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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
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 knowledge 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 0.94 [-0.04, 1.92]2 studies · 453 participantsUngraded
Psychological therapies (cognitive therapy) vs Placebo
Change in quality of life (QoL) · 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 QoL.0 studiesNo studies
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 · 7 days
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
MD -6.50 [-17.64, 4.64]1 study · 24 participantsUngraded
Platelet-rich fibrin (PRF) graft vs No grafting
Postoperative swelling · People requiring retreatment of periapical lesions (failed root canal therapy) · up to 7 days
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
Swelling reported significantly less in the PRF group up to 5 days postoperatively (Angerame 2015).1 study · 11 participantsUngraded
Lower socioeconomic position measured by poverty income and education vs Higher socioeconomic position
Periodontitis and allostatic load · US adults in NHANES III
Social-Biological Interactions in Oral Disease: A 'Cells to Society' View. (2016)
no estimate extracted1 studyUngraded
Monitoring (any means of observation, supervision, keeping under review, measuring or testing at intervals) vs No monitoring
Oral health: Not having seen a dentist in the past year · 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
Intervention NR
Arrest of dentine caries · 38% SDF vs 5% NaF varnish (SDF superior)
Caries remineralisation and arresting effect in children by professionally applied fluoride treatment - a… (2016)
no estimate extracted2 studiesUngraded
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Pulpal inflammation or necrosis · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · 6 months follow-up
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 0.99 [0.10, 9.41]2 studies · 156 participantsVery low
Hyperbaric oxygen therapy plus standard care (surgery, antibiotics, oral rinse) vs Standard care alone (surgery, antibiotics, oral rinse)
Healing of osteonecrosis - healed ('healed' vs 'improved', '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 1.56 [0.77, 3.18]1 study · 46 participantsUngraded
Topical treatments (benzydamine hydrochloride oral rinse) vs Placebo
Adverse effects · 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. Adverse effects: single study narratively reported that no adverse effects occurred from benzydamine hydrochloride oral rinse; 20 participants (1 RCT); very low.1 study · 20 participantsVery low
Mineral trioxide aggregate (MTA) root-end filling vs Intermediate restorative material (IRM)
Healing - 2 years · People requiring retreatment of periapical lesions (failed root canal therapy) · 2 years
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
RR 1.05 [0.92, 1.20]1 study · 108 participantsUngraded
Preoperative analgesics (analgesics given before dental treatment) vs Placebo or no analgesics
Preoperative and postoperative anxiety measures · Children and adolescents aged up to 17 years having dental treatment (orthodontic treatment, fillings, pulp treatment,…
Preoperative analgesics for additional pain relief in children and adolescents having dental treatment (2016) · Cochrane
None of the included studies assessed anxiety or behaviour at baseline, and none recorded baseline anxiety. PUB3: 'The [three/four] studies did not measure ... preoperative and postoperative anxiety measures ...'0 studiesNo studies
Platelet-rich fibrin (PRF) graft vs No grafting
Postoperative pain · People requiring retreatment of periapical lesions (failed root canal therapy) · up to 7 days
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
Pain not assessed by VAS; reported significantly less in the PRF group at two time points only (2 and 6 hours after surgery).1 study · 11 participantsUngraded
Dietary supplements (Catuama herbal compound) vs Placebo
Adverse effects: exacerbation of symptoms · 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), Catuama
Interventions for treating burning mouth syndrome (2016) · Cochrane
RR 1.12 [0.33, 3.83]1 study · 72 participantsVery low
Chemically cured zinc phosphate cement vs Chemically cured glass ionomer cement
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
No meta-analysis (band failure not reported on a per-patient basis). Durning 1989 (69 participants): at ~12 months failure rate 34.78% (zinc phosphate) vs 26% (glass ionomer), P > 0.05; mean survival time 470.9 vs…4 studiesUngraded
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 · Seale and Glickman 2007 (pedodontists)
Understanding dentists' management of deep carious lesions in permanent teeth: a systematic review and… (2016)
Proportion (%) 71 [65, 77]1 study · 252 participantsUngraded
Oral health education (advice and training) vs Standard care (oral health advice not specifically emphasised beyond usual care)
Adverse events: Clinically important specific adverse events · 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
Perioperative infraorbital nerve block vs Infiltration of the incision (peri-incisional infiltration)
Duration of hospitalisation · 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
