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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
Periodontitis vs No periodontitis (periodontal health or gingivitis)
Dental caries (prevalence) · Adults · Severe periodontitis
Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024)
OR 2.14 [1.74, 2.64]7 studiesUngraded
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: Middle East
A systematic review and meta-analysis on early-childhood-caries global data. (2024)
Prevalence 72 [58, 85]7 studiesUngraded
TT genotype vs TC+CC genotypes
Dental caries · Children (<18 years) with vs without dental caries · Recessive model (TT vs TC+CC), Asian ethnicity
Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024)
OR 1.16 [0.85, 1.60]NRUngraded
Silver diamine fluoride (SDF) vs Silver nitrate plus fluoride varnish
Aesthetics · 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 Placebo or no treatment
Secondary prevention of caries · Children and adults (with or without carious lesions) · 18 months, Primary dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 1.08 [0.52, 2.23]1 study · 128 participantsVery low
C allele vs A allele
Dental caries · Children (<18 years) with vs without dental caries · Allelic model (C vs A)
Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024)
OR 0.89 [0.70, 1.14]3 studies · 1327 participantsUngraded
Intervention NR
Decayed, missing, filled surfaces (DMFS) · Periodontal disease severity (CDC-AAP); single study (Robert 2019); adjusted
Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024)
OR 1.03 [1.01, 1.05]1 studyUngraded
Probiotics (any strain, dose, or presentation), minimum intake duration 0.2 months vs No treatment or placebo (control)
Streptococcus viridans count (CFU/mL) · Children and/or adolescents (<18 years) without background systemic disease · 6 months, Single study (Mishra 2014); not pooled
Efficacy of Probiotic Consumption on Oral Outcomes in Children and/or Adolescents: A Meta-Analysis. (2024)
MD 0.40 [0.33, 0.47]1 study · 60 participantsUngraded
Genome-wide common variants (additive dosage; GWAS meta-analysis) vs Genome-wide significance threshold (P<5E-8)
Periodontal disease - novel loci (meta-analysis) · Adults from Japanese and European cohorts (present study + GLIDE + UK Biobank + BioBank Japan); periodontal disease… · Lifelong (germline genotype), Meta-analysis: present study + GLIDE + UKB + BBJ
Genome-wide association meta-analysis identifies two novel loci associated with dental caries. (2024)
Meta-analysis of periodontal disease identified only previously known loci; no novel loci. The chromosome-19 SIGLEC5 locus associated with periodontitis in Europeans was not replicated in Japanese populations (present…4 studies · 764572 participantsUngraded
Cesarean section delivery vs Vaginal delivery
Early childhood caries (ECC) · Children aged <6 years · Overall (all 24 studies; random-effects)
RETRACTED: The association between mode of childbirth delivery and early childhood caries: A comprehensive… (2024)
OR 1.05 [0.86, 1.30]24 studies · 71732 participantsUngraded
Silver diamine fluoride (SDF) vs Fluoride varnish
Secondary prevention of caries · Children and adults (with or without carious lesions) · Permanent dentition (coronal)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported data in this dentition type0 studiesNo studies
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Region: America/Canada/Brazil/Chile
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024)
OR 3.98 [1.14, 13.87]5 studies · 319 participantsUngraded
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 · Cross-sectional, Rural/slum vs urban
Systematic review of oral health in slums and non-slum urban settings of Low and Middle-Income Countries… (2024)
Alternative implements included toothpowder, chewing-stick, neem, charcoal, sand, snuff, salt, miswak, cotton wool and the fingers; native/indigenous tools were used more by rural and slum/disadvantaged residents than…NRUngraded
Er:YAG laser irradiation of sound enamel before acid challenge vs No anticaries intervention (untreated enamel)
Enamel mineral loss · Human tooth enamel specimens, sound/intact (in vitro) · After cariogenic acid challenge / pH cycling
Effect of Er:YAG Laser Irradiation on Preventing Enamel Caries: A Systematic Review and Meta-Analysis. (2024)
SMD -2.09 [-3.29, -0.88]4 studiesUngraded
Cleft lip and palate vs No cleft lip and palate
Streptococcus mutans mean levels/counts · Children and adolescents aged 0 to 18 years with nonsyndromic cleft lip and palate
Characterization of the oral microbiota and the relationship of the oral microbiota with the dental and… (2024)
SMD 1.78 [1.36, 2.19]2 studies · 175 participantsUngraded
Intervention NR
Overall success (composite of clinical and radiographic success) · Partial pulpotomy, irreversible pulpitis
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024)
Proportion 0.826 [0.754, 0.889]6 studiesUngraded
Cesarean section delivery vs Vaginal delivery
Early childhood caries (ECC) · Children aged <6 years · Confounder adjustment: Yes
RETRACTED: The association between mode of childbirth delivery and early childhood caries: A comprehensive… (2024)
OR 1.11 [0.89, 1.37]9 studiesUngraded
Silver diamine fluoride (SDF) vs Chlorhexidine varnish
Adverse effects · 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
Institutionalization (living in an orphanage/institution) vs Parented children living with their families
