Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

377 questions · 736 findings · 60 reviews · Dental caries

No studies found 17 · 2.3%GRADE not reported 563 · 76.5%Very low 39 · 5.3%Low 47 · 6.4%Moderate 50 · 6.8%High 20 · 2.7%

Partial caries removal (single stage; residual dentinal caries sealed into the tooth definitively) vs Complete caries removal

Signs or symptoms of pulpal disease · Patients with carious teeth, affecting any tooth surface(s), in unrestored primary and permanent teeth

Partial caries removal (single stage; residual dentinal caries… showed no clear difference in signs or symptoms of pulpal disease compared with complete caries removal (low certainty).

1 finding from 1 review

Laser fluorescence (LF; DIAGNOdent) vs Reference standard

More advanced caries lesion detection · Primary teeth with occlusal surfaces

Pooled sensitivity was reported, but the numerical estimate is not stated in the supplied text or attached figures; I²=23%; no GRADE rating was reported.

2 findings from 1 review

Fluorescence camera (FC) vs Reference standard

More advanced caries lesion detection · Permanent teeth with occlusal surfaces

Pooled specificity was reported, but the numerical estimate is not stated in the supplied text or attached figures; I²=17%; no GRADE rating was reported.

2 findings from 1 review

Laser fluorescence (DIAGNOdent 2190/pen) vs Reference standard (histology, excavation, or enhanced visual examination)

Relative DOR by reference standard (LFpen, advanced, occlusal permanent) · Permanent teeth, occlusal surfaces, with suspected caries lesions

No significant reference-standard difference for LFpen at the advanced threshold (RDOR 0.96, 0.12 to 7.77).

1 finding from 1 review

Fluorescence camera (FC) vs Reference standard (histology, excavation, or enhanced visual examination)

Diagnostic accuracy (pooled sensitivity, specificity, diagnostic odds ratio, summary-ROC AUC) · Permanent teeth, occlusal surfaces, with suspected caries lesions

Fluorescence camera on occlusal surfaces of permanent teeth (initial-lesion threshold): accuracy similar among the three methods (very low inconsistency); heterogeneity I2=0%. Diagnostic accuracy was not formally graded (GRADE not used).

2 findings from 1 review

Laser fluorescence (LF; DIAGNOdent) vs Reference standard (histology, excavation, or enhanced visual examination)

Diagnostic accuracy (pooled sensitivity, specificity, diagnostic odds ratio, summary-ROC AUC) · Primary teeth, occlusal surfaces, with suspected caries lesions

Laser fluorescence on occlusal surfaces of primary teeth (more advanced-lesion threshold): pooled DOR lowest for LF among the three methods; heterogeneity I2=23%. Diagnostic accuracy was not formally graded (GRADE not used).

2 findings from 1 review

Laser fluorescence (LF; DIAGNOdent) vs Reference standard

Initial caries lesion detection · Primary teeth with occlusal surfaces

Pooled specificity was reported, but the numerical estimate is not stated in the supplied text or attached figures; I²=75%; no GRADE rating was reported.

2 findings from 1 review

Quantitative light-induced fluorescence (QLF) vs Reference standard (histology, excavation, or enhanced visual examination)

Diagnostic accuracy (sensitivity, specificity) - not pooled · Permanent teeth (occlusal and smooth surfaces), with suspected caries lesions

Only 3 QLF studies were included, so no pooled estimate of QLF diagnostic accuracy could be calculated (evidence not graded).

1 finding from 1 review

No dentinal caries removal (caries sealed under a preformed metal crown or restoration without removing dentinal caries) vs Complete caries removal

Signs or symptoms of pulpal disease · Patients with carious teeth, affecting any tooth surface(s), in unrestored primary and permanent teeth

No dentinal caries removal (caries sealed under a preformed metal… showed no clear difference in signs or symptoms of pulpal disease compared with complete caries removal (moderate certainty).

