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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.
10,375 questions in 429 reviews · Oral Health
current versionsNo studies 1,344 · 13%Ungraded 6,832 · 65.9%Very low 1,228 · 11.8%Low 613 · 5.9%Moderate 290 · 2.8%High 68 · 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.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Light-emitting diode (LED) photobiomodulation vs Conventional orthodontic appliance treatment Patient perception of pain and discomfort (VAS 0 to 100 mm) · Adolescents and adults with malocclusion undergoing fixed orthodontic appliance treatment · First visit Non‐surgical adjunctive interventions for accelerating tooth movement in patients undergoing orthodontic… (2023) · Cochrane | MD -0.80 [-2.20, 0.62] | 1 study · 39 participants | Very low |
Elective radical (comprehensive) neck dissection vs Elective selective neck dissection Total mortality · Adults with oral cavity cancer Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane | Total mortality: 2 trials reported HR but could not be pooled (different surgical procedures); neither indicated a difference (BHNCSG 1998 HR 1.14, 0.70 to 1.86; Bier 1994 HR 0.87, 0.41 to 1.83); 252 participants (2… | 2 studies · 252 participants | Very low |
38% SDF (one-time application) vs Inactive control (water or no treatment) New coronal carious lesions or fillings on permanent (first) molars (caries prevention) · Children with dental caries in permanent (first) molars · 18 months, Monse 2012 (SDF one-time, with toothbrushing programme) A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023) | Mean new caries increment (surfaces) 0.09 | 1 study · 1016 participants | Ungraded |
38% SDF as indirect pulp capping material vs resin-modified glass ionomer cement as indirect pulp capping material secondary caries prevention · children with deep occlusal carious lesions in permanent molars · 12 months A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023) | no estimate extracted | 1 study · 49 participants | Ungraded |
Multivariable prediction model of caries increment (>=3 predictors), e.g. logistic-regression or algorithm-based caries-risk models vs Alternative prediction model(s) within the same study, or no formal comparator (models compared descriptively; no between-model statistical test) Predictive performance for root caries increment (positive likelihood ratio, LR+) · Older adults (aged 52-95; mean 52-73) at risk of root caries increment · Follow-up >=1 year (included studies 1-5 years), Model development studies Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | No meta-analysis. Development root-caries models from 2 root-specific studies (Ritter 2016 [22], Sanchez-Garcia 2011 [23]) plus Powell 1991 [21] (coronal and root). Per-model LR+ (Table 2): Ritter 1.81-2.23 (5 models),… | 2 studies | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Beck,1992 [24]; model performance 5 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.64 [1.47, 1.84] | 1 study | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Hänsel Petersson,2015 [30]; model performance 1 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.32 [0.23, 0.45] | 1 study | Ungraded |
Root carious dentin vs Coronal carious dentin MMP-2 activity · Human root and coronal carious dentin Presence of host and bacterial-derived collagenolytic proteases in carious dentin: a systematic review of ex… (2023) | no estimate extracted | 1 study · 10 participants | Very low |
Pre-operative bone level < 35% vs Pre-operative bone level ≥ 35% Periapical pathosis incidence · Vital teeth · Bone level < 35% Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) | Proportion 1.4 | 1 study | Ungraded |
Dental caries (assessed by DMFT/deft/dmft, WHO criteria or PUFA) vs Individuals without dental caries Oral health-related quality of life (dichotomous: poor vs not) · Indians across all ages (children, adolescents, adults, elderly) · Adolescents 10-19 years (dichotomous) Impact of oral conditions on oral health-related quality of life among Indians- a systematic review and… (2023) | OR 3.92 [2.06, 7.48] | 5 studies · 3171 participants | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Angulo,1995 [13]; model performance 1 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.36 [0.43, 4.31] | 1 study | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Beck,1992 [24]; model performance 3 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.30 [0.24, 0.36] | 1 study | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Pang,2021 [19]; model performance 3 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.86 [1.39, 2.48] | 1 study | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Gao,2013 [29]; model performance 9 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.52 [1.37, 1.68] | 1 study | Ungraded |
38% SDF (indirect pulp capping under resin composite) vs Resin-modified GIC (RMGIC) Secondary caries prevention in young permanent first molars · Children with deep occlusal caries in young permanent first molars (indirect pulp capping) · 12 months, Baraka 2022 (indirect pulp capping, Egypt) A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023) | Baraka et al. (2022): no significant difference in secondary caries prevention between 38% SDF and RMGIC (no secondary caries in either group through 12 months; p=0.63 at 12 months; overall p=0.26). | 1 study · 49 participants | Ungraded |
