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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)

5,762 questions in 263 reviews · Dental caries

current versions
No studies 321 · 5.6%Ungraded 4,450 · 77.2%Very low 455 · 7.9%Low 297 · 5.2%Moderate 200 · 3.5%High 39 · 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
Multivariable caries prediction model vs Additional prediction model(s)
Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Hänsel Petersson,2010 [31]; model performance 2
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR− 0.34 [0.22, 0.52]1 studyUngraded
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− 0.21 [0.13, 0.35]1 studyUngraded
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 7
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR+ 1.04 [1.01, 1.08]1 studyUngraded
Supraomohyoid neck dissection vs Modified radical neck dissection
Adverse events associated with treatment · Adults with oral cavity or oropharyngeal cancer
Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane
Adverse events: significant difference in complication rates, lower for supraomohyoid (SOND 13.0% vs MRND 21.9%, P=0.040). UW-QOL at 1 year: supraomohyoid superior in pain relief (78.8% vs 75.2%, P=0.013) and shoulder…1 study · 332 participantsVery low
Carious dentin before cavity sealing vs Carious dentin after cavity sealing
MMP-2 expression/activity · Human ex vivo carious dentin under sealed cavities · Before vs after sealing (Kuhn 2016: 60 days follow-up)
Presence of host and bacterial-derived collagenolytic proteases in carious dentin: a systematic review of ex… (2023)
There is no difference of MMP-2 expression/activity before and after cavity sealing, although the evidence is very uncertain.2 studies · 48 participantsVery low
Malocclusion vs No malocclusion
Oral health-related quality of life (OHRQoL), impaired (qualitative synthesis) · Adolescents aged 10-19 years
Malocclusions and quality of life among adolescents: a systematic review and meta-analysis. (2023)
Impaired OHRQoL, qualitative synthesis: relative effect not estimable across the 13 studies (13,864 participants); moderate quality of evidence (GRADE).13 studies · 13864 participantsModerate
Amalgam (AAG) 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 2.46 [1.42, 4.27]8 studies · 1135 participantsModerate
Irradiated carious dentin vs Non-irradiated carious dentin
MMP-20 expression/activity · Human ex vivo carious dentin (head/neck radiotherapy)
Presence of host and bacterial-derived collagenolytic proteases in carious dentin: a systematic review of ex… (2023)
There is no difference about the MMP-20 expression in irradiated vs. non-irradiated carious dentin, but the evidence is very uncertain (Gomes-Silva et al., 2017b).1 study · 36 participantsVery low
PET-CT following chemoradiotherapy (neck dissection only if no/incomplete response) vs Planned neck dissection before or after chemoradiotherapy
Locoregional recurrence · Adults with oral cavity or oropharyngeal cancer with nodal disease (stage N2 or N3) · 3 years
Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane
HR 1.00 [0.94, 1.06]1 study · 564 participantsModerate
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 10
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR+ 1.63 [1.17, 2.26]1 studyUngraded
Elective neck dissection (at time of primary tumour resection) vs Therapeutic (delayed) neck dissection
Locoregional recurrence · Adults with oral cavity cancer (tongue or floor of mouth) and clinically negative neck nodes · 3 years
Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane
HR 0.58 [0.43, 0.78]4 studies · 458 participantsModerate
Intervention NR
New active carious lesions (permanent first molars) · Llodra 2005 (6-monthly SDF, Cuba)
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Mean new active carious lesions per child 0.4 vs 1.11 studyUngraded
Herbal mouthwash vs Blank control
Plaque-related index · Orthodontic patients · ≤ 3 months
The efficacy of mouthwashes on oral microorganisms and gingivitis in patients undergoing orthodontic… (2023)
PI was significantly reduced compared to baseline [39; 48; 54; 58]; BBPI was significantly reduced compared to blank control [47]; TI and dental plaque amount were significantly reduced compared to baseline [45; 38].8 studiesVery low
Intervention NR
Pulp necrosis · Compound impression material
Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023)
Proportion 3.271 studyUngraded
Supraomohyoid neck dissection vs Modified radical neck dissection
Total mortality · Adults with oral cavity or oropharyngeal cancer
Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane
