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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 |
|---|---|---|---|
Icon resin infiltration vs Baseline before resin infiltration Lightness change · Patients with post-orthodontic white spot lesions and permanent dentition · 6 months Changes in the Color and Brightness of White Spots Associated with Orthodontic Treatment 6 Months after the… (2022) | Cohen's d 0.71 [0.32, 1.09] | 1 study | Ungraded |
Antiretroviral therapy (any, including cART) vs No antiretroviral medication (treatment-naive) Salivary immunoglobulin A (SIgA) concentration · Children and adolescents (<18 years) living with HIV (CLWH) Impact of Antiretroviral Therapy on Oral Health among Children Living with HIV: A Systematic Review and… (2022) | Two studies gave divergent results: Subramaniam (2015) reported higher SIgA in children on ART for more than 3 years than pre-ART (8.6 (SD 2.9) vs 6.2 (SD 1.7) mg/dL; p < 0.001), whereas Pomarico (2009) found lower… | 2 studies | Very low |
Selective caries removal with composite resin vs Complete caries removal with composite resin Restoration failure · Children with carious primary teeth after vital or non-vital pulp therapy · 2 to 3 years Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated… (2022) | Relative probability of failure 3.44 | 1 study · 48 participants | Ungraded |
Visual or visual-tactile classification (e.g., ICDAS, ERK) vs Reference standard (histology, operative excavation, or enhanced visual examination) Sensitivity for detecting enamel caries · Asymptomatic children or adults suspected of enamel caries (clinical studies); extracted teeth (in vitro studies) · Analysis 1: fully within-person comparison (studies evaluating >=3 index tests) Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Sensitivity 0.82 [0.73, 0.89] | 19 studies · 2849 participants | Ungraded |
Food and nonalcoholic beverage marketing (exposure) vs No, less, or less powerful food marketing Food intake · Children and adolescents aged 0-19 years · Immediate/short-term (post-exposure), Overall (pooled across designs) Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | SMD 0.25 [0.15, 0.35] | 41 studies | Ungraded |
Resin-based pit and fissure sealant (PFS) vs Fluoride varnish (FV) DMFS (decayed, missing, filled surfaces) increment, occlusal surfaces · Schoolchildren aged 6-12 years with sound occlusal surfaces of the first permanent molars · 24 months Pit and Fissure Sealant versus Fluoride Varnish for the Prevention of Dental Caries in School Children: A… (2022) | MD 0.09 [-0.03, 0.21] | 2 studies · 762 participants | Ungraded |
Responsive complementary feeding (RCF) vs Other models of complementary feeding (traditional/non-responsive CF) Overweight/obesity risk · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western… · Follow-up to 3 years Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other… (2022) | RR 0.41 [0.24, 0.71] | 2 studies · 478 participants | Moderate |
Intervention NR Adverse events A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum on Plaque Quantity in the Oral… (2022) | No adverse events reported | 8 studies | Ungraded |
High-viscosity GIC atraumatic restorative treatment vs No control Restoration survival · Children with caries in primary molars · 1 year, Multi-surface Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | Survival rate 73 | 9 studies | Ungraded |
Composite strip crowns with composite, fiber, or reverse metal posts vs Alternative post type Restoration failure · Children with carious primary teeth after vital or non-vital pulp therapy · 1 year, Composite post (CP) arm Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated… (2022) | Annual failure rate (AFR, %) 2.3 | 1 study · 54 participants | Ungraded |
Dental caries assessment (WHO/clinical diagnostic criteria; caries = DMFT>0) vs None (descriptive prevalence review; subgroup analyses by urban/rural status, country and year) Caries prevalence · 12-year-old children (permanent dentition) in Africa · Country: Uganda Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Prevalence 0.27 [0.126, 0.418] | 3 studies | Ungraded |
Caries assessment at enamel threshold vs None Caries prevalence · European adolescents aged 15 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.77 [0.70, 0.85] | 9 studies | Ungraded |
Resin-modified glass-ionomer cement (RMGIC) restoration vs Amalgam, compomer, composite resin, or glass carbomer Treatment failure (annual failure rate) · Children with previously unrestored, vital carious lesions in primary teeth (no pulp therapy); aged 1.5-11 years · 12-48 months Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) 1.9-16.9% | 4 studies | Ungraded |
