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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. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

5,762 questions in 263 reviews · Dental caries

current versions
No studies 321 · 5.6%Ungraded 4,450 · 77.2%Very low 455 · 7.9%Low 297 · 5.2%Moderate 200 · 3.5%High 39 · 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
Slum / urban-disadvantaged setting vs Non-slum urban / general-urban / national population
Periodontal disease prevalence · Adult residents of slums and non-slum urban settings of LMICs · Cross-sectional
Systematic review of oral health in slums and non-slum urban settings of Low and Middle-Income Countries… (2024)
Periodontal disease affected all ages, was more pronounced in older groups, and ranged from 23% to 99%, generally higher than dental caries; bleeding gum/gingivitis contributed the largest component.9 studiesUngraded
Poor habit of tooth cleaning vs Good tooth-cleaning habit
Dental caries · Primary school children in Ethiopia
Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024)
OR 3.90 [2.761, 5.045]NRUngraded
Child has a disability (special needs) vs Parents/caregivers of children without disabilities
Parental concern / caregiver stress indices (parental perception and parenting stress about the child's oral health) · Parents/caregivers of children with disabilities (special needs; autism spectrum disorder or unspecified disability)… · Cross-sectional
Disabilities and Disparities in Oral Health-Related Quality of Life: A Systematic Review and Meta-Analysis… (2024)
SMD 0.43 [0.23, 0.63]3 studies · 472 participantsUngraded
Dental caries (DT not equal to 0) vs No dental caries
Periodontitis (prevalence) · Adults · Adjusted OR
Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024)
OR 1.57 [1.32, 1.86]3 studiesUngraded
Maternal smoking during pregnancy vs No maternal smoking during pregnancy
Dental caries in children · Children of mothers assessed for smoking status during pregnancy (early childhood dental caries) · Exposure during pregnancy; caries assessed in early childhood, Study region: USA
Maternal smoking during pregnancy and early childhood dental caries in children: a systematic review and… (2024)
OR 1.85 [1.38, 2.49]1 studyUngraded
Overweight/obesity (combined) vs Normal weight (eutrophic)
Dental caries prevalence (any DMFT), dichotomous · Brazilian children/adolescents in permanent dentition (BMI classified by CDC 2000 growth charts)
Overweight/obesity and dental caries in Brazilian children and adolescents: a systematic review and… (2024)
OR 1.18 [0.71, 1.95]3 studies · 1377 participantsVery low
High-intensity sweeteners other than stevia (aspartame, sucralose, saccharin) in food products vs Any comparator (dietary sugar, no treatment, or other sweetener)
Effects of non-stevia high-intensity sweeteners (aspartame, sucralose, saccharin) on cariogenic bacteria in dental plaque or saliva · Generally healthy individuals across all age groups
Clinical Effects of Sugar Substitutes on Cariogenic Bacteria: A Systematic Review and Meta-Analysis. (2024)
No studies on high-intensity sweeteners such as sucralose, saccharin, or aspartame were found; the review located no eligible trials of these sweeteners on cariogenic bacteria.0 studiesNo studies
Teledentistry diagnosis using DSLR or smartphone extra-oral photographs vs Visual or clinical examination
Inter-examiner reliability · Children and adults with primary or permanent dentition · Overall
Teledentistry accuracy for caries diagnosis: a systematic review of in-vivo studies using extra-oral… (2024)
no estimate extracted13 studiesUngraded
Age 8-10 years vs Age >10 years
Spontaneous space closure · Children and adolescents with maxillary permanent first molar extraction · Follow-up to complete eruption of the permanent second molar, Maxilla
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR >100.00 [0.01, >100.00]3 studiesUngraded
Intervention NR
Dental caries (early childhood caries) · Narrative single study (Matee 1994): nocturnal breast-feeding
Association of Breastfeeding and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
OR 17.8 [6.3, 50.3]1 studyUngraded
Dietary advice on how to achieve a healthy diet for infants (tailored advice focused on a diet low in saturated fat and cholesterol intake) vs Standard care
dmfs index score · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,…
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
dmfs was listed in the SoF table but not assessed (not reported for this comparison).0 studiesNo studies
Nocturnal breastfeeding vs No nocturnal breastfeeding
Dental caries (ECC) · Preschool children under 6 years of age · First dental examination before age 6 years, Cohort studies; sensitivity analysis excluding study 39
Association of Breastfeeding and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
RR 3.05 [2.40, 3.87]2 studiesUngraded
Xylitol chewing gum vs No treatment (no gum / no intervention)
Change in Mutans streptococci (MS) count in saliva · Generally healthy individuals across all age groups (infants to elderly) · Post-consumption endpoint (varied durations across trials), Xylitol chewing gum vs no intervention/no gum (3 studies)
