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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)

10,375 questions in 429 reviews · Oral Health

current versions
No 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.

QuestionEffectEvidenceStatus / GRADE
Self-assembling/remineralizing peptide (e.g., P11-4, PAA-PASP) vs Fluoride agent (e.g., NaF/SDF/KF/CaF2)
Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Self-Etch + chemical ACAD
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025)
MD 2.131 [-2.213, 6.475]1 studyLow
AI algorithms (predominantly CNN/deep learning) as index test vs Dental expert / visual-tactile clinical assessment (reference standard)
Sensitivity · Patients undergoing dental caries detection on dental images (teeth/surfaces across imaging modalities) · Cross-sectional diagnostic accuracy (index test vs reference standard), Overall (all imaging modalities pooled)
Examining the diagnostic accuracy of artificial intelligence for detecting dental caries across a range of… (2025)
Sensitivity 0.85 [0.83, 0.93]20 studies · 29423 participantsUngraded
Genetically predicted dental caries (DMFS index) vs Reference (1-SD lower genetically predicted DMFS)
Fracture of lumbar spine and pelvis · European-ancestry adults · Lifelong genetic liability, MVMR (IVW), adjusted for periodontitis
From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025)
OR 0.968 [0.840, 1.114]490700 participantsUngraded
Dental caries (presence or experience) vs Adolescents without dental caries
Negative oral-health impact on daily performance measured by OIDP · Adolescents aged 10 to 19 years · Cross-sectional (concurrent exposure and outcome); oral impacts recalled over the prior 6 months, Instrument subgroup: OIDP (all 3 studies)
Impact of dental caries on the quality of life of adolescents: A systematic review and meta-analysis. (2025)
PR 1.68 [0.89, 3.17]3 studiesUngraded
Brushing at recommended time vs Reference brushing time
Early childhood caries (ECC) · Children aged 0-5 years in North Africa
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 0.028 [0.004, 0.223]1 studyUngraded
Dental treatments including dental care and services
Patients' factors of choice regarding utilization of dental treatments · Potential patients in dental care, including parents or caregivers making treatment decisions; excludes patients with…
Decision-making regarding dental treatments - What factors matter from patients' perspective? A systematic… (2025)
Number of factors identified 101233 studiesUngraded
Electronic cigarette use vs Non-smokers
TNF-α level · People who use electronic cigarettes · Overall
The effects of electronic smoking on dental caries and proinflammatory markers: a systematic review and… (2025)
Cohen's d 0.66 [-0.16, 1.43]7 studiesUngraded
Calcium phosphate agent (e.g., CPP-ACP, Ca/P-PILP, niobophosphate) vs Calcium-based agent
Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Etch-and-Rinse + chemical ACAD
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025)
MD 0.596 [-7.289, 8.482]7 studiesLow
Western/Northern Europe (UN M49 region) vs Eastern/Southern Europe (UN M49 geographical categorization)
Caries experience (mean DMFT) · 12-year-old children across European countries (national/regional epidemiological surveys, 2011-2022) · Cross-sectional (survey data 2011-2022), East Europe
Caries status in 12-year-old children, geographical location and socioeconomic conditions across European… (2025)
MEAN 2.76 [2.44, 3.08]9 studiesUngraded
Genetically predicted dental caries (DMFS index) vs Reference (1-SD lower genetically predicted DMFS)
Fracture of forearm · European-ancestry adults · Lifelong genetic liability, MVMR (IVW), adjusted for periodontitis
From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025)
OR 0.973 [0.891, 1.063]490889 participantsUngraded
Caries in mother's mouth vs No maternal caries
Early childhood caries (ECC) · Children aged 0-5 years in North Africa
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 20.44 [8.37, 49.92]1 studyUngraded
Intervention NR
Early childhood caries (ECC), prevalence · Study design: hospital-based
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
Prevalence 64 [40, 89]2 studiesUngraded
Partial pulpotomy with one additional day before permanent restoration vs Partial pulpotomy with one fewer day before permanent restoration