Total mortality: reported but not usable (Guo 2014: during follow-up 113/322 (35.1%) died; SOND 53, MRND 60). No GRADE rating.1 studyUngraded
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence)
Periapical pathosis · Vital teeth restored with indirect restorations · ≤5 years, Follow-up ≤5 years
Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023)
Proportion 2.26 [0.59, 4.98]856 participantsUngraded
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 6
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR− 0.54 [0.38, 0.76]1 studyUngraded
Giomer (GIONOMER) 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 1.66 [0.49, 5.61]1 study · 38 participantsLow
Enamel pre-treatment with CPP-ACP before bonding metallic orthodontic brackets vs No enamel pre-treatment before bonding, or treatment with another material
Shear bond strength (SBS) of metallic orthodontic brackets · Extracted permanent human teeth (enamel); sound or demineralized · Before bonding
Shear bond strength of metallic brackets bonded to enamel pretreated with CPP-ACP: a systematic review and… (2023)
MD 1.163 [-0.321, 2.648]15 studies · 1379 participantsUngraded
Elective radical (comprehensive) neck dissection vs Elective selective neck dissection
Recurrence · Adults with oral cavity cancer · 5 years
Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane
RR 1.21 [0.63, 2.33]1 study · 143 participantsVery low
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, Treated by undergraduate students
Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023)
Proportion 5.68 [3.17, 8.86]1604 participantsUngraded
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 9
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR− 0.59 [0.41, 0.85]1 studyUngraded
Botulinum toxin (BoNT) injection into salivary glands vs Placebo injection
Adverse events (participants with >=1 adverse event) · Adults with Parkinson's disease and sialorrhea (drooling) · Approximately 1 month post-injection (one study ~1 week), BoNT type B
The effectiveness and safety of botulinum toxin injections for the treatment of sialorrhea with Parkinson's… (2023)
RD 0.18 [0.04, 0.33]5 studies · 132 participantsUngraded
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 1
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR+ 1.57 [1.24, 1.99]1 studyUngraded
Gum chewing (sugar-free) vs No gum chewing (control)
Unstimulated whole salivary flow rate · Elderly (>60 years) and medically compromised adults with xerostomia / dry mouth · Gum chewed daily for >=2 weeks (2 to 12 weeks; multiple time points for Kim and Ozen)
The effect of gum chewing on xerostomia and salivary flow rate in elderly and medically compromised… (2023)
SMD 0.44 [0.22, 0.66]6 studies · 291 participantsUngraded
Periodontal disease assessed by loss of attachment (LOA / clinical attachment loss) vs Individuals without periodontal disease (by LOA)
Oral health-related quality of life (dichotomous: poor vs not) · Indian adults and elderly (police, teachers, general and institutionalised populations)
Impact of oral conditions on oral health-related quality of life among Indians- a systematic review and… (2023)
Periodontal disease (LOA) and QoL (dichotomous): two studies found a significant association (Saxena 2018, Abhishek 2016), one denied it (Nagarajappa 2015, P=0.687). Not pooled.3 studiesUngraded
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 8
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR+ 1.88 [1.24, 2.74]1 studyUngraded
Supraomohyoid neck dissection vs Modified radical 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: reported but not usable (variable follow-up) (Guo 2014).1 studyUngraded
Multivariable caries prediction model vs Additional prediction model(s)
Root caries increment · Individuals of all ages · Follow-up ≥1 year, Hayes,2017 [33]; model performance 5
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR− 0.41 [0.28, 0.61]1 studyUngraded
Resin composite (RC) 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 2.00 [1.10, 3.64]13 studies · 728 participantsVery low
38% SDF (one-time application) vs Information unavailable
New coronal carious lesions or fillings on permanent (first) molars (caries prevention) · Children with dental caries in permanent (first) molars · 12 months, Mauro 2004 (permanent first molars, one-time SDF; Argentina)
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Prevented Fraction 571 study · 141 participantsUngraded
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)
Impact of oral conditions on oral health-related quality of life among Indians- a systematic review and… (2023)
OR 3.54 [2.24, 5.60]10 studies · 4945 participantsModerate
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence)
Periapical pathosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, Single-unit restorations
Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023)
Proportion 2.20 [1.12, 3.61]6 studies · 2339 participantsUngraded
Vitamin D deficiency (serum 25(OH)D < 50 nmol/L) vs Normal vitamin D level (serum 25(OH)D ≥ 50 nmol/L)
Dental caries · Children (<19 years) · Adjusted for confounders
Correlation between vitamin D levels in serum and the risk of dental caries in children: a systematic review… (2023)
RR 1.16 [1.10, 1.22]NRUngraded
Prosthetic need vs Individuals without prosthetic need
Oral health-related quality of life (continuous), measured by OHIP-14 · Indian elderly and general-population adults
Impact of oral conditions on oral health-related quality of life among Indians- a systematic review and… (2023)
Prosthetic need and QoL (continuous, OHIP-14): prosthetic need was significantly related to various components of OHRQoL (Joseph 2016). Single study, not pooled.1 studyUngraded
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+ 1.73 [1.42, 2.12]1 studyUngraded
OHI + 38% SDF (applied every 12 months) vs oral health instruction plus water
new root-surface carious lesions or restorations · community-dwelling older adults with root caries · 24 months
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Preventative fraction (%) 281 study · 266 participantsUngraded
Biodentine vs Mineral trioxide aggregate (MTA)
Clinical and radiographic success (composite) · Patients with carious pulp exposure in permanent teeth undergoing DPC or pulpotomy · ≥6 months follow-up
Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious… (2023)
Biodentine vs MTA was the second most frequent comparison (5 RCTs) for the primary outcome but was not pooled owing to substantial clinical/statistical heterogeneity; the panel of per-trial forest plots (Figure 8)…5 studiesUngraded
Intervention NR
Caries arrest rate in permanent posterior teeth · Mendiratta 2021 (intellectually disabled, India)
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Caries arrest rate (%) 94.5 vs 90.1 (p=0.405, NS)1 studyUngraded
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, Glass ionomer (GIC) permanent cement
Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023)
Proportion 5.33 [2.56, 9.03]182 participantsUngraded
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 6
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR− 0.15 [0.02, 1.10]1 studyUngraded
CPP-ACP vs Control (placebo / no active therapy)
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 -0.18 [-0.49, 0.14]8 studiesUngraded
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 4
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR− 0.43 [0.3, 0.51]1 studyUngraded
Multivariable caries prediction model vs Additional prediction model(s)
Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Hänsel Petersson,2002 [18]; model performance 1
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR+ 2.03 [1.48, 2.79]1 studyUngraded
Tooth location
Pulp necrosis incidence · Vital teeth · Cheung et al. 2005 maxillary posterior
Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023)
Proportion 23.71 studyUngraded
Early childhood caries / severe early childhood caries vs Caries-free children
Risk of malnutrition (younger children, 6 months to 6 years) · Children in early childhood (0-6 years) · Zahid et al. 2020 (Nepal; children 6 months-6 years)
The bi-directional relationship between growth stunting and early childhood caries: a rapid review. (2023)
MD 0.13 [-0.64, 0.38]1 study · 273 participantsUngraded
Mineral trioxide aggregate (MTA) vs Calcium hydroxide (CH)
Clinical and radiographic success · Patients with carious pulp exposure in mature permanent teeth · 1 to 3 years, Mature teeth
Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious… (2023)
OR 3.34 [1.81, 6.17]5 studies · 537 participantsModerate
Dental caries (assessed by DMFT/deft/dmft, WHO criteria or PUFA) vs Individuals without dental caries
Oral health-related quality of life (continuous), measured by OHIP-14 / ECOHIS / Michigan Oral Health QoL · Indians across all ages (children, adolescents, adults, elderly)
Impact of oral conditions on oral health-related quality of life among Indians- a systematic review and… (2023)
SMD 0.87 [0.34, 1.40]6 studies · 4511 participantsModerate
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 1
Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023)
LR− 0.43 [0.29, 0.66]1 studyUngraded
Carious dentin vs Sound dentin
Cathepsin B presence/activity · Human coronal carious dentin and sound dentin
Presence of host and bacterial-derived collagenolytic proteases in carious dentin: a systematic review of ex… (2023)
no estimate extracted2 studies · 22 participantsVery low