Clinical Effects of Sugar Substitutes on Cariogenic Bacteria: A Systematic Review and Meta-Analysis. (2024)
SMD -1.47 [-1.94, -0.99]3 studies · 136 participantsUngraded
Nocturnal breastfeeding vs No nocturnal breastfeeding
Dental caries (early childhood caries) · Preschool children (<6 years) · Cohort studies
Association of Breastfeeding and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
RR 2.35 [1.42, 3.89]3 studies · 1590 participantsUngraded
Minimally invasive caries removal (MIT): selective removal to soft dentin, self-limiting chemomechanical removal, or partial/incomplete caries removal vs Conventional caries removal (CT): selective removal to firm dentin, stepwise excavation, or complete caries removal
Pulp exposure rate · Patients with deep carious lesions in permanent (mainly posterior) teeth · 1 to 5 years (follow-up varied by study)
Comparative Meta-Analysis of Minimally Invasive and Conventional Approaches for Caries Removal in Permanent… (2024)
Mean pulp-exposure percentage (unweighted study-level mean, 4 studies) MIT 1.2% vs CT 8.1% (Wilcoxon = 0.0, p = 0.068; not statistically significant)4 studies · 791 participantsUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Dental caries, prevalence · Primary school children in Ethiopia · Sampling technique: systematic random sampling
Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024)
Prevalence 30 [15, 44]2 studies · 554 participantsUngraded
Oral health education/promotion (oral hygiene advice plus diet and feeding practice advice) combined with clinical treatment for mother's dentition (basic restorative and preventive; 1 trial included CHX varnish application) vs Standard care
Mother microbiological presence (high-level mutans streptococci / lactobacilli) · For interventions, pregnant women and mothers of infants in the first year of life; for outcomes, children up to 6…
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
RR 0.53 [0.28, 1.03]1 study · 50 participantsUngraded
Highest BMI category (overweight/obese) vs Lowest BMI category (normal weight/underweight)
Dental caries / early childhood caries (ECC) · Children (approx. 4-18 years) · Region: Asian countries
Childhood obesity in relation to risk of dental caries: a cumulative and dose-response systematic review and… (2024)
OR 1.70 [1.25, 2.32]6 studiesUngraded
Silver diamine fluoride (SDF) vs Placebo, control, and/or other interventions
Caries arrestment at the surface level · Children and adults without systemic diseases affecting dental health · 12 months to 18 months
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 1.03 [0.47, 2.27]3 studies · 5394 participantsModerate
Teledentistry (index test): dental caries diagnosis from photographs taken with DSLR or smartphone cameras; store-and-forward vs Visual/clinical dental examination (reference standard)
Intra-examiner reliability · Children and adults with primary or permanent dentition undergoing dental caries assessment · Cross-sectional diagnostic accuracy (index test vs reference standard, in-vivo), Overall (studies reporting intra-examiner reliability; narrative synthesis)
Teledentistry accuracy for caries diagnosis: a systematic review of in-vivo studies using extra-oral… (2024)
Intra-examiner reliability (kappa) reported in 6 studies, ranging from 0.52 to 1.00. No pooled estimate.6 studiesUngraded
Consumption of xylitol chewing gum by women (mothers) vs Consumption of CHX/xylitol gum by women, or CHX varnish applied to women's dentition
Caries presence in primary teeth · For interventions, pregnant women and mothers of infants in the first year of life; for outcomes, children up to 6… · Children assessed at 4 yrs
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
RR 0.62 [0.27, 1.39]1 study · 96 participantsVery low
Slum setting vs Non-slum urban setting
Dental service utilization · Adults in LMIC urban and slum settings
Systematic review of oral health in slums and non-slum urban settings of Low and Middle-Income Countries… (2024)
no estimate extracted10 studiesUngraded
Periodontitis vs No periodontitis (periodontal health or gingivitis)
Dental caries (prevalence) · Adults · Non-standard periodontitis definition
Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024)
OR 1.38 [1.07, 1.79]2 studiesUngraded
Cesarean section delivery vs Vaginal delivery
Early childhood caries (ECC) · Children aged <6 years · Study location: America/Canada/Brazil
RETRACTED: The association between mode of childbirth delivery and early childhood caries: A comprehensive… (2024)
OR 1.11 [0.70, 1.76]5 studiesUngraded
Prophylaxis (teeth cleaning) and CHX or iodine-NaF solution application in the dentition of women (mothers) vs Placebo
Mother microbiological presence · For interventions, pregnant women and mothers of infants in the first year of life; for outcomes, children up to 6…
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
