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Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

5,762 questions in 263 reviews · Dental caries

current versions
No studies 321 · 5.6%Ungraded 4,450 · 77.2%Very low 455 · 7.9%Low 297 · 5.2%Moderate 200 · 3.5%High 39 · 0.7%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Second molar at Demirjian stage E-F at extraction vs Second molar at Demirjian stage G-H at extraction
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 4.44 [0.43, 46.10]3 studiesUngraded
Overweight/obesity (combined) vs Normal weight (eutrophic)
Dental caries prevalence (any DMFT), dichotomous · Brazilian children/adolescents in permanent dentition (BMI classified by WHO 2006 Z-score)
Overweight/obesity and dental caries in Brazilian children and adolescents: a systematic review and… (2024)
Pooled effect not estimable (not shown in article); I2=85%; Very low2 studiesVery low
Breastfeeding promotion and support (e.g. individually tailored home-based peer counselling on the importance of breastfeeding, with advice and support for healthy breastfeeding) vs Standard care
dmft index score · For interventions, pregnant and lactating women; for outcomes, children up to 6 years of age · Children assessed at 5-6 yrs
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
MD -0.12 [-0.59, 0.36]2 studies · 652 participantsLow
Mineral trioxide aggregate (MTA) vs Calcium hydroxide (CH)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024)
OR 2.41 [1.28, 4.51]7 studies · 377 participantsLow
Second molar at Demirjian stage A-D at extraction vs Second molar at Demirjian stage F-H at extraction
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 3.11 [1.25, 7.72]3 studies · 95 participantsLow
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC) prevalence (%, dmft>0) · Children younger than 71 months (under 6 years) · Region: Asia-Oceania
A systematic review and meta-analysis on early-childhood-caries global data. (2024)
Prevalence 52 [45, 60]33 studiesUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries experience (mean dmft) · Children younger than 71 months (under 6 years) · GNI $5000-$9999
A systematic review and meta-analysis on early-childhood-caries global data. (2024)
MEAN 4.28 [2.58, 5.97]10 studiesUngraded
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
Systematic review of oral health in slums and non-slum urban settings of Low and Middle-Income Countries… (2024)
Utilisation was generally low, episodic and mostly problem/pain-driven (pain-driven visits ~70-99%); widespread self-care/home remedies were used as alternatives to professional care; lack of funds/cost, income, age,…NRUngraded
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Hemostasis >=10 min
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024)
Proportion 0.862NRUngraded
Package of oral health education/promotion including oral hygiene advice for pregnant women, mothers, infants and young children, plus dietary and feeding practice advice for infants and young children vs Standard care
Child plaque (any plaque visible on any teeth) · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,…
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
RR 0.35 [0.26, 0.47]1 study · 441 participantsUngraded
Self-etch primer bonding system (3M Transbond Plus) vs Conventional three-step bonding system (3M Transbond XT)
White spot lesion incidence · Patients undergoing fixed orthodontic treatment · 2 and 4 months after treatment start
Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed… (2024)
Group 2 (3M Transbond Plus) had a significantly higher incidence of WSLs than Group 1 (3M Transbond XT) (p <0.05).1 study · 75 participantsUngraded
Silver diamine fluoride (SDF) vs Glass ionomer cement (GIC) plus fluoride varnish
Primary caries prevention · Children and adults (with or without carious lesions)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported data for this outcome in this comparison0 studiesNo studies
Silver diamine fluoride (SDF) vs Chlorhexidine varnish
Primary caries prevention · Children and adults (with or without carious lesions) · 36 months, Permanent dentition (root)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD -0.40 [-0.95, 0.15]1 study · 99 participantsVery low
Genome-wide common variants (aggregate additive; LD score regression) vs Not applicable (variance-component estimate)
Periodontal disease - SNP-based heritability · Japanese adults (present-study cohort) · Lifelong (germline genotype), LDSC heritability (present study)
