonded versus non‐bonded amalgam restorations for dental caries (2016) · Cochrane
Economic data: direct costs of materials and any reported associated indirect costs - not measured | See comment | See comment | Not estimable | - | See comment | No study addressed this outcome0 studiesNo studies
Platelet-rich fibrin (PRF) graft vs No grafting
Radiographic healing - 1 year · People requiring retreatment of periapical lesions (failed root canal therapy) · 1 year
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
Angerame 2015 (7 test, 4 control): no significant difference in healing of the lesion at 1 year; significant difference only at 2- and 3-month follow-up. Small preliminary study; no robust pooled analysis.1 study · 11 participantsUngraded
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Marginal integrity of restorations · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · 2 years follow-up
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 1.00 [0.21, 4.74]1 studyUngraded
Physical barriers (tongue protector) vs Placebo
Change in taste · 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
SoF7: No included studies reported change in taste.0 studiesNo studies
Intervention NR
Remineralisation of early enamel caries · NaF varnish plus chlorhexidine or calcium fluoride vs NaF varnish alone (no significant added benefit)
Caries remineralisation and arresting effect in children by professionally applied fluoride treatment - a… (2016)
no estimate extracted3 studiesUngraded
NSAIDs (ketorolac oral rinse; systemic celecoxib) vs Placebo or no treatment
Safety of the intervention (adverse effects) · People with a diagnosis of oral leukoplakia · over 3 months
Interventions for treating oral leukoplakia to prevent oral cancer (2016) · Cochrane
SoF 3, Safety of the intervention over 3 months: systemic celecoxib (1 study) - 32 intervention participants reported 56 adverse effects, 20 placebo participants reported 20; 4 grade 3 events; 2 discontinued. Ketorolac…2 studiesUngraded
Monitoring (any means of observation, supervision, keeping under review, measuring or testing at intervals) vs No monitoring
Oral health: Not brushing teeth twice a day · 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
Professionally applied sodium fluoride (NaF) varnish vs No fluoride treatment
Dimensional change (size) of early enamel caries lesions · Children with white spot lesions / early enamel caries
Caries remineralisation and arresting effect in children by professionally applied fluoride treatment - a… (2016)
One clinical trial (Du 2012) evaluating dimensional change reported that the average size of early enamel caries in children receiving professional NaF therapy was significantly smaller than in those with no fluoride…1 studyUngraded
NSAIDs (ketorolac oral rinse; systemic celecoxib) vs Placebo or no treatment
Improvement of histological features (not improved) · People with a diagnosis of oral leukoplakia
Interventions for treating oral leukoplakia to prevent oral cancer (2016) · Cochrane
SoF 3, Histological changes: 'Not measured'. Effects text: 'Histological changes were not among the outcomes in the studies testing NSAIDs.'0 studiesNo studies
Post‐treatment communication (text messaging) vs No communication (no text message)
Adverse effects of pain treatment · People undergoing orthodontic treatment
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
Adverse effects: Not measured.NRNo studies
Hyperbaric oxygen therapy plus standard care (surgery, antibiotics, oral rinse) vs Standard care alone (surgery, antibiotics, oral rinse)
Healing of osteonecrosis - improvement ('healed' or 'improved' vs 'unchanged' or 'worse') · People with BRONJ (mean age ~66 years; most treated with bisphosphonates for cancer (multiple myeloma, breast cancer)… · 18 months
Interventions for treating bisphosphonate‐related osteonecrosis of the jaw (BRONJ) (2016) · Cochrane
RR 1.75 [0.51, 5.98]1 study · 18 participantsUngraded
Low‐level laser therapy (LLLT) vs Placebo (or no irradiation)
Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · Adolescents and adults undergoing orthodontic treatment · 6 hours
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
MD -10.63 [-22.33, 1.07]2 studies · 118 participantsUngraded
Oral health education (advice and training) vs Standard care (oral health advice not specifically emphasised beyond usual care)
Leaving the study early · 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
RR 1.67 [0.45, 6.24]1 study · 50 participantsModerate
Oral health education (advice and training) vs Standard care (oral health advice not specifically emphasised beyond usual care)
Dental state: No clinically important change in plaque index · 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
MD -0.5 [-0.62, -0.38]1 study · 40 participantsVery low
Antidepressants (trazodone 200 mg/day) vs Placebo
Adverse effects: tremor · 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 2.11 [0.21, 21.32]1 study · 37 participantsVery low
Cone beam computed tomography (CBCT) preoperative evaluation vs Conventional periapical radiography
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 1.02 [0.70, 1.47]1 study · 39 participantsVery low
Perioperative infraorbital nerve block vs Intravenous analgesia
Adverse events · 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
