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Search review questions

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)

866 questions in 43 reviews · Oral and maxillofacial surgery

current versions
No studies 188 · 21.7%Ungraded 548 · 63.3%Very low 81 · 9.4%Low 37 · 4.3%Moderate 8 · 0.9%High 4 · 0.5%

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
Second molar at Nolla developmental stage 6-7 at extraction vs Second molar at later Nolla stages at extraction
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 55.1 [3.0, at least 100.0]1 studyUngraded
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Recurrence rate · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 3 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Occlusal splint vs No treatment or placebo (non-occlusal or transparent-foil placebo splint)
Discomfort · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 1 as 'Not reported'; this outcome was not reported by any included study for this comparison. Discomfort was not reported in any included study across the whole review.0 studiesNo studies
Occlusal splint vs Another occlusal splint with a different mechanism of action
Self-reported joint pain when chewing · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 2 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Extraction of the permanent first molar vs None (single-group prevalence)
Spontaneous space closure · Children and adolescents (<18 years) after extraction of a permanent first molar before eruption of the permanent… · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
Prevalence 48.1 [34.5, 62.0]11 studies · 1095 participantsUngraded
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) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 0.59 [0.20, >100.00]3 studiesUngraded
Occlusal splint vs Pharmacological therapy
Frequency of joint noise · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 6 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Depression · People with temporomandibular disorders (TMD) · Short term, Disc displacement with reduction (DDwR)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD -0.25 [-0.52, 0.02]1 study · 60 participantsUngraded
Occlusal splint vs Acupuncture
Muscle pain when chewing · People with temporomandibular disorders (TMD) · Short term (1 month), Myofascial pain TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD 0.10 [-0.80, 1.00]1 study · 40 participantsVery low
Second molar distally inclined at extraction vs Second molar upright at extraction
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 1.18 [0.43, 3.21]3 studiesUngraded
Occlusal splint vs Another occlusal splint with a different mechanism of action
Frequency of joint noise · People with temporomandibular disorders (TMD) · Short term (3 months), Disc displacement with reduction (DDwR)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
RR 0.80 [0.07, 9.18]1 study · 9 participantsVery low
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Severity of joint noise · People with temporomandibular disorders (TMD) · Long term (4 months), Mixed TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD 5.92 [0.18, 11.66]1 study · 20 participantsVery low
Occlusal splint vs Behavioural therapy (counselling, CBT, relaxation, self-care management)
Joint pain at rest · People with temporomandibular disorders (TMD) · Short term (1 month), Mixed TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD -2.59 [-4.21, -0.97]1 study · 39 participantsVery low
Unilateral extraction of the mandibular first permanent molar vs Bilateral extraction of the mandibular first permanent molars
Midline deviation of the mandibular arch · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 11.6 [1.9, 70.3]1 studyUngraded
Occlusal splint vs No treatment or placebo (non-occlusal or transparent-foil placebo splint)
Muscle pain when chewing · People with temporomandibular disorders (TMD) · Short term (3 months), Disc displacement without reduction (DDwoR)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD -1.97 [-2.37, -1.57]1 study · 84 participantsVery low
Occlusal splint vs Acupuncture
Discomfort · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 5 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Second molar at Demirjian stage F-G at extraction vs Second molar at Demirjian stage D-E at extraction
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 0.68 [0.28, 1.66]4 studiesUngraded
Occlusal splint vs Pharmacological therapy
Muscle pain at mastication · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 6 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Occlusal splint vs Another occlusal splint with a different mechanism of action
Joint pain at rest · People with temporomandibular disorders (TMD) · Long term (12 months), Disc displacement with reduction (DDwR)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
RR 7.00 [0.41, 120.16]1 study · 20 participantsVery low
Second molar at Demirjian stage A-D at extraction vs Second molar at Demirjian stage G-H at extraction
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 2.75 [0.50, 15.10]3 studiesUngraded
Occlusal splint vs Pharmacological therapy
Range of mandibular motion · People with temporomandibular disorders (TMD) · Short term, Mixed TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD -2.95 [-6.87, 0.97]1 study · 40 participantsUngraded
Occlusal splint vs Acupuncture
Self-reported joint pain when chewing · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 5 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Extraction of the mandibular permanent first molar vs None (single-group prevalence)
Rotation of the mandibular second premolar · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
Prevalence 60.0 [10.7, 95.0]2 studies · 105 participantsUngraded
Male sex vs Female sex
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 1.38 [0.37, 5.14]2 studiesUngraded
Occlusal splint vs Pharmacological therapy
Muscle pain at rest · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 6 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Occlusal splint vs No treatment or placebo (non-occlusal or transparent-foil placebo splint)
Severity of joint noise · People with temporomandibular disorders (TMD) · Long term (4 months), Mixed TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD -0.58 [-7.09, 5.93]1 study · 20 participantsVery low