Dental caries or greater caries severity vs No or less severe dental caries Oral health-related quality of life · Adolescents aged 10-19 years Oral-health-related quality of life in adolescents: umbrella review. (2023) | no estimate extracted | NR | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Beck,1992 [24]; model performance 8 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.48 [0.41, 0.56] | 1 study | Ungraded |
Oral health promotion programs vs No oral health promotion program Oral health-related quality of life (OHRQoL) · Adolescents (10-19 years) Oral-health-related quality of life in adolescents: umbrella review. (2023) | It was observed that health promotion programs have a positive effect on OHRQoL. Studies showed positive effects of OHPP on adolescentes OHRQoL with low methodological quality [38]. | NR | Ungraded |
Outer carious dentin (by lesion depth/location) vs Inner carious dentin MMP-8 location/depth · Human ex vivo carious dentin Presence of host and bacterial-derived collagenolytic proteases in carious dentin: a systematic review of ex… (2023) | Mixed: Kuhn 2016 no statistical difference by location; Shimada 2009 higher MMP-8 in outer vs inner carious dentin (very low certainty) | 2 studies | Very low |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Fontana,2011 [16]; model performance 6 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.44 [0.35, 0.56] | 1 study | Ungraded |
Completed orthodontic treatment vs No previous or incomplete orthodontic treatment Oral health-related quality of life · Adolescents aged 10-19 years Oral-health-related quality of life in adolescents: umbrella review. (2023) | no estimate extracted | NR | Ungraded |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, Radiographic pulp-status assessment Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) | Proportion 4.95 [2.43, 8.29] | 1853 participants | Ungraded |
Cariogram multivariable caries-risk model (including modified/reduced-predictor versions) vs Alternative prediction model(s) within the same study, or no formal comparator (models compared descriptively; no between-model statistical test) Predictive performance of the Cariogram for caries increment (negative likelihood ratio, LR-) · Children/adolescents (coronal caries) and older adults (root caries); populations from areas with varying caries risk · Follow-up >=1 year (included studies 1-5 years), Model validation studies Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | Review-stated LR- range 0.5-0.61 across the Cariogram validation models (with one exception). Model performance was largely unaffected by removing the predictors mutans streptococci in saliva, saliva secretion and… | 6 studies | Ungraded |
Light vibrational forces (LVF) vs Conventional orthodontic appliance treatment (placebo or no adjunct) Change in angulation of teeth adjacent to the space (molar and canine tipping/rotation) · Adolescents and adults with malocclusion undergoing orthodontic treatment with fixed or removable appliances Non‐surgical adjunctive interventions for accelerating tooth movement in patients undergoing orthodontic… (2023) · Cochrane | Siriphan 2019 (lateral cephalometric radiographs): rate of molar movement and tipping, and canine rotation and tipping were not significantly different between groups (P>0.05). | 1 study | Ungraded |
Older age vs Younger age Oral health-related quality of life (OHRQoL) · Adolescents (10-19 years) Oral-health-related quality of life in adolescents: umbrella review. (2023) | Worse oral health status, older age, female sex and worse socioeconomic status were significantly associated with worse OHRQoL. [Body: the influence of religion and age on OHRQoL is unknown; Biological data such as… | NR | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Fontana,2011 [16]; model performance 5 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.88 [1.34, 2.64] | 1 study | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Gao,2013 [29]; model performance 3 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.45 [0.37, 0.55] | 1 study | Ungraded |
Resin infiltration vs Self-assembling peptide P11-4 Remineralization / reduction in lesion severity (change in QLF, laser fluorescence, or lesion area) · Patients with white spot lesions / early caries lesions (WSLs/ECLs), including orthodontic and non-orthodontic… Comparison of therapies of white spot lesions: a systematic review and network meta-analysis. (2023) | SMD -0.39 [-0.97, 0.20] | 1 study | Ungraded |
Glass ionomer cement (GIC) vs Resin-modified glass ionomer cement (RMGIC) Secondary caries (occurrence) · Patients requiring dental restoration; deciduous (primary) teeth · 2 or more years of follow-up Clinical efficacy of bioactive restorative materials in controlling secondary caries: a systematic review… (2023) | RR 1.92 [1.03, 3.56] | 7 studies · 1193 participants | Moderate |
38% SDF every 6 months vs no treatment new active or inactive carious lesions · schoolchildren with caries in permanent first molars · 36 months A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023) | Preventative fraction (%) 72 | 1 study · 452 participants | Ungraded |
Eugenol-based temporary cement vs Eugenol-free temporary cement Pulp necrosis incidence · Vital teeth · Eugenol-based Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) | Proportion 3.34 [1.66, 5.58] | 7043 participants | Ungraded |