1 finding from 1 review

Laser fluorescence (LF; DIAGNOdent) vs Reference standard (histology, excavation, or enhanced visual examination)

Diagnostic accuracy (sensitivity, specificity) - not pooled · Permanent and primary teeth, smooth surfaces, with suspected caries lesions

Only 2 LF studies assessed smooth surfaces, so no pooled estimate was possible; both reported higher specificity than sensitivity (evidence not graded).

1 finding from 1 review

High-viscosity glass-ionomer ART restorations vs No comparator

Restoration survival · Permanent posterior teeth with single-surface cavities

The pooled survival rate was 93% at 2 years.

6 findings from 1 review
Show 3 more findings

High-viscosity glass-ionomer ART restorations vs No comparator

Restoration survival · Permanent posterior teeth with multiple-surface cavities

The pooled survival rate was 41% at 2 years.

3 findings from 1 review

High-viscosity glass-ionomer ART restorations vs No comparator

Restoration survival · Primary posterior teeth with single-surface cavities

The pooled survival rate was 95% at 1 year.

3 findings from 1 review

High-viscosity glass-ionomer ART restorations vs No comparator

Restoration survival · Primary posterior teeth with multiple-surface cavities

The pooled survival rate was 62% at 2 years.

3 findings from 1 review

Potassium containing toothpaste (5% potassium nitrate) vs Control toothpaste (without potassium)

Tactile sensitivity (method a, ordinal scale) · Healthy human adults (18 years or more) with dentine hypersensitivity from exposed root surfaces

Potassium containing toothpaste (5% potassium nitrate) led to lower tactile sensitivity (method a, ordinal scale) compared with control toothpaste (without potassium); GRADE not reported.

1 finding from 1 review

Potassium containing toothpaste (5% potassium nitrate) vs Control toothpaste (without potassium)

Thermal sensitivity · Healthy human adults (18 years or more) with dentine hypersensitivity from exposed root surfaces

Potassium containing toothpaste (5% potassium nitrate) led to lower thermal sensitivity compared with control toothpaste (without potassium); GRADE not reported.

1 finding from 1 review

Potassium containing toothpaste (5% potassium nitrate) vs Control toothpaste (without potassium)

Subjective assessment of sensitivity · Healthy human adults (18 years or more) with dentine hypersensitivity from exposed root surfaces

Potassium containing toothpaste (5% potassium nitrate) showed no clear difference in subjective assessment of sensitivity compared with control toothpaste (without potassium); GRADE not reported.

1 finding from 1 review

Potassium containing toothpaste (5% potassium nitrate) vs Control toothpaste (without potassium)

Air blast sensitivity · Healthy human adults (18 years or more) with dentine hypersensitivity from exposed root surfaces

Potassium containing toothpaste (5% potassium nitrate) led to lower air blast sensitivity compared with control toothpaste (without potassium); GRADE not reported.

1 finding from 1 review

Potassium containing toothpaste (5% potassium nitrate) vs Control toothpaste (without potassium)

Tactile sensitivity (method b, continuous probe) · Healthy human adults (18 years or more) with dentine hypersensitivity from exposed root surfaces

Potassium containing toothpaste (5% potassium nitrate) led to higher tactile sensitivity (method b, continuous probe) compared with control toothpaste (without potassium); GRADE not reported.

1 finding from 1 review

Ozone applied to the carious lesion (10 or 40 seconds), with a fluoride reductant and oral hygiene/preventive advice vs No ozone, with a fluoride reductant and oral hygiene/preventive advice (as in the intervention group)

Adverse events · People of any age with caries (including demineralisation in non-cavitated carious lesions); the caries may affect any single tooth…
1 finding from 1 review
  • Ozone therapy for the treatment of dental caries 2004 · Cochrane All outcomes
    To 6 months
    Baysan 2003 stated that no adverse events were reported to 6 months; no information was provided by Abu-Naba'a 2003 or Abu-Naba'a 2003pilot.
    1 study
    GRADE not reported