Second molar at Demirjian stage E at extraction vs Second molar at Demirjian stage F-H at extraction
Spontaneous space closure · Children and adolescents after extraction of a maxillary permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Maxilla
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 4.78 [1.56, 14.66]3 studies · 252 participantsLow
Occlusal splint vs No treatment or placebo (non-occlusal or transparent-foil placebo splint)
Depression · People with temporomandibular disorders (TMD) · Short term, Mixed TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD -2.58 [-4.62, -0.54]1 study · 32 participantsUngraded
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Participant satisfaction or quality of life · People with temporomandibular disorders (TMD) · Short term (1 month), Mixed TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD -7.56 [-14.50, -0.63]2 studies · 75 participantsUngraded
Occlusal splint vs Acupuncture
Participant satisfaction or quality of life · People with temporomandibular disorders (TMD) · Short term (1 month), Mixed TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD 0.80 [-7.36, 8.96]1 study · 30 participantsUngraded
Intervention NR
Spontaneous space closure · Maxilla: M2 Demirjian A-D vs G-H
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR >100.001 studyUngraded
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Muscle pain when chewing · People with temporomandibular disorders (TMD) · Short term (mean 3 months), Myofascial pain TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
RR 0.17 [0.02, 1.26]1 study · 40 participantsVery low
Cleft lip and palate vs No cleft lip and palate
Lactobacillus spp. mean levels/counts · Children and adolescents aged 0 to 18 years with nonsyndromic cleft lip and palate
Characterization of the oral microbiota and the relationship of the oral microbiota with the dental and… (2024)
MD 1.40 [1.33, 1.47]2 studies · 152 participantsUngraded
M2 Demirjian stages F-G vs M2 Demirjian stages E-D
Spontaneous space closure · Children and adolescents with maxillary permanent first molar extraction · Follow-up to complete eruption of the permanent second molar, Maxilla
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR >100.00 [0.01, >100.00]3 studiesUngraded
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Joint pain at rest · People with temporomandibular disorders (TMD) · Short term (6 weeks), Disc displacement without reduction (DDwoR)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
RR 0.85 [0.47, 1.57]1 study · 31 participantsVery low
Second molar at Demirjian stage E-F at extraction vs Second molar at Demirjian stage G-H at extraction
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 4.44 [0.43, 46.10]3 studiesUngraded
Occlusal splint vs Behavioural therapy (counselling, CBT, relaxation, self-care management)
Frequency of joint noise · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 4 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Second molar at Demirjian stage A-D at extraction vs Second molar at Demirjian stage F-H at extraction
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 3.11 [1.25, 7.72]3 studies · 95 participantsLow
Occlusal splint vs Behavioural therapy (counselling, CBT, relaxation, self-care management)
Recurrence rate · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 4 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Second molar mesially inclined at extraction vs Second molar upright at extraction
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 0.68 [0.27, 1.71]3 studiesUngraded
Intervention NR
Cariogenic microbiota counts (Streptococcus mutans, Lactobacillus spp.) · Narrative synthesis: significantly higher in CLP vs controls (Ahluwalia, Lucas, Hassani, Cheng, Sundell)
Characterization of the oral microbiota and the relationship of the oral microbiota with the dental and… (2024)
no estimate extracted5 studiesUngraded
Occlusal splint vs No treatment or placebo (non-occlusal or transparent-foil placebo splint)
Frequency of joint noise · People with temporomandibular disorders (TMD) · Short term (mean 10 weeks), Myofascial pain TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
RR 1.18 [0.63, 2.20]1 study · 60 participantsVery low
Occlusal splint vs Another occlusal splint with a different mechanism of action
Range of mandibular motion · People with temporomandibular disorders (TMD) · Short term (12 weeks), Mixed TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD 0.63 [-3.16, 4.42]1 study · 40 participantsUngraded
Occlusal splint vs Acupuncture
Muscle pain at rest · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 5 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Occlusal splint vs No treatment or placebo (non-occlusal or transparent-foil placebo splint)
Range of mandibular motion · People with temporomandibular disorders (TMD) · Short term, Disc displacement (with/without reduction)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD -2.41 [-7.78, 2.96]1 study · 30 participantsUngraded
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Frequency of joint noise · People with temporomandibular disorders (TMD) · Short term (3 months), Myofascial pain TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
RR 1.50 [0.32, 6.94]1 study · 18 participantsVery low
Extraction at patient age <8 years vs Extraction at patient age >10 years
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 5.01 [1.45, 17.30]2 studies · 15 participantsLow
Occlusal splint vs Behavioural therapy (counselling, CBT, relaxation, self-care management)
Range of mandibular motion · People with temporomandibular disorders (TMD) · Short term (6 weeks), Myofascial pain TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD 1.40 [-7.19, 9.99]1 study · 20 participantsUngraded
Extraction at patient age 8-10 years vs Extraction at patient age >10 years
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 3.32 [1.73, 6.36]3 studies · 109 participantsLow
Occlusal splint vs Pharmacological therapy
Joint pain at rest · People with temporomandibular disorders (TMD) · Short term, Osteoarthritis / mixed TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
RR 1.87 [0.57, 6.07]1 study · 29 participantsVery low