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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)

75,239 questions in 5,342 reviews

current versions
No studies 15,213 · 20.2%Ungraded 10,323 · 13.7%Very low 17,528 · 23.3%Low 17,951 · 23.9%Moderate 11,190 · 14.9%High 3,034 · 4%

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
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
Adjunctive antimicrobial photodynamic therapy (aPDT) applied after subgingival instrumentation (SI) vs Subgingival instrumentation (SI) alone (hand or power-driven, or both), or SI plus placebo/sham aPDT
Change in probing pocket depth (PPD) · Adults (> 18 years) with a clinical diagnosis of periodontitis, receiving active (non-surgical anti-infective) treatment · 3 months (change from baseline)
Adjunctive antimicrobial photodynamic therapy for treating periodontal and peri‐implant diseases (2024) · Cochrane
MD 0.44 [0.29, 0.59]35 studies · 873 participantsUngraded
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
Mandibular headgear vs Untreated control (no treatment)
ANB · Children and adolescents (aged 16 years or younger) with prominent lower front teeth (Class III malocclusion) · End of treatment
Orthodontic treatment for prominent lower front teeth (Class III malocclusion) in children (2024) · Cochrane
Arun 1994 (n=60): ANB data not usable (no SDs); Mann-Whitney P<0.001 benefit for mandibular headgear. Effect ~0.5 degrees, probably not clinically significant.1 study · 60 participantsUngraded
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
Reverse Twin Block with lip pads and rapid maxillary expander (RME) vs Untreated control (no treatment)
ANB · Children and adolescents (aged 16 years or younger) with prominent lower front teeth (Class III malocclusion) · End of treatment
Orthodontic treatment for prominent lower front teeth (Class III malocclusion) in children (2024) · Cochrane
MD 3.66 [2.73, 4.59]1 study · 26 participantsUngraded
Occlusal splint vs Behavioural therapy (counselling, CBT, relaxation, self-care management)
Muscle pain when chewing · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 4 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
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
Silver diamine fluoride (SDF) vs Fluoride varnish
Aesthetics · Children and adults (with or without carious lesions) · 12 months, Children
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 0.68 [0.41, 1.11]1 study · 263 participantsVery low
Highest BMI category (overweight/obese) vs Lowest BMI category (normal weight/underweight)
Dental caries / early childhood caries (ECC) · Children (approx. 4-18 years) · Study design: cross-sectional
Childhood obesity in relation to risk of dental caries: a cumulative and dose-response systematic review and… (2024)
OR 1.58 [1.20, 2.08]9 studiesUngraded
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
dmfs index score · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,… · Children assessed at 3 yrs
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
MD -0.87 [-2.18, 0.43]2 studies · 657 participantsLow
Not applicable vs Not applicable
Prenatal vitamin D deficiency prevalence · Pregnant mothers · Pregnancy, Overall
Association between prenatal vitamin D deficiency with dental caries in infants and children: a systematic… (2024)
Proportion 0.32NRUngraded
Reverse Forsus vs Untreated control (no treatment)
ANB · Children and adolescents (aged 16 years or younger) with prominent lower front teeth (Class III malocclusion) · End of treatment
Orthodontic treatment for prominent lower front teeth (Class III malocclusion) in children (2024) · Cochrane
MD 2.84 [1.89, 3.79]1 study · 22 participantsUngraded
Silver diamine fluoride (SDF) vs Glass ionomer cement (GIC) plus fluoride varnish
Dental pain or sensitivity · 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
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries experience (mean dmft) · Children younger than 71 months (under 6 years) · Gini index: low inequality
A systematic review and meta-analysis on early-childhood-caries global data. (2024)
MEAN 1.62NRUngraded
Non-surgical orthodontic treatment (any: facemask, chin cup, tandem traction bow, mandibular headgear, ORTA, reverse Twin Block, Reverse Forsus) vs No treatment
Overjet · Children and adolescents (aged 16 years or younger) with prominent lower front teeth (Class III malocclusion) · End of treatment (9 to 15 months)
Orthodontic treatment for prominent lower front teeth (Class III malocclusion) in children (2024) · Cochrane
MD 5.03 [3.81, 6.25]4 studies · 184 participantsModerate
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
Mother self-reported oral health behaviours · 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
Two trials (Batliner 2018; Plutzer 2008) provided information on changes in mother oral health behaviours (other data): some benefit in favour of the intervention.2 studiesUngraded
Intervention NR
Pit-and-fissure caries progression (ICDAS), CO2 laser vs fluoride varnish alone · Rechmann 2013 (single RCT, n=20, 12-month follow-up)
Clinical and ex-vivo effect of LASERs on prevention of early-enamel caries: systematic review & meta-analyses. (2024)
no estimate extracted1 studyUngraded
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Sodium fluoride varnish (5% NaF)
Caries arrestment at the tooth level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 6 to 12 months, SDF vs NAF
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 4.75 [1.57, 14.31]1 study · 62 participantsUngraded
