Incidence of proximal (interdental) caries lesions from bitewing radiographs · Orthodontic patients (any age) undergoing orthodontic treatment (mostly fixed appliances)
Only one included study assessed proximal caries incidence from bitewing radiographs; it was not included in the meta-analysis and no pooled estimate is available (ungraded).
1 finding from 1 review
Incidence of initial enamel caries / white spot lesions adjacent to bracket base (subject level, dichotomized) · Orthodontic patients (any age) undergoing orthodontic treatment (mostly fixed appliances)
Adding a fluoride mouthrinse to daily fluoride toothpaste produced a small reduction in the incidence of initial caries/white spot lesions adjacent to brackets (pooled risk difference -0.07, 95% CI -0.14 to -0.01; 5 studies, 491 subjects), but the authors judged the overall evidence inconclusive (ungraded).
1 finding from 1 review
Side effects or other adverse events · Orthodontic patients (any age) undergoing orthodontic treatment (mostly fixed appliances)
No adverse effects were reported in any of the seven included studies (ungraded).
1 finding from 1 review
Cell death / cytotoxicity · Streptococcus mutans (in vitro cultures and biofilms)
One study reported minimal cytotoxicity (<1% cell damage) with grape seed extract (ungraded).
1 finding from 1 review
Bacterial growth inhibition · Streptococcus mutans (in vitro cultures and biofilms)
Cranberry extract inhibits S. mutans growth in vitro (MIC ~0.5-60 mg/mL across 7 studies; ungraded).
1 finding from 1 review
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 studies
GRADE not reported
Bacterial adhesion (inhibition) · Streptococcus mutans (in vitro cultures and biofilms)
Grape seed extract inhibits S. mutans adhesion to hydroxyapatite in vitro (2 studies; ungraded).
1 finding from 1 review
Biofilm formation (reduction) · Streptococcus mutans (in vitro cultures and biofilms)
Cranberry extract reduces S. mutans biofilm formation in vitro (10 studies; ungraded).
1 finding from 1 review
Cranberry extract/PAC reduced S. mutans biofilm formation: 51% at 500 ug/mL (Philip 2019), 95.2% at 50 mg/mL (Sumathi), 50-70% of preformed biofilm at 16.67-20.83 mg/dL (Singhal), 32%/29%/14% at 500/250/125 ug/mL…
10 studies
GRADE not reported
pH drop / acidogenicity buffering · Streptococcus mutans (in vitro cultures and biofilms)
Cranberry extract reduces S. mutans acidogenicity / glycolytic pH drop in vitro (5 studies; ungraded).
1 finding from 1 review
Cranberry PAC buffered acidogenesis: final pH 5.6 vs 5.2 control (Koo), lactic acid reduced 44% (Philip 2019) and 46% at 500 ug/mL (Philip 2019 EJOS), final pH 4.7-4.9 vs 3.7 control (Duarte), and disrupted glycolytic…
5 studies
GRADE not reported
Gtf activity · Streptococcus mutans (in vitro cultures and biofilms)
One study reported grape seed extract inhibits S. mutans Gtf activity (ungraded).
1 finding from 1 review
Antioxidant capacity · Streptococcus mutans (in vitro cultures and biofilms)
One study reported high antioxidant capacity of grape seed extract (ungraded).
1 finding from 1 review
Biofilm morphological changes · Streptococcus mutans (in vitro cultures and biofilms)
Cranberry extract alters S. mutans biofilm morphology/architecture (4 studies; ungraded).
1 finding from 1 review
Cranberry treatment disrupted biofilm integrity with agglutination/cell degradation at higher concentrations (Singhal), reduced polymicrobial biomass 38% at 96 h (Philip 2019), produced defective accumulation and…
4 studies
GRADE not reported
Biofilm morphological changes · Streptococcus mutans (in vitro cultures and biofilms)
Grape seed extract alters S. mutans biofilm morphology (2 studies; ungraded).
1 finding from 1 review
Biofilm formation (reduction) · Streptococcus mutans (in vitro cultures and biofilms)
Grape seed extract reduces S. mutans biofilm formation in vitro (5 studies; ungraded).
1 finding from 1 review
GSE reduced biofilm formation: 89% (polymeric PAC) vs 79% (dealcoholized wine) (Daglia), inhibition at 4 mg/mL (Zhao), decreased microcolonies with 2000 ug/mL GSE + fluorinol (Furiga), reduction within 30 min…
5 studies
GRADE not reported
Antioxidant capacity · Streptococcus mutans (in vitro cultures and biofilms)
One study reported antioxidant activity of cranberry polyphenol fractions (ungraded).
1 finding from 1 review
GtfB/C and F-ATPase activity · Streptococcus mutans (in vitro cultures and biofilms)
Cranberry proanthocyanidins downregulate GtfB/C and F-ATPase activity of S. mutans (5 studies; ungraded).
1 finding from 1 review
Bacterial growth inhibition · Streptococcus mutans (in vitro cultures and biofilms)
Grape seed extract inhibits S. mutans growth in vitro (MIC ~0.5 mg/mL to 250 mg/mL across 5 studies; ungraded).
1 finding from 1 review
GSE inhibited S. mutans growth across ~0.5-250 mg/mL (Abstract): inhibition at 250-500 mg/mL (Swadas), 4 mg/mL (Zhao), MIC 1000 ug/mL and MBC 4000 ug/mL (Furiga), MIC 0.5 mg/mL (Smullen), and MIC 19.07 mg/mL for…
5 studies
GRADE not reported
Bacterial adhesion (inhibition) · Streptococcus mutans (in vitro cultures and biofilms)
Cranberry extract inhibits S. mutans adhesion / initial colonization in vitro (3 studies; ungraded).
1 finding from 1 review
Cell death / cytotoxicity induction · Streptococcus mutans (in vitro cultures and biofilms)
One study reported time-dependent cell-death induction (50% at 10 h) with cranberry extract (ungraded).
1 finding from 1 review
Lactobacillus count (pre- vs post-treatment) · Medically healthy individuals (adults and children, 6-60 years)
Placebo rinse did not significantly change Lactobacillus counts relative to baseline; not GRADE-rated.
1 finding from 1 review
Lactobacillus count (pre- vs post-treatment) · Medically healthy individuals (adults and children, 6-60 years)
Salvadora persica rinse reduced Lactobacillus counts relative to baseline; not GRADE-rated.
1 finding from 1 review