Caries experience · Children (mean age newborn to ~5.2 years) and their parents/carers
Behaviour change interventions delivered by non-dental health workers produced a small-to-moderate, statistically significant reduction in caries experience at the tooth level (dmft SMD -0.34, 95% CI -0.54 to -0.13; 6 studies); the review judged the overall evidence to be of low quality (not GRADE-rated).
1 finding from 1 review
Plaque index (PI) / oral hygiene · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs)
School-based interventions may reduce dental plaque scores (SMD -0.32, favouring intervention), but the certainty of evidence is very low.
1 finding from 1 review
Oral hygiene measured by mean gingival scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs)
The effect of school-based interventions on gingival scores is uncertain and not statistically significant (SMD 0.12; very low certainty).
1 finding from 1 review
Dental caries · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs)
Among children aged 6-8 years, DMFT scores were significantly reduced (SMD -0.11); subgroup not separately GRADE-rated.
8 findings from 1 review
Effectiveness of primary school-based interventions in improving oral health of children in low- and middle-income… 2022 All outcomesPost-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer) · Primary schools in low- and middle-income countries (Southeast Asia, Africa, the Americas, Europe, eastern Mediterranean) · Age 6-8 years
SMD -0.11 [-0.17, -0.04]
Studies not reported
GRADE not reported
Effectiveness of primary school-based interventions in improving oral health of children in low- and middle-income… 2022 All outcomesPost-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer) · Primary schools in low- and middle-income countries (Southeast Asia, Africa, the Americas, Europe, eastern Mediterranean) · <=3 intervention activities
SMD -0.58 [-1.62, 0.45]
Studies not reported
GRADE not reported
Effectiveness of primary school-based interventions in improving oral health of children in low- and middle-income… 2022 All outcomes<2 years · Primary schools in low- and middle-income countries (Southeast Asia, Africa, the Americas, Europe, eastern Mediterranean) · Intervention duration <2 years
SMD 0.01 [-0.16, 0.18]
3 studies
GRADE not reported
Show 5 more findings
Annual increment in DMFS (D3) · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs)
Oral-health-education interventions significantly reduced net increment in DMFS (SMD -1.05); no significant subgroup difference vs other interventions (P=0.74).
5 findings from 1 review
Effectiveness of primary school-based interventions in improving oral health of children in low- and middle-income… 2022 All outcomesPost-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer) · Primary schools in low- and middle-income countries (Southeast Asia, Africa, the Americas, Europe, eastern Mediterranean) · Intervention type: oral health education
SMD -1.05 [-2.03, -0.08]
3 studies
GRADE not reported
Effectiveness of primary school-based interventions in improving oral health of children in low- and middle-income… 2022 All outcomesPost-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer) · Primary schools in low- and middle-income countries (Southeast Asia, Africa, the Americas, Europe, eastern Mediterranean) · WHO health-promoting-schools framework
SMD -0.57 [-1.56, 0.42]
2 studies
GRADE not reported
Effectiveness of primary school-based interventions in improving oral health of children in low- and middle-income… 2022 All outcomesPost-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer) · Primary schools in low- and middle-income countries (Southeast Asia, Africa, the Americas, Europe, eastern Mediterranean) · Non-WHO-framework interventions
SMD -1.88 [-3.15, -0.60]
Studies not reported
GRADE not reported
Show 2 more findings
Dental caries prevalence measured by dmft or DMFT/S score greater than one · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs)
School-based interventions may reduce the prevalence of dental caries (RR 0.70, favouring intervention), but the certainty of evidence is very low.
3 findings from 1 review
Caries increment, tooth index D(M)FT · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs)
Among children aged 5-8 years, net increment in DMFT was not significantly reduced (SMD -0.36); no significant subgroup difference by age.
3 findings from 1 review
Caries experience at the surface level (dmfs/defs) · Children (mean age newborn to ~5.2 years) and their parents/carers
Comprehensive interventions produced a small, statistically significant reduction in surface-level caries (dmfs SMD -0.14, 95% CI -0.26 to -0.02; 10 studies; not GRADE-rated).
