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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.
5,762 questions in 263 reviews · Dental caries
current versionsNo 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.
| Question | Effect | Evidence | Status / 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 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− 0.21 [0.13, 0.35] | 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 7 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.04 [1.01, 1.08] | 1 study | Ungraded |
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 participants | Very 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 participants | Very 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 participants | Moderate |
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 participants | Moderate |
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 participants | Very 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 participants | Moderate |
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 study | Ungraded |
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 participants | Moderate |
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 1.1 | 1 study | Ungraded |
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 studies | Very low |
Intervention NR Pulp necrosis · Compound impression material Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) | Proportion 3.27 | 1 study | Ungraded |
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 study | Ungraded |
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 participants | 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 6 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.54 [0.38, 0.76] | 1 study | Ungraded |
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 participants | Low |
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 participants | Ungraded |
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 participants | Very 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 participants | 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 9 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.59 [0.41, 0.85] | 1 study | Ungraded |
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 participants | 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 1 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.57 [1.24, 1.99] | 1 study | Ungraded |
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 participants | Ungraded |
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 studies | 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 8 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.88 [1.24, 2.74] | 1 study | Ungraded |
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 study | Ungraded |
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 study | Ungraded |
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 participants | Very 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 57 | 1 study · 141 participants | 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) 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 participants | Moderate |
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 participants | Ungraded |
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] | NR | Ungraded |
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 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+ 1.73 [1.42, 2.12] | 1 study | Ungraded |
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 (%) 28 | 1 study · 266 participants | Ungraded |
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 studies | Ungraded |
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 study | 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, 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 participants | 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 6 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.15 [0.02, 1.10] | 1 study | Ungraded |
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 studies | 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 4 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.43 [0.3, 0.51] | 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,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 study | Ungraded |
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 23.7 | 1 study | Ungraded |
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 participants | Ungraded |
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 participants | Moderate |
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 participants | Moderate |
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 study | Ungraded |
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 extracted | 2 studies · 22 participants | Very low |