Genome-wide association meta-analysis identifies two novel loci associated with dental caries. (2024)
h2 (observed-scale SNP heritability) 0.05191 study · 45525 participantsUngraded
Grape seed extract (GSE) and its proanthocyanidin fractions vs Untreated or vehicle control (some studies vs positive antimicrobial controls, e.g. chlorhexidine/fluoride)
Biofilm morphological changes · Streptococcus mutans (in vitro cultures and biofilms)
Effect of flavonoids from grape seed and cranberry extracts on the microbiological activity of Streptococcus… (2024)
GSE decreased microcolony number and biofilm thickness at 2000 ug/mL (Furiga) and significantly altered bacterial cell structure with 50 ug/2 mL GSE candy (Nowaczyk).2 studiesUngraded
Higher BMI (continuous / per-unit increment) vs Lower BMI (continuous reference / per 1 kg/m2 decrement)
Dental caries in children · Children (approx. 4-18 years) · Non-linear dose-response (restricted cubic splines)
Childhood obesity in relation to risk of dental caries: a cumulative and dose-response systematic review and… (2024)
Fig. 5: significant non-linear (restricted cubic spline) dose-response between BMI and childhood dental caries; relative risk rises at higher BMI (curve reaches ~2.4-2.9 at BMI 30-35) and is also elevated among…NRUngraded
GG genotype vs GA+AA genotypes
Dental caries · Children (<18 years) with vs without dental caries · Recessive model (GG vs GA+AA), Zhang 2006 removed, Sensitivity analysis (Zhang 2006 excluded)
Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024)
OR 0.86 [0.48, 1.54]3 studies · 1329 participantsUngraded
Dietary advice on how to achieve a healthy diet for infants (tailored advice focused on a diet low in saturated fat and cholesterol intake) vs Standard care
Mother gingival health (mild or moderate bone loss) · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,…
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
RR 1.43 [0.42, 4.85]1 study · 133 participantsUngraded
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 · Cross-sectional, Slum/disadvantaged vs non-slum/urban
Systematic review of oral health in slums and non-slum urban settings of Low and Middle-Income Countries… (2024)
Mouth cleaning was mostly once daily and in the mornings; only a small proportion cleaned at least twice daily (e.g., Osuh 24% slum vs 27% non-slum; Singh 3%; Habib 3.5%; Hewlett 69%). A similar slum/disadvantaged vs…NRUngraded
Opal Seal fluoride-releasing adhesive vs Transbond XT conventional adhesive
White spot lesion rate and volume · Patients undergoing fixed orthodontic treatment · 8 weeks after bonding
Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed… (2024)
The WSL volume was lower in the Opal Seal group than in the Clearfil and Transbond XT groups, but there was no significant difference among the groups (p > 0.05).1 study · 15 participantsUngraded
Advice about a healthy diet (including breastfeeding promotion and sugar avoidance) and feeding practices (e.g. relating to bottle-feeding and sleep) for infants and young children vs Standard care
Caries severity (d1 + mfs >= 5) · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,… · Children assessed at 4 yrs
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
RR 0.68 [0.50, 0.92]1 study · 340 participantsUngraded
Moderate-severe active dental caries (exposure) vs Caries-free or mild dental caries (control)
Salivary IL-8 level (pg/mL) · Children and young adults (3-25 years)
Activity and levels of TNF-α, IL-6 and IL-8 in saliva of children and young adults with dental caries: a… (2024)
SMD 57.20 [-18.60, 133.00]7 studies · 522 participantsUngraded
Farzanegan 2021 = Transbond XT + 1% chitosan + 1% TiO2 (co-intervention); Mollabashi 2022 = TiO2-only composite (1 wt%) vs Conventional adhesive/composite (Transbond XT)
Enamel demineralization / white spot lesion prevention (DIAGNOdent, enamel mineral content) · Patients undergoing fixed orthodontic (fixed appliance) treatment (adolescents and adults, ages 12 to 35) · 1 day to 6 months
Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed… (2024)
Two RCTs (Farzanegan 2021 n=24; Mollabashi 2022 n=40): Mollabashi reported DIAGNOdent readings significantly lower on the TiO2 side than the control side (p<0.001); Farzanegan reported no significant difference in…2 studies · 64 participantsUngraded
Started toothbrushing with fluoride toothpaste at or before 12 months (earlier start) vs Started after 12 months (later start)