2 out of 3 studies reported this outcome. Both studies reported no difference between groups (Rajamani 2007 and Simion 2008: no adverse events attributable to either technique; Delgado 2005 did not report).2 studiesUngraded
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Participant discomfort (vibration, smell, noise) · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · during treatment
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
Five studies reported participant discomfort (Belcheva 2014; Evans 2000; Hadley 2000; Keller 1998; Liu 2006). Keller 1998 (90 adults): discomfort significantly lower with laser (Analysis 1.6). Hadley 2000 (66 adults):…5 studiesUngraded
Oral health education (advice and training) vs Standard care (oral health advice not specifically emphasised beyond usual care)
Oral health: Not brushing teeth twice a day · 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
Motivational interview plus oral health education vs Oral health education
Quality of life: Chronic pain · 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
Mineral trioxide aggregate (MTA) root-end filling vs Intermediate restorative material (IRM)
Prevalence of pain - 1 day · People requiring retreatment of periapical lesions (failed root canal therapy) · 1 day
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
RR 1.01 [0.84, 1.22]1 study · 100 participantsLow
Papilla base incision (PBI) vs Complete papilla mobilisation (sulcular incision)
Postoperative pain (VAS 0-100) - 2 days · People requiring retreatment of periapical lesions (failed root canal therapy) · 2 days
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
MD -1.50 [-6.34, 3.34]1 study · 38 participantsUngraded
Oral appliance or functional orthopaedic appliance vs Placebo or no treatment
Reduction of apnoea to less than one episode per hour (polysomnography) · Children with obstructive sleep apnoea (aged 15 years or younger) · 6 months
Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children (2016) · Cochrane
It proved impossible to know how many patients had apnoea index < 1 (primary outcome).1 studyUngraded
Papilla base incision (PBI) vs Complete papilla mobilisation (sulcular incision)
Postoperative pain (VAS 0-100) - 1 day · People requiring retreatment of periapical lesions (failed root canal therapy) · 1 day
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
MD -2.25 [-7.17, 2.67]1 study · 38 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
Oral health-related attitude of nursing staff · Nursing home nursing staff (approximately 95% female in the two contributing studies)
Oral health educational interventions for nursing home staff and residents (2016) · Cochrane
SMD 0.30 [-0.23, 0.83]2 studies · 459 participantsUngraded
Experimental chewing adjuncts (bite wafers or chewing gum) vs No chewing gum, placebo, or control (no adjunct)
Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · Adolescents undergoing orthodontic treatment · 6 hours
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
MD -1.39 [-3.24, 0.64]1 study · 39 participantsUngraded
Professionally applied 38% silver diamine fluoride (SDF) vs Active dentine caries at baseline (single-arm before vs after proportion)
Arrest of dentine caries (proportion of surfaces arrested) · Children with active dentine caries (primary and permanent teeth)
Caries remineralisation and arresting effect in children by professionally applied fluoride treatment - a… (2016)
Proportion 0.659 [0.412, 0.907]5 studiesUngraded
Benzodiazepines (systemic clonazepam 0.5 mg/day) 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), systemic clonazepam
Interventions for treating burning mouth syndrome (2016) · Cochrane
MD 0.00 [-1.86, 1.86]1 study · 20 participantsVery low
Motivational interview plus oral health education vs Oral health education
Dental state: No clinically important change in plaque index · 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
MD -0.6 [-1.02, -0.18]1 study · 56 participantsVery low
Topical bleomycin vs Placebo or no treatment
Safety of the intervention (adverse effects) · People with a diagnosis of oral leukoplakia · up to 3 months
Interventions for treating oral leukoplakia to prevent oral cancer (2016) · Cochrane
SoF 5, Safety of the intervention up to 3 months: 'All patients in the bleomycin group developed erythema with erosion by the end of the applications, whereas erythema developed in the placebo group. Discomfort was…1 studyUngraded
Preoperative antibiotic prophylaxis vs Placebo
Occurrence of postoperative infection - 4 weeks · People requiring retreatment of periapical lesions (failed root canal therapy) · 4 weeks
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
RR 0.49 [0.09, 2.64]1 study · 250 participantsVery low
Hyperbaric oxygen therapy plus standard care (surgery, antibiotics, oral rinse) vs Standard care alone (surgery, antibiotics, oral rinse)
Healing of osteonecrosis - improvement ('healed' or 'improved' vs 'unchanged' or 'worse') · People with BRONJ (mean age ~66 years; most treated with bisphosphonates for cancer (multiple myeloma, breast cancer)… · Last contact
Interventions for treating bisphosphonate‐related osteonecrosis of the jaw (BRONJ) (2016) · Cochrane
RR 1.78 [0.97, 3.28]1 study · 46 participantsUngraded