Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

410 questions · 836 findings · 55 reviews

No studies found 1 · 0.1%GRADE not reported 794 · 95%Very low 16 · 1.9%Low 12 · 1.4%Moderate 6 · 0.7%High 7 · 0.8%

Slum / urban-disadvantaged setting vs Non-slum urban / general-urban / national population

Dental trauma prevalence · Adult residents of slums and non-slum urban settings of LMICs

Dental trauma appears more common in urban and disadvantaged settings; ungraded, few studies.

1 finding from 1 review

Slum / urban-disadvantaged setting vs Non-slum urban / general-urban / national population

Use of toothbrush and toothpaste for mouth cleaning · Adult residents of slums and non-slum urban settings of LMICs

Toothbrush/paste is the commonest cleaning method but is used less in slum/disadvantaged/rural groups than urban/non-slum groups; ungraded.

1 finding from 1 review

Slum / urban-disadvantaged setting vs Non-slum urban / general-urban / national population

Pattern of dental service utilisation and barriers · Adult residents of slums and non-slum urban settings of LMICs

Dental service use is low, episodic and pain-driven, with widespread self-care and cost/funding barriers; ungraded.

1 finding from 1 review

Slum / urban-disadvantaged setting vs Non-slum urban / general-urban / national population

Frequency of mouth cleaning · Adult residents of slums and non-slum urban settings of LMICs

Twice-daily cleaning (recommended) is uncommon; most clean once, in the morning; ungraded.

1 finding from 1 review

Slum / urban-disadvantaged setting vs Non-slum urban / general-urban / national population

Oral disease burden, slum vs non-slum urban comparison · Adult residents of slums and non-slum urban settings of LMICs

Where compared, oral disease burden is generally higher in slums than non-slum urban/national populations (5 studies; 1 found no difference); ungraded.

1 finding from 1 review

Slum / urban-disadvantaged setting vs Non-slum urban / general-urban / national population

Dental caries prevalence · Adult residents of slums and non-slum urban settings of LMICs

Dental caries prevalence in LMIC urban/slum populations ranges widely (13%-76%); not GRADE-rated (narrative synthesis).

1 finding from 1 review

Slum / urban-disadvantaged setting vs Non-slum urban setting

Oral disease prevalence · Adult residents of slums and non-slum urban settings of LMICs

Oral disease prevalence was generally high and worse in slum settings where compared, but no meta-analysis was conducted.

1 finding from 1 review

Slum / urban-disadvantaged setting vs Non-slum urban / general-urban / national population

Self-perceived (self-rated) oral health status · Adult residents of slums and non-slum urban settings of LMICs

Most participants perceive their oral health as satisfactory (one study 39%), more so among younger, male, higher-SES and employed people; ungraded.

1 finding from 1 review

Slum / urban-disadvantaged setting vs Non-slum urban setting

Self-perceived (self-rated) oral health status · Adult residents of slums and non-slum urban settings of LMICs

Most participants reported positive perceptions of oral health, despite observed disease burden.

1 finding from 1 review

Slum / urban-disadvantaged setting vs Non-slum urban / general-urban / national population

Use of alternative/indigenous mouth-cleaning implements · Adult residents of slums and non-slum urban settings of LMICs

Indigenous/alternative cleaning tools and home remedies are widely used, more so in rural/slum groups; ungraded.

1 finding from 1 review

Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence)

Pulp necrosis · Vital teeth restored with indirect restorations

Pulp necrosis incidence among treated by prosthodontists was 1.87% (subgroup analysis; not GRADE-rated).

23 findings from 1 review
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Tooth location

Pulp necrosis · Vital teeth

One study reported a 7.1% incidence in mandibular posterior teeth.

8 findings from 1 review
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Indirect restoration placement by undergraduate students vs None (single-group incidence)

Pulp necrosis · Vital teeth

The pooled incidence with undergraduate students was 5.68%.

2 findings from 1 review

Pre-operative caries fillings or crowns vs Intact teeth

Pulp necrosis · Vital teeth

One study reported a 13% incidence in teeth with pre-operative caries fillings or crowns.

2 findings from 1 review

Pre-operative bone level < 35% vs Pre-operative bone level ≥ 35%

Periapical pathosis incidence · Vital teeth

One study reported a 1.4% incidence with bone level < 35%.

2 findings from 1 review

Eugenol-based temporary cement vs Eugenol-free temporary cement

Pulp necrosis · Vital teeth

The pooled incidence with eugenol-based temporary cement was 3.34%.

2 findings from 1 review

Gum chewing (sugar-free) vs No chewing gum

Self-reported thirst · Elderly (>60 years) and medically compromised adults with xerostomia / dry mouth

Gum chewing reduced self-reported thirst in most studies (6 of 7 positive, 1 no effect); not meta-analyzed.

1 finding from 1 review