Fluorosis (percentage prevalence in permanent teeth) · Children exposed to topical fluoride when under 6 years old; fluorosis assessed in permanent teeth at 6 to 18 years · Fluorosis assessed when most permanent teeth of interest had erupted (6 to 18 years)
Topical fluoride as a cause of dental fluorosis in children (2024) · Cochrane
RR 0.98 [0.81, 1.18]2 studies · 260 participantsVery low
More than 15 missing teeth vs 15 or fewer missing teeth
Oral cancer risk · People with and without more than 15 missing teeth · Missing teeth >15
Periodontitis and the risk of oral cancer: a meta-analysis of case-control studies. (2024)
OR 1.91 [1.01, 3.62]5 studiesUngraded
Silver diamine fluoride (SDF) vs Restoration (restorative treatment)
Secondary prevention of caries · Children and adults (with or without carious lesions)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported data for this outcome in this comparison0 studiesNo studies
Calcium fluoride nanoparticle (nCaF2)-containing orthodontic primer vs Conventional primer (Transbond)
Enamel demineralization / white spot lesions (DIAGNOdent, photographic scoring) · Patients undergoing fixed orthodontic (fixed appliance) treatment (adolescents and adults, ages 12 to 35) · 1, 3 and 6 months (during treatment to debonding)
Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed… (2024)
Al Tuma 2023 (1 split-mouth RCT, 31 patients / 310 teeth): DIAGNOdent scores significantly favored the nCaF2 primer at 1, 3 and 6 months (p=0.000) and S. mutans count differed at 1 month; no significant difference in…1 study · 31 participantsUngraded
Intervention NR
Decayed surfaces (DS) · Percentage of sites with CAL >=3 mm (tertiles); single study (Robert 2019); adjusted
Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024)
OR 1.12 [1.00, 1.25]1 studyUngraded
Institutionalization (living in an orphanage/institution) vs Parented children living with their families
Permanent-teeth caries experience (DMF/DMFT, mean score) · Institutionalized orphan children (roughly 3 to 18 years) · Overall (pooled)
Caries in orphan children: prevalence and determinants-a systematic review and meta-analysis. (2024)
MD 0.09 [-0.36, 0.55]7 studies · 2676 participantsVery low
Dietary advice on how to achieve a healthy diet for infants (tailored advice focused on a diet low in saturated fat and cholesterol intake) vs Standard care
Child oral health behaviour · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,…
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
Data on oral health behaviours from Lapinleimu 1995 (other data) showed no evidence of a difference between groups.1 studyUngraded
AA+GG (homozygous) genotypes vs GA (heterozygous) genotype
Dental caries · Children (<18 years) with vs without dental caries · Over-dominant model (AA+GG vs GA), Zhang 2006 removed, Sensitivity analysis (Zhang 2006 excluded)
Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024)
OR 0.85 [0.48, 1.49]3 studies · 1329 participantsUngraded
Obesity vs Normal weight (eutrophic)
Dental caries prevalence (any DMFT), dichotomous · Brazilian children/adolescents in permanent dentition (BMI classified by CDC 2000 growth charts)
Overweight/obesity and dental caries in Brazilian children and adolescents: a systematic review and… (2024)
OR 2.53 [1.49, 4.29]2 studies · 659 participantsModerate
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Irreversible pulpitis
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024)
Proportion 0.824 [0.746, 0.890]NRUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries experience (mean dmft) · Children younger than 71 months (under 6 years) · Gini index: no inequalities
A systematic review and meta-analysis on early-childhood-caries global data. (2024)
MEAN 3.95NRUngraded
Breastfeeding <18 months vs Breastfeeding ≥18 months
Dental caries (ECC) · Preschool children under 6 years of age · First dental examination before age 6 years, Cohort studies; sensitivity analysis excluding studies 48 and 52
Association of Breastfeeding and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
RR 0.26 [0.16, 0.42]3 studiesUngraded
Missing teeth / tooth loss vs Fewer or no missing teeth
Oral cancer (OC) · Adults in case-control studies of oral cancer · Not specified, Overall (all missing-teeth measures pooled)
Periodontitis and the risk of oral cancer: a meta-analysis of case-control studies. (2024)
OR 1.20 [0.97, 1.48]6 studiesUngraded
Maternal smoking during pregnancy vs No maternal smoking during pregnancy
Dental caries in children · Children of mothers assessed for smoking status during pregnancy (early childhood dental caries) · Exposure during pregnancy; caries assessed in early childhood, Children's age: >3 years
