Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

1,692 questions · 2,586 findings · 180 reviews · Dental caries

No studies found 194 · 7.5%GRADE not reported 1,937 · 74.9%Very low 248 · 9.6%Low 136 · 5.3%Moderate 52 · 2%High 19 · 0.7%

Carious dentin vs Sound dentin

Cathepsin K (CT-K) presence/activity · Human ex vivo carious dentin (mostly coronal), natural caries lesions

Cathepsin K may be increased in carious dentin (one study), but no certainty rating was assigned (ungraded).

1 finding from 1 review

Irradiated carious dentin vs Non-irradiated carious dentin

MMP-2 expression/activity · Human ex vivo carious dentin (head/neck radiotherapy)

MMP-2 showed no difference between irradiated and non-irradiated carious dentin (one study; ungraded).

1 finding from 1 review

Carious dentin vs Sound dentin

MMP-8 expression/activity · Human ex vivo carious dentin (mostly coronal), natural caries lesions

For MMP-8, no clear direction of difference between carious and sound dentin was found; the evidence is very uncertain (very low certainty).

1 finding from 1 review

Carious dentin vs Sound dentin

MMP-2 presence/activity · Human ex vivo carious dentin (mostly coronal), natural caries lesions

MMP-2 may be increased in carious dentin compared with sound dentin, but the evidence is very uncertain (very low certainty).

1 finding from 1 review

Carious dentin vs Sound dentin

MMP-9 presence/activity · Human ex vivo carious dentin (mostly coronal), natural caries lesions

MMP-9 may be increased in carious dentin compared with sound dentin, but the evidence is very uncertain (very low certainty).

1 finding from 1 review

Root carious dentin vs Coronal carious dentin

MMP-2 presence/activity · Human ex vivo carious dentin

MMP-2 shows no difference between root and coronal carious dentin; the evidence is very uncertain (very low certainty).

1 finding from 1 review

Carious dentin vs Sound dentin

MMP-13 presence/activity · Human ex vivo carious dentin (mostly coronal), natural caries lesions

MMP-13 may be increased in carious dentin compared with sound dentin, but the evidence is very uncertain (very low certainty).

1 finding from 1 review

Fluoride varnish vs Placebo varnish, resin sealant, or standard care (oral hygiene instructions)

Prevalence of white spot lesions (WSL) at debonding, subject level · Healthy adolescents and adults undergoing orthodontic treatment with fixed multi-bracket appliances

Fluoride varnish applied regularly during fixed orthodontic treatment may reduce the prevalence of white spot lesions at debonding (pooled RR 0.64, 95% CI 0.42 to 0.98), but the certainty of evidence is very low.

1 finding from 1 review

Caries-associated bacterial biofilm vs Sound/control tissue (sound dentin, sound root, or enamel caries)

Bacterial collagenolytic protease gene expression · Human ex vivo carious lesions / caries-associated biofilm

Genes encoding bacterial collagenolytic proteases were detected/overexpressed in coronal and root caries (ungraded; GRADE not feasible).

1 finding from 1 review