1 finding from 1 review
Caries experience · Children (mean age newborn to ~5.2 years) and their parents/carers
Comprehensive interventions produced a statistically significant reduction in tooth-level caries (dmft SMD -0.47, 95% CI -0.84 to -0.10; 4 studies; not GRADE-rated), though heterogeneity was very high.
1 finding from 1 review
Long-term behavior change and overall oral health outcomes · Children or adolescents
Digital gamified interventions appear more effective than non-digital alternatives for long-term behavior change and oral health outcomes, but the evidence is narrative and ungraded.
1 finding from 1 review
Adherence to oral hygiene routines by people with ID or their carers · Children or adolescents
Gamified interventions appear to increase children's engagement and adherence to oral hygiene routines, but the evidence is narrative and ungraded.
1 finding from 1 review
Plaque index (PI) / oral hygiene · Children or adolescents
Gamified interventions appear to improve plaque control and oral hygiene status in children versus conventional methods, but the evidence is narrative and ungraded (individual-study P values only).
1 finding from 1 review
Oral health knowledge (1-9 scale) · Children or adolescents
Gamified interventions appear to improve children's oral health knowledge compared with conventional education, but the evidence is narrative and ungraded.
1 finding from 1 review
Oral hygiene behavior (brushing habits, preventive dental visits, dietary choices) · Children or adolescents
Gamified interventions appear to improve oral hygiene behaviors (brushing habits, preventive dental visits) in children, but the evidence is narrative and ungraded.
1 finding from 1 review
Adverse events (any type) and safety of sealant · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious lesions conventionally…
The review found no eligible studies for this question.
1 finding from 1 review
Subjective evaluation of the treatments by participants · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious lesions conventionally…
The review found no eligible studies for this question.
1 finding from 1 review
First dentine caries incidence rate per person-year at risk (D3) · Caries-free children and adolescents with permanent dentition
Sánchez-Pérez et al. 2010 reported an incidence rate of 0.07 per person-year at risk.
16 findings from 1 review
Show 13 more findings
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.14 [0.13, 0.15]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.14 [0.12, 0.16]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.16 [0.15, 0.17]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.12 [0.12, 0.12]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.14 [0.13, 0.16]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.20 [0.18, 0.23]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.06 [0.06, 0.06]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.11 [0.10, 0.12]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.21 [0.18, 0.25]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.12 [0.11, 0.13]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.09 [0.09, 0.10]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.06 [0.06, 0.07]
1 study
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesFollow-up of at least 3 years · Western or comparable populations
Incidence rate per person-year at risk 0.09 [0.09, 0.09]
1 study
GRADE not reported
Annual decline in percentage of caries-free participants (permanent dentition, D3) · Children and adolescents (permanent dentition, D3, up to 21 y), Western or comparable populations
For low baseline caries experience, the annual decline in caries-free participants ranged 4.3% to 10.2% (9 studies; ungraded).
4 findings from 1 review
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesAnnual (studies with >=3 y follow-up) · Western Europe, North America, Australia, New Zealand (or comparable Western populations) · Baseline caries experience: low
4.3% to 10.2%
9 studies · 4811 participants
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesAnnual (studies with >=3 y follow-up) · Western Europe, North America, Australia, New Zealand (or comparable Western populations)
0.8% to 10.2%
18 studies · 12017 participants
GRADE not reported
Caries Progression Rates Revisited: A Systematic Review. 2019 All outcomesAnnual (studies with >=3 y follow-up) · Western Europe, North America, Australia, New Zealand (or comparable Western populations) · Baseline caries experience: high
0.8% to 2.2%
2 studies · 5029 participants
GRADE not reported
Show 1 more finding
Annual increment in DMFT (permanent dentition) · Children and adolescents (permanent dentition, D3, up to 21 y), Western or comparable populations
In the permanent dentition, the annual DMFT increment ranged from 0.06 to 0.73 across 14 studies, and was higher where baseline caries experience was higher (descriptive range; ungraded).
4 findings from 1 review
Show 1 more finding
Caries development in permanent teeth · Children and adolescents (permanent dentition, D3, up to 21 y), Western or comparable populations
In the permanent dentition, the annual DMFS increment ranged from 0.07 to 1.77 across 26 studies, and was higher where baseline caries experience was higher (descriptive range; ungraded).
4 findings from 1 review
Show 1 more finding