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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
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 studyUngraded
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 studiesVery 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 3.441 study · 48 participantsUngraded
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 participantsUngraded
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 studiesUngraded
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 participantsUngraded
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 participantsModerate
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 reported8 studiesUngraded
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 739 studiesUngraded
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, %) 2.31 study · 54 participantsUngraded
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 studiesUngraded
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 studiesUngraded
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 studiesUngraded
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 studiesVery 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 959 studiesUngraded
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 studiesUngraded
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 studiesNo 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 participantsVery 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 participantsLow
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).NRUngraded
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 studyUngraded
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 studiesUngraded
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 studyUngraded
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]NRVery 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 studiesUngraded
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 93.31 study · 2417 participantsUngraded
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 studiesUngraded
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 studiesUngraded
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 studiesNo 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 extracted0 studiesNo 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 studyVery 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 participantsUngraded
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 participantsUngraded
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 participantsUngraded
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 studiesUngraded
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 participantsUngraded
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 participantsUngraded
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 participantsLow
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 8.91 study · 84 participantsUngraded
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 studiesUngraded
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 (%) 397 studiesUngraded
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 studiesUngraded
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 studiesVery 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 studiesUngraded
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 studiesUngraded
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 6.301 study · 40 participantsUngraded
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 participantsUngraded
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 studiesUngraded
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 studyUngraded
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 participantsUngraded