Combined antiretroviral therapy (cART) vs Monotherapy or dual antiretroviral therapy Dental caries prevalence and severity · Children and adolescents (<18 years) living with HIV (CLWH) Impact of Antiretroviral Therapy on Oral Health among Children Living with HIV: A Systematic Review and… (2022) | No significant difference in dental caries/severity between CLWH on cART and those on monotherapy or dual therapy (no numeric estimate reported in the text); 2 study(ies). | 2 studies | Very low |
High-viscosity GIC atraumatic restorative treatment vs No control Restoration survival · Children with caries in primary molars · 1 year, Single-surface Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | Survival rate 95 | 9 studies | Ungraded |
Caries assessment at enamel threshold vs None Enamel caries proportion · European adolescents aged 15 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Proportion 0.72 [0.55, 0.96] | 2 studies | Ungraded |
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls Kaposi's sarcoma (WHO clinical stage 4) · Children and adolescents (<18 years) · Cross-sectional (case-control; single time point) Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A… (2022) | Planned WHO stage 4 outcome; no eligible studies (Table 2 lists 'None'). | 0 studies | No studies |
Pulpotomy (partial or full) vs None (single-arm pooled success proportion) Clinical and radiographic success rate (>=6 months) · Human permanent teeth with irreversible pulpitis (symptomatic and asymptomatic) due to carious pulp exposure · >=6 months, Observational studies (GRADE evidence profile) Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022) | Proportion 0.926 [0.86, 0.96] | 6 studies · 177 participants | Very low |
Responsive complementary feeding (RCF) vs Control (usual care) BMI z-score (overweight/obesity) at 13 months · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western… · 13 months Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other… (2022) | Risk of overweight and obesity after 13 mo (RCT, BMIz): DANIELS 2012 - children in the intervention group had a lower BMIz at 13 months than controls (0.23 +/- 0.93 vs 0.42 +/- 0.85; p = 0.01); 698 (1 RCT); Low. | 1 study · 698 participants | Low |
Pulpotomy with Calcium Enriched Mixture (CEM) vs Pulpotomy with calcium hydroxide (Ca(OH)2) Clinical and radiographic success rate (>=6 months) · Human permanent teeth with irreversible pulpitis due to carious pulp exposure · >=6 months, Pulp capping material: CEM vs calcium hydroxide Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022) | No significant difference was observed between CEM and calcium hydroxide (indirect comparison; Supplementary Table S5, not available). | NR | Ungraded |
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls Salivary immunoglobulin A (SIgA) concentration · Children and adolescents (<18 years) · Cross-sectional (case-control; single time point) Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A… (2022) | Pomarico 2009 reported no significant difference in total SIgA among HIV-ART, HIV-HAART, and healthy children, but significantly higher anti-Candida albicans SIgA in the two HIV groups; no effect estimate pooled. | 1 study | Ungraded |
Food marketing exposure or greater marketing power vs No marketing, less marketing, or less powerful marketing Food choice · Children and adolescents aged 0-19 years · Crossover designs with binary outcomes Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | OR 3.45 [0.97, 12.43] | 3 studies | Ungraded |
Caries severity measurement (mean number of decayed, missing and filled permanent teeth, DMFT; WHO criteria) vs None (descriptive prevalence review; subgroup analyses by urban/rural status, country and year) Caries severity (mean DMFT) · 12-year-old children (permanent dentition) in Africa · Country: Sudan Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 0.49 [0.461, 0.519] | 1 study | Ungraded |
Antiretroviral therapy (any, including cART) vs No antiretroviral medication (treatment-naive) Linear gingival erythema prevalence · Children and adolescents (<18 years) living with HIV (CLWH) Impact of Antiretroviral Therapy on Oral Health among Children Living with HIV: A Systematic Review and… (2022) | OR 1.29 [0.58, 2.88] | NR | Very low |
Caries assessment at dentine threshold vs None Caries prevalence · European adolescents aged 12 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.49 [0.34, 0.63] | 11 studies | Ungraded |