Primary-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 0.64 [-0.74, 2.01]4 studies · 1028 participantsVery low
Overweight vs Normal weight (eutrophic)
Dental caries prevalence (any dmft), dichotomous · Brazilian children in primary dentition (BMI classified by CDC 2000 growth charts)
Overweight/obesity and dental caries in Brazilian children and adolescents: a systematic review and… (2024)
OR 1.02 [0.69, 1.53]2 studies · 734 participantsVery low
Extraction of the mandibular permanent first molar vs None (single-group prevalence)
Rotation of the mandibular first premolar · 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)
Prevalence 37.8 [0.7, 98.2]2 studies · 109 participantsUngraded
Periodontitis vs No periodontitis (periodontal health or gingivitis)
Mean DFR (decayed, filled root teeth) · Adults · Overall
Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024)
WMD 1.13 [0.48, 1.78]4 studiesUngraded
M2 Demirjian stages A-D vs M2 Demirjian stages F-H
Spontaneous space closure · Children and adolescents with maxillary permanent first molar extraction · Follow-up to complete eruption of the permanent second molar, Maxilla
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR >100.00 [0.02, >100.00]3 studiesUngraded
Indirect bonding using flowable composite adhesive (Opal Bond MV) vs Direct bonding (conventional, Transbond XT)
White spot lesion formation (QLF: fluorescence loss, lesion area) · Patients undergoing fixed orthodontic (fixed appliance) treatment (adolescents and adults, ages 12 to 35) · Before and after treatment (T0 to T1)
Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed… (2024)
Atilla 2020 (1 single-blind parallel RCT, 51 patients): the direct-bonding group had significantly greater loss of fluorescence and demineralization and larger lesion areas than the indirect-bonding (flowable…1 study · 51 participantsUngraded
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)
Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024)
OR 0.60 [0.28, 1.25]4 studies · 1741 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) · Region: North America
A systematic review and meta-analysis on early-childhood-caries global data. (2024)
Prevalence 57 [36, 77]5 studiesUngraded
Fixed orthodontic treatment with fixed (multibracket) appliances (exposure) vs None (single-group prevalence/incidence estimate)
Incidence of new ICLs (proportion of subjects developing new lesions) · Patients undergoing fixed orthodontic treatment with fixed (multibracket) appliances, followed for development of new… · During fixed orthodontic treatment (development of new lesions), Overall (random-effects model)
Distribution of initial caries lesions in relation to fixed orthodontic therapy. A systematic review and… (2024)
Proportion 0.48 [0.33, 0.63]7 studies · 533 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
Caries presence in primary teeth · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,… · Children assessed at 3 yrs
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
RR 1.08 [0.34, 3.37]1 study · 148 participantsVery low
High-dose vitamin D3 supplementation during pregnancy (2400 IU/day from pregnancy week 24 to 1 week postpartum, in addition to the recommended 400 IU/day) vs Low-dose (standard) vitamin D supplementation as recommended in national pregnancy guidelines
dmft index score · 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
dmft was listed in the SoF table but not assessed (not reported for this comparison).0 studiesNo studies
Used less than half of the brush of fluoride toothpaste vs Used half or more of the brush
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
OR 0.77 [0.41, 1.46]2 studies · 258 participantsVery low
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 microbiological presence (mutans streptococci colonisation) · 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
Yu 2021: MS colonisation level (CFU x10^4) lower with intervention at 2 yrs (MD -2.80) and 3 yrs (MD -15, 95% CI -27.75 to -2.25) but not 1 yr (MD -0.20, 95% CI -0.50 to 0.10); MS-to-total-bacteria ratio lower at 1 yr…1 studyUngraded
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, Study region: Australia
Maternal smoking during pregnancy and early childhood dental caries in children: a systematic review and… (2024)
OR 1.68 [1.35, 2.10]1 studyUngraded
Intervention NR
Comparable diagnostic accuracy (photographic vs visual examination) · Overall narrative conclusion across included studies
Teledentistry accuracy for caries diagnosis: a systematic review of in-vivo studies using extra-oral… (2024)
Study conclusion (narrative) 17 of 19 studies concluded photographic diagnostic accuracy comparable to visual caries assessment19 studiesUngraded
Periodontitis vs No periodontitis (periodontal health or gingivitis)
Dental caries (prevalence) · Adults · Age 65 to over 75 years
Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024)
OR 1.69 [1.44, 1.98]2 studiesUngraded
Fixed orthodontic treatment with fixed (multibracket) appliances (exposure) vs None (single-group prevalence/incidence estimate)
Prevalence of ICLs (proportion of tooth surfaces affected) · Patients (permanent dentition) during or after fixed orthodontic treatment with fixed (multibracket) appliances · During or after fixed orthodontic treatment (cross-sectional/at debonding), Overall (random-effects model)
Distribution of initial caries lesions in relation to fixed orthodontic therapy. A systematic review and… (2024)
Proportion 0.22 [0.14, 0.33]6 studies · 11583 participantsVery low