38% SDF plus potassium iodide as indirect pulp capping material vs resin-modified glass ionomer cement as indirect pulp capping material secondary caries prevention · children with deep occlusal carious lesions in permanent molars · 12 months A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023) | SDF+KI 2 (8%) vs RMGIC 0 (0%); p=0.63 (NS), 12 months | 1 study · 49 participants | Ungraded |
Mouth pain vs No mouth pain Body mass index-for-age z score · Children aged 1–6 years · Mouth pain The bi-directional relationship between growth stunting and early childhood caries: a rapid review. (2023) | MD 0.29 | 1 study · 593 participants | Ungraded |
Elective neck dissection (at time of primary tumour resection) vs Therapeutic (delayed) neck dissection Adverse events associated with treatment · Adults with oral cavity cancer (tongue or floor of mouth) and clinically negative neck nodes Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane | RR 1.31 [1.11, 1.54] | 2 studies · 746 participants | Moderate |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Fontana,2011 [16]; model performance 9 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.31 [0.22, 0.43] | 1 study | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Root caries increment · Individuals of all ages · Follow-up ≥1 year, Ritter,2016 [22]; model performance 4 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.94 [1.42, 2.65] | 1 study | Ungraded |
Compomer vs Glass ionomer cement (GIC) Secondary caries (occurrence) · Patients requiring dental restoration; permanent teeth · 2 or more years of follow-up Clinical efficacy of bioactive restorative materials in controlling secondary caries: a systematic review… (2023) | RR 3.20 [0.59, 17.33] | 2 studies · 79 participants | Very low |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Hänsel Petersson,2015 [30]; model performance 3 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 2.72 [2.02, 3.68] | 1 study | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Fontana,2011 [16]; model performance 11 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.41 [0.30, 0.56] | 1 study | Ungraded |
Oral health promotion programs vs No oral health promotion program Oral health-related quality of life · Adolescents aged 10-19 years Oral-health-related quality of life in adolescents: umbrella review. (2023) | no estimate extracted | NR | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Christian,2020 [27]; model performance 1 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.14 [0.92, 1.41] | 1 study | Ungraded |
38% SDF every 12 months vs water every 12 months new carious lesions or fillings at tooth level · children with caries in permanent molars · 24 months A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023) | Preventative fraction (%) 41 | 1 study · 501 participants | Ungraded |
Bioactive restorative materials (RMGIC and compomer combined) vs Resin composite (RC) Secondary caries (occurrence) · Patients requiring dental restoration; deciduous (primary) teeth · 1 year of follow-up, Overall (all bioactive vs resin composite) Clinical efficacy of bioactive restorative materials in controlling secondary caries: a systematic review… (2023) | RR 0.54 [0.07, 4.10] | 3 studies · 321 participants | Ungraded |
38% SDF (one-time application) vs Inactive control (water or no treatment) New coronal carious lesions or fillings on permanent (first) molars (caries prevention) · Children with dental caries in permanent (first) molars · 18 months, Monse 2012 (SDF one-time, no toothbrushing programme; Philippines) A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023) | Mean new caries increment (surfaces) 0.12 | 1 study · 1016 participants | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Fontana,2011 [16]; model performance 6 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.87 [1.49, 2.35] | 1 study | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Birpou,2019 [25]; model performance 7 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.58 [1.09, 2.30] | 1 study | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Gao.2010 [17]; model performance 1 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 3.06 [2.73, 3.43] | 1 study | Ungraded |
Sentinel node biopsy (neck dissection only if biopsy positive) vs Elective neck dissection Recurrence · Adults with oral cavity or oropharyngeal cancer Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane | Recurrence: Garrel 2020 reported that the number of patients with recurrences in both arms was almost identical; unable to use the data (variable follow-up); 279 participants (1 RCT). | 1 study · 279 participants | Very low |
Low level laser therapy (LLLT) vs Conventional orthodontic appliance treatment Rate of orthodontic tooth movement during space closure stage (maxillary arch), mm/month · Adolescents and adults with malocclusion undergoing fixed orthodontic appliance treatment · Space closure stage Non‐surgical adjunctive interventions for accelerating tooth movement in patients undergoing orthodontic… (2023) · Cochrane | MD 0.18 [0.10, 0.26] | 1 study · 45 participants | Very low |
Full-time wear of clear plastic (thermoplastic) removable retainer vs Part-time wear of clear plastic (thermoplastic) removable retainer Stability: Little's Irregularity Index · People who had received fixed appliance orthodontic treatment · 12 months, upper and lower arches Retention procedures for stabilising tooth position after treatment with orthodontic braces (2023) · Cochrane | no estimate extracted | 3 studies | Ungraded |