Machine-learning algorithms for dental caries detection vs Different machine-learning algorithms for caries prediction Caries detection accuracy on intraoral images · Dental images of human beings · Kühnisch et al., 2022; convolutional neural networks Uses of Different Machine Learning Algorithms for Diagnosis of Dental Caries. (2022) | Accuracy 93.3 | 1 study · 2417 participants | Ungraded |
Food and nonalcoholic beverage marketing (exposure) vs No, less, or less powerful food marketing Food preference · Children and adolescents aged 0-19 years · Overall (pooled across designs) Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | SMD 0.30 [0.12, 0.49] | 12 studies | Ungraded |
Caries experience measurement (mean D(M)FS, enamel lesions included) vs None (descriptive prevalence review; subgroup analyses only) Caries experience (mean DMFS) · European adolescents aged 12–19 years · Examination type: full-mouth Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | MEAN 6.56 [4.55, 9.47] | 12 studies | Ungraded |
Fluoride-releasing resin-based sealant vs Resin-based sealant Adverse events · Children with caries-free second primary molars, aged 4-8 years (dental clinic, Turkey and Spain) Sealants for preventing dental caries in primary teeth (2022) · Cochrane | No studies reported this outcome. | 0 studies | No studies |
Responsive complementary feeding (RCF) vs Other models of complementary feeding Hypertension · Healthy children aged 6–24 months in Western industrialized countries Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other… (2022) | no estimate extracted | 0 studies | No studies |
Nano-hydroxyapatite (nHA) dentifrice/paste (fluoride-free or fluoridated) vs nHA-free / fluoride-free (negative) control Mineral loss (transversal microradiography) · Enamel/dentin specimens with initial caries lesions (or sound surfaces) in intraoral (in situ) appliances worn by… · Median 21 days (range 14-28 days), Net-remineralizing conditions Efficacy of nano-hydroxyapatite on caries prevention-a systematic review and meta-analysis. (2022) | MD 350 [179, 521] | 1 study | Very low |
Nanoionomer resin-modified GIC vs HVGIC Restoration failure · Children with carious primary teeth · 1 year, ART; Class I Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) RMGIC 2.0%; HVGIC 12.8% | 1 study · 50 participants | Ungraded |
Prior SDF application without a rinsing step vs No prior SDF application (untreated dentin control) Immediate bond strength (MPa) · Glass-ionomer cement bonded to caries-affected dentin (in vitro) · Immediate bond strength, Caries-affected dentin (without rinsing step) Bonding of Glass-Ionomer Cement and Adhesives to Silver Diamine Fluoride-treated Dentin: An Updated… (2022) | MD 0.26 [-0.30, 0.82] | 4 studies · 130 participants | Ungraded |
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls Mucosal (oral) hyperpigmentation · Children and adolescents (<18 years) · Cross-sectional (case-control; single time point) Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A… (2022) | OR 20.35 [3.86, 107.39] | 3 studies · 407 participants | Ungraded |
Oral health education only (verbal, written, or audio-visual education) delivered by non-dental health workers vs Control (usual care, no intervention, or comparison group) Caries experience at the tooth level (dmft) · Children (mean age newborn to ~5.2 years) and their parents/carers · Oral health education only (vs comprehensive intervention) The effectiveness of behaviour change interventions delivered by non-dental health workers in promoting… (2022) | SMD -0.11 [-0.21, 0.00] | 2 studies | Ungraded |
Stepwise excavation (two-step caries removal) vs Non-selective (complete) caries removal to hard dentine Pulp exposure during caries removal · Children (3-11 years) with symptomless, vital dentine caries in primary molars · 12 months, Stepwise excavation vs complete caries removal (primary teeth) Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | RR 0.31 [0.17, 0.57] | 262 participants | Ungraded |
Prior SDF application without a rinsing step vs No prior SDF application (untreated dentin control) Immediate bond strength (MPa) · Dental adhesives bonded to sound dentin (in vitro) · Immediate bond strength, Sound dentin (without rinsing step) Bonding of Glass-Ionomer Cement and Adhesives to Silver Diamine Fluoride-treated Dentin: An Updated… (2022) | MD 17.52 [5.81, 29.22] | 3 studies · 136 participants | Ungraded |
Male sex (boys) vs Female sex (girls) Caries development in permanent teeth · School children and adolescents (6-18 years) followed from primary dentition (baseline examination before 72 months of… · At least 24 months follow-up, Gender (boys vs girls) Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic… (2022) | OR 0.86 [0.71, 1.02] | 2 studies · 2045 participants | Low |
