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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 |
|---|---|---|---|
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 study | Low |
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 participants | Ungraded |
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 participants | Ungraded |
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 studies | Ungraded |
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 study | Ungraded |
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 101 | 233 studies | Ungraded |
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 studies | Ungraded |
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 studies | Low |
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 studies | Ungraded |
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 participants | Ungraded |
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 study | Ungraded |
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 studies | Ungraded |
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) -0.088 | NR | Ungraded |
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 studies | Moderate |
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 study | Ungraded |
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 studies | Ungraded |
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 studies | Moderate |
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] | NR | Ungraded |
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 participants | Ungraded |
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 studies | Ungraded |
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 studies | Ungraded |
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 groups | 12 studies · 1184 participants | Low |
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 studies | Ungraded |
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 participants | Ungraded |
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] | NR | Ungraded |
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 participants | Ungraded |
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 0.63 | 2 studies | Ungraded |
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 participants | Ungraded |
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 studies | Ungraded |
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 studies | Ungraded |
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 study | Ungraded |
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 participants | Low |
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 studies | Ungraded |
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 studies | Ungraded |
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 participants | High |
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 studies | Ungraded |
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 studies | Ungraded |
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 participants | Ungraded |
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 extracted | 1 study | Ungraded |
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 participants | Ungraded |
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 participants | Ungraded |
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 participants | Ungraded |
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 participants | Ungraded |
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 studies | Ungraded |
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 participants | Ungraded |
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] | NR | Ungraded |
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 studies | Ungraded |
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 studies | Low |
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 participants | Ungraded |
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 participants | Ungraded |