Clinical and radiographic success rate · Adults aged 18 years or older with mature permanent teeth and carious pulp exposure · Per day of restoration delay, Meta-regression
Partial pulpotomy for carious pulp exposure in adult mature permanent teeth: a systematic review and… (2025)
Meta-regression coefficient (per day, proportion scale) -0.088NRUngraded
Iron deficiency anemia (IDA) vs Children without anemia (non-anemic)
Dental caries (presence) · Children and adolescents (0-18 years; most included reviews focused on <6 years)
Association Between Iron Deficiency Anemia and Dental Caries in Children: A Systematic Umbrella Meta-Analysis. (2025)
OR 3.64 [2.45, 5.40]3 studiesModerate
Spoon sharing with household members vs No spoon sharing
Early childhood caries (ECC) · Children aged 0-5 years in North Africa
Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025)
OR 8.79 [2.92, 26.51]1 studyUngraded
Intervention NR
Amalgam: Preference for replacement over repair - Scenario 2: loss of dental hard substance adjacent to the restoration · HDI: High
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 6.46 [5.43, 7.68]7 studiesUngraded
Conventional restoration vs Atraumatic restorative treatment (ART)
Treatment success (caries lesion arrest or restoration survival) · Children (aged 3-11 y) with cavitated caries lesions in primary teeth · 12 months, 12-month follow-up
Comparative success of minimally invasive treatments for cavitated caries in primary teeth: a network… (2025)
OR 2.10 [1.17, 3.78]43 studiesModerate
Intervention NR
Amalgam: Preference for replacement over repair - Scenario 5: open margin · Coverage: Covering cost of minimally invasive treatment
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 4.98 [4.07, 6.09]NRUngraded
Replacement of the defective restoration vs Repair of the defective restoration
Composite: Preference for replacement over repair - Scenario 2: loss of dental hard substance adjacent to the restoration · Dentists managing a defective direct resin composite restoration (posterior occlusal Class I; standardized vignette of… · Not applicable (single time-point survey, June to October 2023), Overall (all 21 countries pooled)
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 0.75 [0.62, 0.91]21 studies · 3680 participantsUngraded
Intervention NR
Composite: Preference for replacement over repair - Scenario 2: loss of dental hard substance adjacent to the restoration · Continent: Africa
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 0.93 [0.68, 1.27]2 studiesUngraded
Intervention NR
Amalgam: Preference for replacement over repair - Scenario 3: secondary caries · Continent: Asia
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 6.51 [4.64, 9.13]11 studiesUngraded
Cavity liner (calcium hydroxide, glass-ionomer cement, resin-modified calcium silicate/TheraCal LC, hydraulic calcium silicate/MTA or Biodentine, flowable composite, or other liner material) vs No cavity liner or a different liner material
Tooth survival · Patients with deep caries lesions in mature or immature permanent (posterior) teeth, with no symptoms or reversible… · >=12 months
Efficacy of different cavity liners compared to no cavity lining in managing deep caries in vital permanent… (2025)
No significant difference; 99.4% survival in all groups12 studies · 1184 participantsLow
Intervention NR
Composite: Preference for replacement over repair - Scenario 5: open margin · HDI: Low
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 1.36 [0.15, 12.30]2 studiesUngraded
Replacement of the defective restoration vs Repair of the defective restoration
Composite: Preference for replacement over repair - Scenario 5: open margin · Dentists managing a defective direct resin composite restoration (posterior occlusal Class I; standardized vignette of… · Not applicable (single time-point survey, June to October 2023), Overall (all 21 countries pooled)
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 3.93 [2.68, 5.76]21 studies · 3680 participantsUngraded
Higher drinking-water fluoride exposure vs Null / lowest drinking-water fluoride exposure (reference)
Risk of fragility fractures · Females (all ages) · Long-term / lifetime fluoride exposure, Females: drinking-water fluoride 1.1 mg/L vs null
The association of fluoride exposure with bone density and fracture risk: a dose-response meta-analysis. (2025)
