Findings

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Evidence found and GRADE certainty

2,745 questions · 4,389 findings · 203 reviews · Oral Health

No studies found 39 · 0.9%GRADE not reported 3,844 · 87.6%Very low 198 · 4.5%Low 137 · 3.1%Moderate 134 · 3.1%High 37 · 0.8%

TiO2-modified composite (1 wt.%) vs Control composite in contralateral quadrant

Streptococcus mutans count · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

TiO2-modified composite showed no S. mutans difference, with certainty not graded.

1 finding from 1 review

Fixed orthodontic treatment with fixed (multibracket) appliances (exposure) vs None (single-group prevalence/incidence estimate)

Association between orthodontic treatment duration and ICLs prevalence · Patients (permanent dentition) during or after fixed orthodontic treatment with fixed (multibracket) appliances

ICLs prevalence increased with longer orthodontic treatment duration (meta-regression P=.01; ungraded).

1 finding from 1 review

Probiotics vs placebo or control

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

High-frequency sugar consumption (three or more times daily) vs Low sugar intake (fewer than three times daily)

Early childhood caries experience (mean dmft) · Nigerian children with primary dentition (approximately 6 months to 5 years)

In primary dentition, high-frequency sugar consumption was associated with slightly higher, non-significant odds of caries (OR 1.13, 95% CI 0.23 to 5.44), with high heterogeneity (I2=83%; ungraded).

1 finding from 1 review

Clearfil Protect Bond antibacterial fluoride-releasing primer vs Conventional Transbond XT primer

White spot lesion incidence · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

Clearfil Protect Bond showed no difference in WSL incidence, with certainty not graded.

1 finding from 1 review

Opal Seal fluoride-releasing primer vs Conventional Transbond XT primer

White spot lesions assessed by laser fluorescence (DIAGNOdent) · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

Opal Seal had fewer DIAGNOdent-measured lesions, with certainty not graded.

1 finding from 1 review

Slum residence vs Non-slum urban setting

Periodontal pocket (odds), slum vs non-slum residence · Adult residents of slums and non-slum urban settings of LMICs

Slum residents had significantly higher odds of periodontal pocketing than non-slum residents (OR 1.50, 95% CI 1.13-1.98; single study); ungraded.

1 finding from 1 review

Male sex vs Female sex

Dental caries susceptibility · Institutionalized orphan children (roughly 3 to 18 years)

Male institutionalized children had a marginally higher caries risk than females (RR 1.02), a non-significant difference (very low certainty).

1 finding from 1 review

Grape seed extract or grape seed flavonoid fractions vs No extract or vehicle control; other antimicrobial agents

Biofilm morphology · Streptococcus mutans (in vitro cultures and biofilms)

No meta-analysis was conducted; two included studies reported reduced microcolonies or altered bacterial structure with grape seed extract.

1 finding from 1 review

Grape seed extract (GSE) and its proanthocyanidin fractions vs Untreated or vehicle control (some studies vs positive antimicrobial controls, e.g. chlorhexidine/fluoride)

Bacterial adhesion (inhibition) · Streptococcus mutans (in vitro cultures and biofilms)

Grape seed extract inhibits S. mutans adhesion to hydroxyapatite in vitro (2 studies; ungraded).

1 finding from 1 review

Opal Seal fluoride-releasing primer vs Conventional Transbond XT primer

Photographic white spot lesion score · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

Opal Seal showed no difference in photographic WSL severity, with certainty not graded.

1 finding from 1 review

Resin-modified glass ionomer cement for bonding orthodontic brackets vs Conventional/control orthodontic adhesive (e.g., Transbond XT) or negative control

New white spot lesion incidence (and first-time bracket bond failure) · Patients undergoing fixed orthodontic (fixed appliance) treatment (adolescents and adults, ages 12 to 35)

A single multicenter RCT found resin-modified glass-ionomer cement did not reduce new white spot lesions or bond failures versus conventional composite (ungraded).

1 finding from 1 review

nCaF2 primer vs Control Transbond primer

Enamel demineralization (DIAGNOdent score) · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

nCaF2 primer favored lower demineralization scores, but certainty was not graded.

1 finding from 1 review

Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)

Proportion of ancient skulls with at least one non-carious cervical lesion (NCCL) · Ancient/prehistoric human skulls (excavated/archaeological skeletal remains)

About 1.4% of ancient skulls (pooled) had at least one NCCL; crude 17/805 (2.11%) across 6 studies (ungraded, substantial heterogeneity I2=69%).

1 finding from 1 review

C allele vs T allele

Dental caries · Children (<18 years) with vs without dental caries

FokI(rs10735810) C allele was significantly associated with higher caries risk vs T allele (pooled OR 1.33, 95% CI 1.03-1.71); ungraded.

1 finding from 1 review

Remineralizing orthodontic adhesives vs Conventional/control orthodontic adhesive (e.g., Transbond XT) or negative control

Enamel remineralization / anti-demineralization extent · Human teeth with early enamel lesions surrounding orthodontic brackets

No meta-analysis was conducted; most included in vitro studies reported significant remineralization with remineralizing orthodontic adhesives versus controls.

1 finding from 1 review

Higher mean patient age (per 1 year) vs Lower mean patient age (per 1-year decrement)

Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar)

In the mandible, mean patient age was not significantly associated with space closure odds (OR 0.59 per year; not GRADE-rated).

1 finding from 1 review

CC+CT genotypes vs TT genotype

Dental caries · Children (<18 years) with vs without dental caries

CC+CT genotype at FokI(rs10735810) was associated with ~1.87-fold higher caries risk than TT (dominant model, OR 1.87); ungraded.

1 finding from 1 review

Cesarean section delivery vs Vaginal delivery

Early childhood caries (ECC) · Children with average age >3 years

No significant association between cesarean vs vaginal delivery and ECC among children with average age >3 years (OR 1.24, 95% CI 0.89-1.71).

1 finding from 1 review