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Study quality (NOS): low
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024)
OR 5.14 [2.12, 12.48]4 studiesUngraded
Fixed orthodontic treatment with fixed (multibracket) appliances (exposure) vs None (single-group prevalence/incidence estimate)
Prevalence of ICLs (proportion of subjects affected) · Patients (permanent dentition) during or after fixed orthodontic treatment with fixed (multibracket) appliances · During or after fixed orthodontic treatment (cross-sectional/at debonding), Overall (random-effects model)
Distribution of initial caries lesions in relation to fixed orthodontic therapy. A systematic review and… (2024)
Proportion 0.57 [0.48, 0.65]13 studies · 1448 participantsVery low
Silver diamine fluoride (SDF) vs Fluoride varnish
Caries arrest · Children and adults (with or without carious lesions) · 30 months, Primary dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD -0.13 [-0.87, 0.61]1 study · 309 participantsVery low
TT+TC genotypes vs CC genotype
Dental caries · Children (<18 years) with vs without dental caries · Dominant model (TT+TC vs CC), Mixed dentition
Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024)
OR 0.81 [0.44, 1.51]NRUngraded
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
SiC30 index score · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,… · Children assessed at 6 yrs
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
MD -0.93 [-1.73, -0.13]1 study · 187 participantsUngraded
Silver diamine fluoride (SDF) vs Atraumatic restorative treatment (ART) with glass ionomer cement (GIC) or glass ionomer material
Caries arrest · Children and adults (with or without carious lesions) · 24 months, Primary dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 1.13 [0.52, 2.45]1 study · 143 participantsVery low
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, Full pulpotomy
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024)
Proportion 0.859NRUngraded
Highest BMI category (overweight/obese) vs Lowest BMI category (normal weight/underweight)
Dental caries / early childhood caries (ECC) · Children (approx. 4-18 years) · Age: <7 years
Childhood obesity in relation to risk of dental caries: a cumulative and dose-response systematic review and… (2024)
OR 1.59 [1.22, 2.07]9 studiesUngraded
TT+TC genotypes vs CC genotype
Dental caries · Children (<18 years) with vs without dental caries · Dominant model (TT+TC vs CC), Permanent dentition
Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024)
OR 0.72 [0.48, 1.07]NRUngraded
Non-syndromic cleft lip and palate (CLP) status and its oral microbiota (exposure/grouping) vs Children and adolescents aged 0-18 years without CLP (controls)
Periodontal/gingival clinical status (gingival index, biofilm index, probing depth, bleeding on probing, attachment loss) · Children and adolescents aged 0-18 years with non-syndromic cleft lip and palate (CLP)
Characterization of the oral microbiota and the relationship of the oral microbiota with the dental and… (2024)
Six studies (Ahluwalia, Rawashdeh, Funahashi, Perdikogianni, Quirynen, Costa) reported that patients with CLP had higher gingival index and biofilm/plaque index, deeper probing depth, more bleeding on probing and…6 studiesUngraded
Periodontitis vs No periodontitis (periodontal health or gingivitis)
Crown caries · Adults · Crown caries
Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024)
OR 1.03 [1.01, 1.05]3 studiesUngraded
Prenatal vitamin D deficiency (low maternal 25(OH)D during pregnancy) vs Adequate prenatal vitamin D (sufficient maternal 25(OH)D)
Dental caries in children · Infants and children (aged about 2 to 8 years) whose mothers' vitamin D status was assessed during pregnancy · Prenatal exposure; dental caries in children aged 2 to 8 years, Publication-bias adjustment: Trim & Fill corrected pooled estimate
Association between prenatal vitamin D deficiency with dental caries in infants and children: a systematic… (2024)
OR 1.28 [1.14, 1.48]NRUngraded
Brushed less than twice per day vs Brushed twice or more per day
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
OR 1.63 [0.81, 3.28]2 studies · 258 participantsVery low
One-step self-adhesive resin without a separate primer (GC Ortho Connect) vs Conventional multi-step adhesive systems (three-step Transbond XT; self-etch primer Transbond Plus)
White spot lesion development (QLF: mineral loss, lesion area/depth, new lesions) · Patients undergoing fixed orthodontic (fixed appliance) treatment (adolescents and adults, ages 12 to 35) · 2 and 4 months
Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed… (2024)
Horan 2023 (1 three-arm RCT, 75 patients): the one-step adhesive without primer (GC Ortho Connect) had a significantly higher WSL incidence and larger, deeper lesions than both the three-step and self-etch systems…1 study · 75 participantsUngraded
rs4801882 effect allele G (intron variant in SIGLEC5, chr19:52,127,053) vs Non-effect allele A
Dental caries (meta of mixed phenotypes: present-study self-report + GLIDE clinical DMFS + UKB self-report/dentures) · Adults from Japanese and European cohorts (present-study Japanese direct-to-consumer cohort + GLIDE consortium and UK… · Lifelong (germline genotype), Meta-analysis: present study + GLIDE + UKB
Genome-wide association meta-analysis identifies two novel loci associated with dental caries. (2024)
Z-score (meta) -5.6393 studies · 533348 participantsUngraded