RR 1.13 [0.93, 1.37]NRUngraded
Genetically predicted DMFS (dental caries) vs Lower genetically predicted DMFS
Femur fracture · European GWAS participants · SVMR MR-Egger
From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025)
OR 0.893 [0.678, 1.175]489106 participantsUngraded
Quantitative light-induced fluorescence (QLF) vs Reference standard (histology; some ICDAS/radiography)
Occlusal caries detection: sensitivity · Extracted human teeth (in vitro); permanent and primary teeth, occlusal surfaces · Primary dentition
Diagnostic accuracy of quantitative light-induced fluorescence in detecting caries of various types and… (2025)
Sensitivity 0.632 studiesUngraded
Genetically predicted periodontitis vs Reference (lower genetically predicted periodontitis liability)
Osteoporosis with pathological fracture · European-ancestry adults · Lifelong genetic liability, SVMR (IVW), total causal effect
From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025)
OR 1.003 [0.875, 1.150]376746 participantsUngraded
Intervention NR
Amalgam: Preference for replacement over repair - Scenario 3: secondary caries · HDI: High
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 8.20 [6.93, 9.70]7 studiesUngraded
Intervention NR
Composite: Preference for replacement over repair - Scenario 4: marginal discoloration · HDI: High
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 2.55 [1.79, 3.62]7 studiesUngraded
Fluoride agent (silver diamine fluoride, SDF) vs No biomimetic remineralization (control)
Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Self-Etch + biological ACAD
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025)
Only 1 in vitro study (de Siqueira et al., 2020) assessed Self-Etch adhesive with biological ACAD; insufficient to perform a network meta-analysis, so no pooled estimate is reported.1 studyUngraded
Theory-based oral health education/promotion interventions (HBM, TPB, SCT, HAPA, TTM, PMT, SOC, PRECEDE-PROCEED, MI) vs Control (waitlist, routine/standard oral health education, or minimal intervention)
Oral health-related quality of life (OHRQoL) · Children and adolescents aged 5-18 years · Post-intervention (follow-up 0.5 to 12 months, varies by study), Overall
Health promotion theory-based educational interventions for improving oral health in children and… (2025)
SMD 7.38 [5.57, 9.19]4 studies · 4751 participantsLow
Dental caries (presence or experience) vs Adolescents without dental caries
Negative oral-health impact on daily performance measured by OIDP · Adolescents aged 10 to 19 years · Cross-sectional (concurrent exposure and outcome); oral impacts recalled over the prior 6 months, Instrument subgroup: OIDP, sensitivity analysis excluding Krisdapong et al.
Impact of dental caries on the quality of life of adolescents: A systematic review and meta-analysis. (2025)
PR 1.21 [1.15, 1.28]2 studiesUngraded
Intervention NR
Amalgam: Preference for replacement over repair - Scenario 6: corrosion · HDI: Low
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 1.09 [0.86, 1.38]2 studiesUngraded
Ion-releasing restorations (IRR): RMGIC, HVGIC, GIC, compomer/PMRC, giomer vs Composite resin (CR), including bulk-fill composite
Absence of secondary caries · Children receiving dental restorations (aged 4-11 years; primary teeth; Class I/II/V cavities) · 1 to 2 years
Clinical effectiveness of ion-releasing restorations compared to composite restorations in pediatric dental… (2025)
RR 1.01 [0.99, 1.03]9 studies · 1145 participantsHigh
Intervention NR
Amalgam: Preference for replacement over repair - Scenario 6: corrosion · Continent: Africa
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 1.60 [1.22, 2.10]2 studiesUngraded
Intervention NR
Amalgam: Preference for replacement over repair - Scenario 3: secondary caries · HDI: Low
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 6.16 [4.45, 8.52]2 studiesUngraded
Biodentine (BD) vs Calcium hydroxide (CaOH)
Clinical and radiographic success · Vital permanent teeth (mature or immature) with deep or extremely deep caries and asymptomatic pulp or reversible… · >=12 months
Effectiveness of calcium hydroxide compared to hydraulic calcium silicate cements for direct pulp capping in… (2025)
OR 3.14 [0.91, 10.86]3 studies · 242 participantsUngraded
Postbiotic toothpaste vs Fluoride toothpaste
Salivary Streptococcus mutans count · Children aged 6 to 12 years · 4 weeks
