Bridge complications · Adults (18 years or older) needing a three-unit tooth-supported fixed dental prosthesis
It is very uncertain whether metal-free tooth-supported FDPs (pressed veneering ceramic) changes bridge complications compared with metal-free tooth-supported FDPs (layered veneering ceramic) (very low certainty).
1 finding from 1 review
Caries development in permanent teeth · School children and adolescents (6-18 years) followed from primary dentition (baseline examination before 72 months of age)
Early childhood caries increases the likelihood of caries in permanent teeth roughly three-fold, but the certainty of evidence is very low (OR 3.22, 95% CI 2.80 to 3.71).
1 finding from 1 review
Sensitivity · Patients undergoing dental caries detection on dental images (teeth/surfaces across imaging modalities)
AI algorithms have high pooled sensitivity (0.85) for detecting dental caries; ungraded, with very high heterogeneity (I2>95%) and evidence of publication bias.
1 finding from 1 review
Specificity · Patients undergoing dental caries detection on dental images (teeth/surfaces across imaging modalities)
AI algorithms have high pooled specificity (0.90) for detecting dental caries; ungraded, with very high heterogeneity (I2>95%).
1 finding from 1 review
Area under the summary ROC curve · Patients undergoing dental caries detection on dental images (teeth/surfaces across imaging modalities)
The area under the summary ROC curve for AI caries detection is 0.86, indicating high overall diagnostic accuracy; ungraded.
1 finding from 1 review
Positive likelihood ratio · Patients undergoing dental caries detection on dental images (teeth/surfaces across imaging modalities)
A positive AI test raises caries probability substantially (LR+ 10.44; positive post-test probability 79%); ungraded.
1 finding from 1 review
Log diagnostic odds ratio · Patients undergoing dental caries detection on dental images (teeth/surfaces across imaging modalities)
AI algorithms show strong pooled discriminative accuracy for dental caries (log DOR 4.37; DOR 70.9); ungraded.
1 finding from 1 review
Negative likelihood ratio · Patients undergoing dental caries detection on dental images (teeth/surfaces across imaging modalities)
A negative AI test lowers caries probability substantially (LR- 0.17; negative post-test probability 6%); ungraded.
1 finding from 1 review
Streptococcus mutans load in the oral cavity (saliva and/or dental plaque) · Adults and children (general population)
In a sensitivity analysis assuming a 0.95 baseline-to-endpoint correlation for the sugar-free gum arm, the effect remained significant (SMD -0.55, 95% CI -0.80 to -0.30; 13 trials, I2 73%); certainty not formally graded.
2 findings from 1 review
White spot lesions assessed by laser fluorescence (DIAGNOdent) · Patients undergoing fixed orthodontic (fixed appliance) treatment (adolescents and adults, ages 12 to 35)
Two studies found adhesive flash-free brackets did not clinically reduce enamel demineralization or white spot lesions versus conventional brackets, though they reduced pathogenic bacteria (ungraded).
1 finding from 1 review
Retention of sealant (complete or partial retention) · Pits and fissures of permanent (posterior) teeth
High-viscosity glass-ionomer ART sealants showed 4-year retention of 68% (95% CI 61-75%); evidence ungraded.
6 findings from 1 review
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Caries-free sealed pits and fissures · Pits and fissures of permanent (posterior) teeth
Pits and fissures sealed with high-viscosity glass-ionomer ART sealants remained dentine lesion-free in 100% (95% CI 99-100%) at 1-year; evidence ungraded.
6 findings from 1 review
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Dental caries in children · Adolescents (12-18 years) without background systemic disease
In a subgroup analysis, probiotics reduced the number of caries in adolescents (MD -0.60, 95%CI -0.92 to -0.28; p-interaction=0.02); not GRADE-rated.
1 finding from 1 review
Gingival index (GI) · Children and/or adolescents (<18 years) without background systemic disease
Probiotics probably make little to no difference to the gingival index versus control (MD 0.04, 95%CI -0.18 to 0.27; low certainty).
1 finding from 1 review
Lactobacillus count (CFU/mL) · Children and/or adolescents (<18 years) without background systemic disease
Probiotics may make little to no difference to Lactobacillus count versus control (MD -0.78 CFU/mL, 95%CI -1.65 to 0.09; very low certainty).
1 finding from 1 review
Salivary pH · Children and/or adolescents (<18 years) without background systemic disease
Probiotics may make little to no difference to salivary pH versus control (MD -0.12 pH units, 95%CI -0.72 to 0.48; very low certainty).
1 finding from 1 review
Dental caries in children · Children and/or adolescents (<18 years) without background systemic disease
Probiotics probably make little to no difference to the number of dental caries versus control (MD -0.24 carious pieces, 95%CI -0.72 to 0.23; low certainty).
1 finding from 1 review
Streptococcus mutans count · Children and/or adolescents (<18 years) without background systemic disease
Probiotics probably reduce Streptococcus mutans count versus control (MD -0.40 CFU/mL, 95%CI -0.57 to -0.24; moderate certainty).
1 finding from 1 review
Gingival bleeding (various bleeding indices) · Children and/or adolescents (<18 years) without background systemic disease
Only one trial (Borrell 2021) reported the bleeding index, showing slightly more bleeding with probiotics (MD 0.10, 95%CI 0.02 to 0.18); not pooled or GRADE-rated.
1 finding from 1 review
Plaque index (PI) / oral hygiene · Children and/or adolescents (<18 years) without background systemic disease
Probiotics may make little to no difference to the bacterial plaque index versus control (MD 0.21, 95%CI -0.55 to 0.96; very low certainty).
1 finding from 1 review