Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

828 questions · 1,477 findings · 103 reviews

No studies found 5 · 0.3%GRADE not reported 1,402 · 94.9%Very low 38 · 2.6%Low 20 · 1.4%Moderate 11 · 0.7%High 1 · 0.1%

Replacement of the defective restoration vs Repair of the defective restoration

Composite: Preference for replacement over repair - Scenario 7: non-stable (mobile) restoration · Dentists managing a defective direct resin composite restoration (posterior occlusal Class I; standardized vignette of a 30-year-old,…

For a defective composite restoration with non-stable (mobile) restoration, surveyed dentists most often preferred replacement over repair (pooled RR 12.17; p < 0.001); ungraded.

1 finding from 1 review

Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability

Lumbar spine and pelvis fracture · European GWAS participants

The SVMR Weighted Median interval included the null.

3 findings from 1 review

Electronic cigarette use vs Non-smokers

Interleukin-8 (IL-8) · Humans who use e-cigarettes (mostly adults, often with periodontal disease) assessed for oral proinflammatory markers

Meta-analysis suggests no significant effect of e-cigarette use on the salivary level of Interleukin-8 (IL-8) (6 studies), though heterogeneity was high (I2=84%) and the pooled estimate appears only in Figure 3C (unavailable); GCF data were limited (1 study(ies)) (ungraded).

1 finding from 1 review

Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability

Osteoporosis · European GWAS participants

The SVMR MR-Egger interval included the null.

4 findings from 1 review
Show 1 more finding

Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability

Osteoporosis with pathological fracture · European GWAS participants

The SVMR Weighted Median interval included the null.

3 findings from 1 review

Electronic cigarette use vs Non-smokers

TNF-α level · People who use electronic cigarettes

The review reports no significant e-cigarette effect on salivary TNF-α.

3 findings from 1 review

Electronic cigarette use vs Non-smokers

Interleukin-6 (IL-6) · Humans who use e-cigarettes (mostly adults, often with periodontal disease) assessed for oral proinflammatory markers

Meta-analysis suggests no significant effect of e-cigarette use on the salivary level of Interleukin-6 (IL-6) (6 studies), though heterogeneity was high (I2=95%) and the pooled estimate appears only in Figure 3D (unavailable); GCF data were limited (1 study(ies)) (ungraded).

1 finding from 1 review

Electronic cigarette use vs Non-smokers

IL-6 level · People who use electronic cigarettes

The review reports that GCF evidence was limited and may show a potential association.

3 findings from 1 review

Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability

Forearm fracture · European GWAS participants

The SVMR Weighted Median interval included the null.

3 findings from 1 review

Postbiotics from Lactobacillus spp. (cell-free supernatants, biosurfactants, lipoteichoic acid, bacterial lysates) vs No prior SDF application (untreated dentin control)

Downregulation of S. mutans virulence/biofilm gene expression (gtfB, gtfC, ftf) · Cariogenic bacteria (mainly Streptococcus mutans reference strains) and oral biofilms in vitro

Postbiotics reduce expression of S. mutans biofilm/virulence genes (gtfB, gtfC, ftf) in vitro (ungraded narrative synthesis).

1 finding from 1 review
  • Postbiotics and Dental Caries: A Systematic Review. 2025 All outcomes
    Exposure 24 h to 7 days · Laboratory (in vitro)
    Postbiotics downregulated expression of S. mutans virulence and exopolysaccharide-synthesis genes (e.g., gtfB, gtfC, gtfD, ftf) in 10 in vitro studies; no pooled estimate.
    8 studies
    GRADE not reported

Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability

Osteoporosis with pathological fracture · European-ancestry adults

Genetically predicted periodontitis had no causal effect on osteoporosis with pathological fracture (single-variable MR, OR 1.003).

2 findings from 1 review

Electronic cigarette use vs Non-smokers

IL-1β level · People who use electronic cigarettes

The review reports no significant e-cigarette effect on salivary IL-1β.

3 findings from 1 review

Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability

Lumbar spine and pelvis fracture · European-ancestry adults

Genetically predicted periodontitis had no causal effect on fracture of lumbar spine and pelvis (multivariable MR, OR 1.060).

2 findings from 1 review