Postbiotics and Dental Caries: A Systematic Review. (2025)
no estimate extracted1 studyUngraded
Hydraulic calcium silicate cements (HCSC; MTA or Biodentine) vs Calcium hydroxide (CaOH)
Clinical and radiographic success · Vital permanent teeth (mature or immature) with deep or extremely deep caries and asymptomatic pulp or reversible… · 12 months, 12-month follow-up
Effectiveness of calcium hydroxide compared to hydraulic calcium silicate cements for direct pulp capping in… (2025)
OR 4.44 [1.63, 12.07]3 studies · 174 participantsUngraded
Genetically predicted DMFS (dental caries) vs Lower genetically predicted DMFS
Lumbar spine and pelvis fracture · European GWAS participants · SVMR Weighted Median
From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025)
OR 0.867 [0.691, 1.087]490700 participantsUngraded
Replacement of the defective restoration vs Repair of the defective restoration
Amalgam: Preference for replacement over repair - Scenario 2: loss of dental hard substance adjacent to the restoration · Dentists managing a defective direct amalgam restoration (posterior occlusal Class I; standardized vignette of a… · Not applicable (single time-point survey, June to October 2023), Overall (all 21 countries pooled)
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 4.70 [3.59, 6.16]21 studies · 3680 participantsUngraded
Genetically predicted dental caries (DMFS index) vs Reference (1-SD lower genetically predicted DMFS)
Postmenopausal osteoporosis with pathological fracture · Postmenopausal women (European ancestry) · Lifelong genetic liability, MVMR (IVW), adjusted for periodontitis
From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025)
OR 1.422 [1.027, 1.969]281786 participantsUngraded
Intervention NR
Composite: Preference for replacement over repair - Scenario 4: marginal discoloration · Continent: Africa
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 2.88 [2.31, 3.58]2 studiesUngraded
Replacement of the defective restoration vs Repair of the defective restoration
Amalgam: Preference for replacement over repair - Scenario 6: corrosion · Dentists managing a defective direct amalgam restoration (posterior occlusal Class I; standardized vignette of a… · Not applicable (single time-point survey, June to October 2023), Overall (all 21 countries pooled)
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 1.59 [1.24, 2.03]21 studies · 3680 participantsUngraded
Intervention NR
Amalgam: Preference for replacement over repair - Scenario 5: open margin · Coverage: Not covering
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 5.26 [3.58, 7.71]NRUngraded
Intervention NR
Log diagnostic odds ratio · Imaging modality: Bitewing radiographs
Examining the diagnostic accuracy of artificial intelligence for detecting dental caries across a range of… (2025)
Log DOR 3.96 [3.20, 4.72]5 studiesUngraded
Breastfeeding for more than 24 months vs Not breastfed at the same age
Prevalence of early childhood caries · Children up to 71 months · More than 24 months
Risk of Early Childhood Dental Caries Associated With Prolonged Breastfeeding: A Systematic Review and… (2025)
OR 2.99 [1.03, 8.67]4 studiesLow
Dental treatments, care, and services (the decision context) vs None (no comparator defined)
Fear of SARS-CoV-2 infection (COVID-19) as a barrier to dental treatment · (Potential) patients with freedom of choice regarding dental treatments, including parents and caregivers deciding for… · US patients surveyed at COVID-19 onset (Papautsky et al., n=2570)
Decision-making regarding dental treatments - What factors matter from patients' perspective? A systematic… (2025)
One article (Papautsky et al., US convenience sample n=2,570) reported that fear of SARS-CoV-2 infection led patients to postpone and cancel dental treatments; dental care respondents were most likely to report delays…1 study · 2570 participantsUngraded
Replacement of the defective restoration vs Repair of the defective restoration
Amalgam: Preference for replacement over repair - Scenario 4: marginal discoloration · Dentists managing a defective direct amalgam restoration (posterior occlusal Class I; standardized vignette of a… · Not applicable (single time-point survey, June to October 2023), HDI: Very high
Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025)
RR 6.48 [3.71, 11.31]10 studies · 1754 participantsUngraded