Compomer (C) vs Composite resin (CR) Treatment failure (annual failure rate) · Children with carious primary molars treated by pulpotomy (vital pulp therapy) · 2 years, Compomer (C) arm Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated… (2022) | AFR 8.9 | 1 study · 84 participants | Ungraded |
Caries assessment at enamel threshold vs None Caries experience · European adolescents aged 12 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Mean DMFS 5.62 [3.78, 8.37] | 9 studies | Ungraded |
Fluoride-containing dental care products (mainly fluoride toothpaste) vs Dietary fluoride sources (drinking water, beverages, food) Contribution of dental care products to total daily fluoride intake (TDFI), by tap-water fluoride level · Children using fluoride-containing dental care products (majority of included studies) · Habitual daily intake, Low-fluoridated tap water (0.3-0.51 mg/L) Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | Mean contribution to TDFI (%) 39 | 7 studies | Ungraded |
ART/HAART duration <3 years vs ART/HAART duration >=3 years Other orofacial opportunistic infections (linear gingival erythema, hairy leukoplakia, angular cheilitis, oral ulcers) · Children and adolescents living with HIV on ART/HAART · Cross-sectional (case-control; single time point), ART/HAART duration <3 years vs >=3 years Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A… (2022) | Except for candidiasis, no significant differences in the prevalence of opportunistic infection manifestations (linear gingival erythema, hairy leukoplakia, angular cheilitis, oral ulcers) between ART duration <3 years… | 2 studies | Ungraded |
Non-responsive complementary feeding (NRCF) vs Other models of complementary feeding (responsive/traditional CF) Overweight/obesity risk · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western… · Follow-up interval 15-20 months Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other… (2022) | NRCF, risk of overweight and obesity (observational; follow up interval 15 to 20 months; assessed with % overweight/obesity, BMIz, delta-BMI, skinfold): No significant association for all comparisons (for documented… | 4 studies | Very low |
Atraumatic restorative treatment (ART) vs Placebo Oral health-related quality of life (OHRQoL) · Children with dental caries (ages ~2-13 years in the pooled trials) · Post-treatment, Indirect network estimate (no direct trials) Silver diamine fluoride and oral health-related quality of life: A review and network meta-analysis. (2022) | MD -0.01 [-0.40, 0.38] | 0 studies | Ungraded |
Dental caries assessment (WHO/clinical diagnostic criteria; caries = DMFT>0) vs None (descriptive prevalence review; subgroup analyses by urban/rural status, country and year) Caries prevalence · 12-year-old children (permanent dentition) in Africa · Data collection period: 2005-2009 Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Prevalence 0.329 [0.111, 0.548] | 3 studies | Ungraded |
Adaptive dragonfly algorithm with neural-network classifier vs Support vector machine and Naive Bayes Accuracy advantage in test case 3 · Dental images of human beings · Patil et al., 2019 Uses of Different Machine Learning Algorithms for Diagnosis of Dental Caries. (2022) | Accuracy advantage 6.30 | 1 study · 40 participants | Ungraded |
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls Ulcerative stomatitis · Children and adolescents (<18 years) · Cross-sectional (case-control; single time point) Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A… (2022) | OR 28.59 [1.67, 490.32] | 1 study · 190 participants | Ungraded |
Xylitol sugar-free chewing gum vs No sugar-free gum / no chewing gum (or gum-base control); no chewing Plaque quantity (plaque index or plaque weight) · Adults and children (predominantly adults; one study in children), with natural dentition · End of study (last reported time point; study durations 4 days to 2 years) A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum on Plaque Quantity in the Oral… (2022) | SMD -0.743 [-1.148, -0.338] | 7 studies | Ungraded |
Caries assessment at enamel threshold vs None Enamel caries proportion · European adolescents aged 17 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Proportion 0.58 [0.55, 0.60] | 1 study | Ungraded |
Mixed breast- and bottle-feeding vs Bottle-feeding only Dental caries (early childhood caries) · Healthy children under 6 years in South Africa Maternal and infant risk factors and risk indicators associated with early childhood caries in South Africa:… (2022) | OR 1.04 [0.76, 1.41] | 2 studies · 863 participants | Ungraded |