Narrative (Dasanayake 1993; Dasanayake 2002): significant reductions in MS and other bacteria immediately post-treatment; chlorhexidine varnish significantly reduced maternal S. mutans over ~12 months.2 studiesUngraded
TT genotype vs TC+CC genotypes
Dental caries · Children (<18 years) with vs without dental caries · Recessive model (TT vs TC+CC), PCR-RFLP genotyping
Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024)
OR 1.49 [0.97, 2.27]NRUngraded
Fixed orthodontic treatment with fixed (multibracket) appliances (exposure) vs None (single-group prevalence/incidence estimate)
Incidence of new ICLs (mean number of new lesions per subject) · Patients undergoing fixed orthodontic treatment with fixed (multibracket) appliances, followed for development of new… · During fixed orthodontic treatment (development of new lesions), Overall (random-effects model)
Distribution of initial caries lesions in relation to fixed orthodontic therapy. A systematic review and… (2024)
MEAN 2.29 [1.12, 3.46]5 studies · 208 participantsVery low
One-step adhesive bonding system (GC Ortho Connect) vs Conventional three-step bonding system (3M Transbond XT)
White spot lesion incidence, area, and depth · Patients undergoing fixed orthodontic treatment · 2 and 4 months after treatment start
Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed… (2024)
Group 3 (GC Ortho Connect) showed a significantly higher incidence than both groups (p < 0.001). Group 3 (GC Ortho Connect) also had larger lesion areas and deeper lesions compared to other groups (p < 0.001).1 study · 75 participantsUngraded
Package of oral health education/promotion including oral hygiene advice for pregnant women, mothers, infants and young children, plus dietary and feeding practice advice for infants and young children vs Standard care
Caries presence in top front four teeth · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,… · Children assessed at 3 yrs, Higher-protein diet trial
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
RR 0.68 [0.42, 1.10]1 study · 226 participantsVery low
Fixed orthodontic treatment with fixed (multibracket) appliances (exposure) vs None (single-group prevalence/incidence estimate)
Prevalence of ICLs (mean number of lesions per subject) · Patients (permanent dentition) during or after fixed orthodontic treatment with fixed (multibracket) appliances · During or after fixed orthodontic treatment (cross-sectional/at debonding), Overall (random-effects model)
Distribution of initial caries lesions in relation to fixed orthodontic therapy. A systematic review and… (2024)
MEAN 2.24 [1.79, 2.70]6 studies · 484 participantsVery low
Maternal smoking during pregnancy vs No maternal smoking during pregnancy
Dental caries in children · Children of mothers assessed for smoking status during pregnancy (early childhood dental caries) · Exposure during pregnancy; caries assessed in early childhood, Dental examination: Clinical and radiographic examinations
Maternal smoking during pregnancy and early childhood dental caries in children: a systematic review and… (2024)
OR 2.21 [2.09, 2.34]1 studyUngraded
Non-syndromic cleft lip and palate (CLP) status and its oral microbiota (exposure/grouping) vs Children and adolescents aged 0-18 years without CLP (controls)
Dental caries (proportion of patients with caries) · Children and adolescents aged 0-18 years with non-syndromic cleft lip and palate (CLP)
Characterization of the oral microbiota and the relationship of the oral microbiota with the dental and… (2024)
OR 2.03 [1.46, 2.84]3 studies · 688 participantsUngraded
Intervention NR
Periodontopathogenic microbiota composition · Narrative: Campylobacter/Fusobacterium/F. nucleatum/Prevotella intermedia-nigrescens/Parvimonas micra/Porphyromonas gingivalis in CLP
Characterization of the oral microbiota and the relationship of the oral microbiota with the dental and… (2024)
no estimate extracted6 studiesUngraded
Silver diamine fluoride (SDF) vs Glass ionomer cement (GIC) plus fluoride varnish
Secondary prevention of caries · Children and adults (with or without carious lesions)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported data for this outcome in this comparison0 studiesNo studies
Non-syndromic cleft lip and palate (CLP) status and its oral microbiota (exposure/grouping) vs Children and adolescents aged 0-18 years without CLP (controls)
Lactobacillus spp. salivary/plaque counts (cariogenic microbiota) · Children and adolescents aged 0-18 years with non-syndromic cleft lip and palate (CLP)
Characterization of the oral microbiota and the relationship of the oral microbiota with the dental and… (2024)
For the outcome of the presence of Lactobacillus spp., there were no significant differences between patients with CLP and healthy patients, and the diversity of the studies led to high heterogeneity; however, the p…NRUngraded
Intervention NR
Overall success (composite of clinical and radiographic success) · Mature teeth, irreversible pulpitis
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024)
Proportion 0.798 [0.712, 0.873]10 studiesUngraded
Periodontitis vs No periodontitis (periodontal health or gingivitis)
Dental caries (prevalence) · Adults · Adjusted OR
Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024)
OR 1.28 [0.85, 1.93]2 studiesUngraded
Commercial fluoride-releasing RMGIC orthodontic adhesive (Fuji Ortho LC) vs Conventional non-fluoride control orthodontic adhesive (e.g., Transbond XT)
Fluoride ion release · Human enamel specimens around orthodontic brackets (in vitro) · up to 6 months, Overall
Remineralization and anti-demineralization effect of orthodontic adhesives on enamel surrounding orthodontic… (2024)
One study reported significant fluoride release from the commercial RMGIC Fuji Ortho LC up to 6 months [14].1 studyUngraded
TT+TC genotypes vs CC genotype
Dental caries · Children (<18 years) with vs without dental caries · Dominant model (TT+TC vs CC), Caucasian ethnicity
Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024)
OR 0.84 [0.50, 1.39]NRUngraded
Cranberry extract / juice and proanthocyanidin (flavonoid) fractions vs Untreated or vehicle control (some studies vs positive antimicrobial controls, e.g. chlorhexidine/fluoride)
Bacterial growth inhibition (MIC/MBC) · Streptococcus mutans (in vitro cultures and biofilms)
Effect of flavonoids from grape seed and cranberry extracts on the microbiological activity of Streptococcus… (2024)
Cranberry extract inhibited S. mutans growth across ~0.5-25 mg/mL (Abstract): MIC 12.5 mg/dL and MBC 25 mg/dL (Singhal), MIC 60 mg/mL (Sumathi), MIC 0.5-0.75 mg/mL (Prince); 2 mg/mL PAC enhanced photo-irradiated H2O2…7 studiesUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Dental caries (prevalence) · Children (<18 years) with intellectual and developmental disabilities (IDD) in India · Overall
Oral health status of children with intellectual and developmental disabilities in India: a systematic… (2024)
Prevalence 64 [45, 79]7 studies · 1066 participantsUngraded
Prenatal vitamin D deficiency (PVDD) vs Normal or sufficient prenatal vitamin D level
Dental caries prevalence · Children aged 2 to 8 years · Maternal pregnancy to child age 2 to 8 years, Children of mothers with low prenatal vitamin D
Association between prenatal vitamin D deficiency with dental caries in infants and children: a systematic… (2024)
Proportion 0.44NRUngraded
Ate or licked fluoride toothpaste vs Did not eat or lick fluoride toothpaste
Fluorosis (percentage prevalence in permanent teeth) · Children exposed to topical fluoride when under 6 years old; fluorosis assessed in permanent teeth at 6 to 18 years · Fluorosis assessed when most permanent teeth of interest had erupted (6 to 18 years)
Topical fluoride as a cause of dental fluorosis in children (2024) · Cochrane
Nine studies investigated whether children ate or licked toothpaste; measurement subjective so not meta-analyzed (Table 1). Findings mixed: some studies found no significant difference; others (e.g. Celeste 2016 OR up…9 studiesUngraded
Cesarean section delivery vs Vaginal delivery
Early childhood caries (ECC) · Children aged <6 years · Study design: Cross-sectional
RETRACTED: The association between mode of childbirth delivery and early childhood caries: A comprehensive… (2024)
OR 0.86 [0.54, 1.38]11 studiesUngraded
Advice about a healthy diet (including breastfeeding promotion and sugar avoidance) and feeding practices (e.g. relating to bottle-feeding and sleep) for infants and young children vs Standard care
dmfs index score (decayed, missing, filled primary surfaces; range 0-80) · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,… · Children assessed at 1-3 yrs
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
MD -0.29 [-0.58, 0]2 studies · 757 participantsLow
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Periodontal disease (prevalence) · Children (<18 years) with intellectual and developmental disabilities (IDD) in India
Oral health status of children with intellectual and developmental disabilities in India: a systematic… (2024)
Prevalence 54.21 study · 72 participantsUngraded
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Time period: before 2017
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024)
OR 4.89 [2.79, 8.58]10 studiesUngraded
Cranberry extract or cranberry flavonoid fractions vs No extract or vehicle control; other antimicrobial agents
Bacterial cell death · Streptococcus mutans cultures and biofilms
Effect of flavonoids from grape seed and cranberry extracts on the microbiological activity of Streptococcus… (2024)
no estimate extracted1 studyUngraded
Intervention NR
Serum vitamin D (25(OH)D): ECC vs caries-free · Case-control studies (Fig 3)
The Association Between Vitamin D and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
Mean difference -18.82 [-20.30, -17.33]6 studiesUngraded
Opal Seal fluoride-releasing primer vs Conventional Transbond XT primer
White spot lesion area · Patients undergoing fixed orthodontic treatment · During orthodontic treatment
Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed… (2024)
There was no significant difference in the WSL area between the two groups, with the mean WSL area measuring 161.3 mm2 in the Opal Seal group and 1361.2 mm2 in the conventional group.1 study · 56 participantsUngraded