The included studies did not report this outcome.0 studiesNo studies
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
Incidence of respiratory diseases and pneumonia · 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
None of the included studies assessed incidence of respiratory diseases or pneumonia.0 studiesNo 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)… · 3 months
Interventions for treating bisphosphonate‐related osteonecrosis of the jaw (BRONJ) (2016) · Cochrane
RR 1.94 [1.01, 3.74]1 study · 45 participantsVery low
Oral appliance or functional orthopaedic appliance vs Placebo or no treatment
Daytime symptom: thirstiness in the morning (questionnaire) · 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
RR 0.16 [0.02, 1.22]1 study · 23 participantsUngraded
Oral appliance or functional orthopaedic appliance vs Placebo or no treatment
Signs and symptoms of atypical swallowing and speech production disturbance · Children with obstructive sleep apnoea (aged 15 years or younger)
Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children (2016) · Cochrane
The included study did not assess this outcome.0 studiesNo studies
Educational intervention with information only (theoretical dental health education, no practical training) vs Usual care
Denture-induced stomatitis · Residents of institutions for elderly people (nursing staff and residents took part in the education programme)
Oral health educational interventions for nursing home staff and residents (2016) · Cochrane
Schou 1989 (114 residents, unclear risk of bias): no difference in the prevalence of denture stomatitis between the groups.1 study · 114 participantsUngraded
Perioperative infraorbital nerve block vs Intravenous analgesia
Duration of hospitalisation · 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
None of the included studies reported this outcome.0 studiesNo studies
Depression and social isolation (psychosocial strain) vs No depression or lower psychosocial strain
Antibody titres to periodontal pathogens · Adults with periodontitis · Baseline and 1-year follow-up
Social-Biological Interactions in Oral Disease: A 'Cells to Society' View. (2016)
no estimate extracted1 study · 148 participantsUngraded
Perioperative infraorbital nerve block vs Intravenous analgesia
Pain measured by valid instruments (mean postoperative pain score) · Children up to 13 years of age, undergoing cleft lip repair surgery · 0 to 4 hours (first four hours after surgery)
Infraorbital nerve block for postoperative pain following cleft lip repair in children (2016) · Cochrane
SMD -1.50 [-2.40, -0.60]2 studies · 107 participantsVery low
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Pulpal inflammation or necrosis · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · 1 week follow-up
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 1.51 [0.26, 8.75]3 studies · 317 participantsVery low
Perioperative infraorbital nerve block vs Infiltration of the incision (peri-incisional infiltration)
Need for analgesic prescription for pain (supplemental analgesic requirements) · 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
RR 0.16 [0.05, 0.51]1 study · 30 participantsVery low
Monitoring (any means of observation, supervision, keeping under review, measuring or testing at intervals) vs No monitoring
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
Vitamin A or retinoids (systemic or topical; incl. 13-cis-retinoic acid, acitretin) vs Placebo or no treatment
Clinical resolution (oral lesion not completely resolved) · People with a diagnosis of oral leukoplakia · 4 to 12 months
Interventions for treating oral leukoplakia to prevent oral cancer (2016) · Cochrane
SoF 1, Clinical resolution (not completely resolved) at 4 to 12 months: 'Studies could not be combined in meta-analysis. One study evaluated topical treatment and did not find evidence of benefit; 3 studies of systemic…4 studiesUngraded
Lower socioeconomic position measured by annual family income and poverty-income ratio vs Higher socioeconomic position
Periodontitis and allostatic load · US adults in NHANES 1999-2004 · Race/ethnicity
Social-Biological Interactions in Oral Disease: A 'Cells to Society' View. (2016)
no estimate extracted1 studyUngraded
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 · 3 days
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
MD -29.16 [-51.67, -6.65]1 study · 39 participantsUngraded
Low‐level laser therapy (LLLT) vs Placebo (or no irradiation)
Adverse effects of pain treatment · Adolescents and adults undergoing orthodontic treatment
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
Adverse effects: Not measured.NRNo studies
Oral appliance or functional orthopaedic appliance vs Placebo or no treatment
Reduction of apnoea episodes (apnoea-hypopnoea index) · 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
RR 0.39 [0.20, 0.76]1 study · 23 participantsVery low
Perioperative infraorbital nerve block vs Placebo (sham block)
Time to first analgesic requirement · 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
Takmaz 2009: time to first analgesic requirement significantly longer in the intervention than the placebo group (8.3 +/- 0.9 hours versus 1.6 +/- 0.8 hours; P = 0.001). Not pooled.1 studyUngraded