Maternal smoking during pregnancy and early childhood dental caries in children: a systematic review and… (2024)
OR 1.83 [1.53, 2.18]5 studiesUngraded
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 · Cross-sectional, Slum vs non-slum urban / general population
Systematic review of oral health in slums and non-slum urban settings of Low and Middle-Income Countries… (2024)
Five studies compared slum with non-slum urban or national populations: Airen 2014 (caries 76% slum vs 50-60% general), Patel 2017 and Osuh 2022 (higher oral disease prevalence in slum vs non-slum urban sites), Singh…5 studiesUngraded
Genome-wide common variants (additive dosage; present-study GWAS) vs Genome-wide significance threshold (P<5E-8)
Dental caries - genome-wide-significant loci · Japanese adults (present-study cohort: 30,859 dental caries cases / 14,666 controls) · Lifelong (germline genotype), Present-study GWAS (Japanese)
Genome-wide association meta-analysis identifies two novel loci associated with dental caries. (2024)
In the present Japanese GWAS, no loci reached genome-wide significance (P<5E-8) for dental caries; several loci reached the suggestive level (P<1E-5). Top-associated variant rs140784657 (intergenic). All 47 lead…1 study · 45525 participantsUngraded
Second molar mesially inclined at extraction vs Second molar upright at extraction
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 0.68 [0.27, 1.71]3 studiesUngraded
Breastfeeding (exclusive or partial, any duration) vs No breastfeeding
Dental caries (early childhood caries) · Preschool children (<6 years) · Cohort studies
Association of Breastfeeding and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
RR 0.98 [0.77, 1.26]10 studies · 8506 participantsUngraded
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Other methods (pooled: ART/glass ionomer cement, nano-silver fluoride, sodium fluoride varnish)
Caries arrestment at the tooth level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 6 to 12 months, Overall (all comparators pooled)
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 1.74 [0.88, 3.46]5 studies · 743 participantsModerate
Breastfeeding for <4 months vs Breastfeeding for ≥4 months
Dental caries (early childhood caries) · Preschool children (<6 years) · Cohort studies
Association of Breastfeeding and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
RR 0.95 [0.80, 1.13]2 studies · 1017 participantsUngraded
Intervention NR
Cariogenic microbiota counts (Streptococcus mutans, Lactobacillus spp.) · Narrative synthesis: significantly higher in CLP vs controls (Ahluwalia, Lucas, Hassani, Cheng, Sundell)
Characterization of the oral microbiota and the relationship of the oral microbiota with the dental and… (2024)
no estimate extracted5 studiesUngraded
Intervention NR
Overall success (composite of clinical and radiographic success) · Immature teeth, normal pulp/reversible pulpitis
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024)
Proportion 0.892 [0.834, 0.940]2 studiesUngraded
Silver diamine fluoride (SDF) vs Restoration (restorative treatment)
Dental pain or sensitivity · Children and adults (with or without carious lesions) · 12 months, Children
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 9.14 [0.49, 172.21]1 study · 69 participantsVery low
nCaF2 primer vs Control Transbond primer
Photographic white spot lesion score · Patients undergoing fixed orthodontic treatment · Before and after treatment
Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed… (2024)
No significant differences in the WSLs photographic scores of the control group with the contralateral nCaF2 group before and after bonding.1 study · 31 participantsUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC) prevalence (%, dmft>0) · Children younger than 71 months (under 6 years) · Overall (all regions)
A systematic review and meta-analysis on early-childhood-caries global data. (2024)
Prevalence 49 [44, 55]67 studiesUngraded
Silver diamine fluoride (SDF) vs Silver nitrate plus fluoride varnish
Secondary prevention of caries · Children and adults (with or without carious lesions)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported data for this outcome in this comparison0 studiesNo studies
Cesarean section delivery vs Vaginal delivery
Early childhood caries (ECC) · Children with average age ≤3 years · Average age: ≤3 years
RETRACTED: The association between mode of childbirth delivery and early childhood caries: A comprehensive… (2024)
OR 0.86 [0.67, 1.10]10 studiesUngraded