Orthodontic adhesives containing nano-amorphous calcium phosphate (n-ACP) particles/nanoparticles vs Conventional/control orthodontic adhesive (e.g., Transbond XT) or negative control
Enamel remineralization extent · Human enamel specimens around orthodontic brackets (in vitro) · pH cycling / biofilm challenge 14 to 28 days, Overall
Remineralization and anti-demineralization effect of orthodontic adhesives on enamel surrounding orthodontic… (2024)
Studies using orthodontic adhesives containing n-ACP showed statistically significant remineralization compared with control orthodontic adhesives [15, 33].2 studiesUngraded
Prenatal vitamin D deficiency (maternal 25(OH)D measured at gestational weeks 6 to 38) vs Adequate prenatal vitamin D (sufficient maternal 25(OH)D)
Dental caries in children · Infants and children (aged about 2 to 8 years) whose mothers' vitamin D status was assessed during pregnancy · Maternal 25(OH)D measured at gestational weeks 6 to 38, Gestational-age subgroup: weeks 6 to 38
Association between prenatal vitamin D deficiency with dental caries in infants and children: a systematic… (2024)
OR 1.32 [1.04, 1.59]4 studiesUngraded
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Hemostasis <=6 min
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024)
Proportion 0.904NRUngraded
Facemask vs Untreated control (no treatment)
Wits appraisal · Children and adolescents (aged 16 years or younger) with prominent lower front teeth (Class III malocclusion) · End of treatment
Orthodontic treatment for prominent lower front teeth (Class III malocclusion) in children (2024) · Cochrane
MD 3.58 [2.78, 4.37]2 studies · 72 participantsUngraded
Brushed less than once per day vs Brushed once or more per day
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
OR 0.62 [0.53, 0.74]2 studies · 1693 participantsLow
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
Child dental attendance · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,… · Birth to 6 yrs
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
Plutzer 2008 reported dental attendance as cumulative child-visit categories (other data): intervention children more likely to have 1-2 visits, no difference for 3-4 visits, less likely for >=5 visits.1 studyUngraded
Silver diamine fluoride (SDF) vs Chlorhexidine 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
Single preoperative dose of systemic antibiotics (clindamycin 600 mg), total chemo-mechanical debridement and root filling vs Matched placebo, total chemo-mechanical debridement and root filling
Swelling at 24 hours · Adults with symptomatic apical periodontitis (no signs of spreading infection or systemic involvement) · 24 hours
Systemic antibiotics for symptomatic apical periodontitis and acute apical abscess in adults (2024) · Cochrane
No data available for this outcome.0 studiesNo studies
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, Sample collection: dental plaque
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024)
OR 4.08 [2.65, 6.27]13 studiesUngraded
Occlusal splint vs Behavioural therapy (counselling, CBT, relaxation, self-care management)
Muscle pain at rest · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 4 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Postoperative systemic antibiotics (phenoxymethylpenicillin/penicillin VK, 7-day course), partial or total chemo-mechanical debridement and analgesics vs Matched placebo, partial or total chemo-mechanical debridement and analgesics
Percussion pain at 24 hours · Adults with a symptomatic necrotic tooth or localised acute apical abscess (no signs of spreading infection or… · 24 hours
Systemic antibiotics for symptomatic apical periodontitis and acute apical abscess in adults (2024) · Cochrane
MD -0.32 [-0.85, 0.21]1 study · 41 participantsUngraded
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
Caries presence in primary teeth · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,… · Children assessed at 3-5 yrs
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
RR 0.85 [0.75, 0.97]3 studies · 782 participantsModerate
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries experience (mean dmft) · Children younger than 71 months (under 6 years) · Region: Middle East
A systematic review and meta-analysis on early-childhood-caries global data. (2024)
MEAN 5.53 [3.94, 7.13]6 studiesUngraded
Buccal fat pad pedicle plus placental extract vs Buccal fat pad pedicle alone
Maximal mouth opening (interincisal distance) · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF) · Less than 3 months
Interventions for managing oral submucous fibrosis (2024) · Cochrane
MD 7.80 [4.90, 10.70]1 study · 10 participantsVery low
Cesarean section delivery vs Vaginal delivery
Early childhood caries (ECC) · Children aged <6 years · Study location: Asia
RETRACTED: The association between mode of childbirth delivery and early childhood caries: A comprehensive… (2024)
OR 0.93 [0.65, 1.33]12 studiesUngraded
Orthodontic adhesives containing bioactive glass (BAG) particles/nanoparticles (including Ag-, Zn-, fluoride-, or Ga-doped BAG) vs Conventional/control orthodontic adhesive (e.g., Transbond XT) or negative control
Enamel remineralization / anti-demineralization extent · Human enamel specimens around orthodontic brackets (in vitro) · pH cycling 14 days to 6 months (majority 14 days), Overall
Remineralization and anti-demineralization effect of orthodontic adhesives on enamel surrounding orthodontic… (2024)
Out of 13 studies that evaluated bioactive glass particles/nanoparticles, 9 reported definitive statistically significant remineralization potential compared to control orthodontic adhesives [17, 21-24, 26-28, 31]; one…13 studiesUngraded