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 · 7 days
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
MD -15.17 [-32.44, 2.11]2 studies · 96 participantsUngraded
High-viscosity glass-ionomer cement (HVGIC) fissure sealant placed by press-finger technique vs Resin-based fissure sealant
Development of carious lesions on sealed occlusal pits and fissures · Children with fully erupted permanent first molar teeth (mean age about 6 to 8 years) · 48 months
Caries-Preventive Effect of High-Viscosity Glass Ionomer and Resin-Based Fissure Sealants on Permanent… (2016)
RR 0.62 [0.31, 1.21]2 studies · 1007 evaluated sealed teeth participantsUngraded
Intervention NR
Dental caries prevalence in primary teeth (cavitated lesions) · Children aged 5-6 years in Latin America and the Caribbean · Studies with data collected after 2000 (21st century), Other Latin American/Caribbean countries (non-Brazil)
Does the Decline in Caries Prevalence of Latin American and Caribbean Children Continue in the New Century?… (2016)
Prevalence 0.70 [0.59, 0.79]8 studies · 8593 participantsUngraded
Dietary supplements (Catuama herbal compound) vs Placebo
Adverse effects: drowsiness · 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), Catuama
Interventions for treating burning mouth syndrome (2016) · Cochrane
RR 2.69 [0.11, 63.96]1 study · 72 participantsVery low
Hyperbaric oxygen therapy plus standard care (surgery, antibiotics, oral rinse) vs Standard care alone (surgery, antibiotics, oral rinse)
Healing of osteonecrosis - healed ('healed' vs 'improved', '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 1.00 [0.25, 4.00]1 study · 18 participantsUngraded
Motivational interview plus oral health education vs Oral health education
Self regulation: Average score (Treatment Self Regulation Questionnaire, high score = good) · People with serious mental illness (all included participants had schizophrenia); majority aged 18 to 65 years per… · External
Oral health education (advice and training) for people with serious mental illness (2016) · Cochrane
MD 0.2 [-0.93, 1.33]1 study · 56 participantsUngraded
Calcium sulphate grafting of the periapical lesion vs No grafting
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 1.12 [0.83, 1.50]1 study · 18 participantsLow
Monitoring (any means of observation, supervision, keeping under review, measuring or testing at intervals) vs No monitoring
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
Intervention NR
Dental caries prevalence in permanent teeth (cavitated lesions) · Children aged 11-13 years in Latin America and the Caribbean · Studies with data collected after 2000 (21st century), Other Latin American/Caribbean countries (non-Brazil)
Does the Decline in Caries Prevalence of Latin American and Caribbean Children Continue in the New Century?… (2016)
Prevalence 0.64 [0.45, 0.79]12 studies · 7227 participantsUngraded
Intervention NR
Serum inflammatory cytokines (IL-1b, IL-6) and cortisol in periodontitis · Registered job/family stress
Social-Biological Interactions in Oral Disease: A 'Cells to Society' View. (2016)
Narrative (no effect size) No correlation between registered stress and serum IL-1b/IL-6/cortisol; untreated aggressive periodontitis showed pessimistic attitude and elevated serum IL-61 studyUngraded
Post‐treatment communication (text messaging) vs No communication (no text message)
Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · People undergoing orthodontic treatment · Up to 7 days
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
Patient‐reported pain intensity or pain relief: VAS (1 mm to 100 mm) ‐ 24 hours. Assumed risk: Not measured. Corresponding risk: not estimable. 39 participants (1 RCT). Quality: very low. Comments: insufficient…1 study · 39 participantsVery low
Vibratory stimulation (vibratory adjuncts) vs No vibration or placebo vibration
Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · Adolescents and adults undergoing orthodontic treatment · 7 days
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
MD 1.28 [-3.16, 5.71]3 studies · 154 participantsUngraded
Benzodiazepines (topical clonazepam) vs Placebo
Adverse effects: drowsiness · 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
RR 2.71 [0.84, 8.74]2 studies · 114 participantsVery low
Zinc polycarboxylate cement vs Any other orthodontic band adhesive
Outcome NR · Patients with full arch fixed orthodontic appliances with bands attached to molars (patients with cleft lip/palate or…
Adhesives for fixed orthodontic bands (2016) · Cochrane
No trial was identified that examined the effectiveness of zinc polycarboxylate cement.0 studiesNo studies
Educational intervention with information only (theoretical dental health education, no practical training) vs Usual care
Denture plaque · Residents of institutions for elderly people (nursing staff and residents took part in the education programme)
Oral health educational interventions for nursing home staff and residents (2016) · Cochrane
One study (Schou 1989), at unclear risk of bias and analysing 114 residents, provided insufficient evidence to determine whether denture plaque scores are lower when educating residents or nursing staff without…1 study · 114 participantsUngraded