Gap finder
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.
10,375 questions in 429 reviews · Oral Health
current versionsNo studies 1,344 · 13%Ungraded 6,832 · 65.9%Very low 1,228 · 11.8%Low 613 · 5.9%Moderate 290 · 2.8%High 68 · 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, Beck,1992 [24]; model performance 4 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 2.62 [2.27, 3.03] | 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, Treated by general practitioners Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) | Proportion 4.44 [2.16, 7.49] | 2113 participants | 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, Single-unit restorations Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) | Proportion 5.46 [3.63, 7.64] | 20 studies · 5491 participants | 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 1 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 2.12 [1.71, 2.63] | 1 study | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Demers,1992 [14]; model performance 2 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.31 [1.15, 1.50] | 1 study | Ungraded |
Dental caries vs Caries-free CA VI activity · Participants with dental caries and caries-free participants Associations of the activity and concentration of carbonic anhydrase VI with susceptibility to dental… (2023) | SMD 0.87 [0.39, 1.36] | 7 studies · 411 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 10 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 2.26 [1.92, 2.65] | 1 study | Ungraded |
38% SDF plus oral health education 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 (%) 33 | 1 study · 266 participants | Ungraded |
Outer/shallower carious dentin vs Inner/deeper carious dentin MMP-2 location/presence · Human carious dentin Presence of host and bacterial-derived collagenolytic proteases in carious dentin: a systematic review of ex… (2023) | no estimate extracted | 4 studies | Very low |
Surgery vs Radiotherapy alone Locoregional recurrence · Adults with oropharyngeal cancer Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane | Locoregional recurrence: not reported. | 0 studies | No studies |
Before cavity sealing vs After cavity sealing MMP-9 expression/activity · Human carious dentin · 60 days after cavity sealing Presence of host and bacterial-derived collagenolytic proteases in carious dentin: a systematic review of ex… (2023) | no estimate extracted | 2 studies · 48 participants | Very low |
Surgery plus radiotherapy vs Radiotherapy alone Recurrence · Adults with oral cavity or oropharyngeal cancer Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane | Recurrence: not reported. | 0 studies | No studies |
Botulinum toxin (BoNT) injection into salivary glands vs Placebo injection Drooling Severity and Frequency Scale (DSFS) score · 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) | SMD -1.11 [-1.48, -0.74] | 5 studies · 136 participants | Ungraded |
Upper fixed (bonded) retainer vs No retention Stability: Little's Irregularity Index (upper arch) · People who had received fixed appliance orthodontic treatment · 2 years, upper arch Retention procedures for stabilising tooth position after treatment with orthodontic braces (2023) · Cochrane | MD -0.90 [-1.33, -0.47] | 1 study · 63 participants | Ungraded |
Malocclusion (assessed by DAI, IOTN or WHO criteria) vs Individuals without malocclusion Oral health-related quality of life (dichotomous: poor vs not) · Indian children, adolescents and adults Impact of oral conditions on oral health-related quality of life among Indians- a systematic review and… (2023) | OR 5.44 [1.61, 18.39] | 6 studies · 3720 participants | Very low |
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− 0.55 [0.38, 0.82] | 1 study | Ungraded |
Fluoride varnish applied periodically (at least quarterly) around the bracket bases during treatment vs Placebo varnish, resin sealant, or standard care (oral hygiene instructions) Prevalence of white spot lesions (WSL) at debonding, subject level · Healthy adolescents and adults undergoing orthodontic treatment with fixed multi-bracket appliances · At debonding Prevention of white spot lesions with fluoride varnish during orthodontic treatment with fixed appliances: a… (2023) | RR 0.64 [0.42, 0.98] | 5 studies · 558 participants | Very low |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Disney,1992 [15]; model performance 3 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.47 [0.40, 0.55] | 1 study | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Dolic,2020 [28]; model performance 2 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.33 [0.17, 0.62] | 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− 0.67 [0.58, 0.77] | 1 study | 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 1 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.59 [0.41, 0.85] | 1 study | Ungraded |
Indirect restoration placement by undergraduate students vs None Pulp necrosis incidence · Vital teeth · General practitioners Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) | Proportion 4.44 [2.16, 7.49] | 2113 participants | Ungraded |
Higher family income / socioeconomic status vs Lower income / worse socioeconomic status Oral health-related quality of life (OHRQoL) · Adolescents (10-19 years) Oral-health-related quality of life in adolescents: umbrella review. (2023) | Adolescents from families with higher incomes and higher levels of maternal education have better OHRQoL scores [34]. Worse oral health status, older age, female sex and worse socioeconomic status were significantly… | NR | Ungraded |
Eugenol-based temporary cement vs Eugenol-free temporary cement Pulp necrosis incidence · Vital teeth · Eugenol-free Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) | Proportion 5.77 [3.72, 8.24] | 639 participants | Ungraded |
Low level laser therapy (LLLT) vs Conventional orthodontic appliance treatment Duration of total overall orthodontic treatment · Adolescents and adults with malocclusion undergoing fixed orthodontic appliance treatment Non‐surgical adjunctive interventions for accelerating tooth movement in patients undergoing orthodontic… (2023) · Cochrane | No study reported on the influence of LLLT on the total overall orthodontic treatment duration. | NR | No studies |
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 4 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 2.85 [2.24, 3.61] | 1 study | Ungraded |
Completion of orthodontic treatment vs Untreated / never received orthodontic treatment Oral health-related quality of life (OHRQoL) · Adolescents (10-19 years) Oral-health-related quality of life in adolescents: umbrella review. (2023) | Adolescents who had never received orthodontic treatment had a greater impact on quality of life compared to patients who had already completed treatment [34, 40, 44-46]. Orthodontic treatment during childhood or… | NR | Ungraded |
Prosthetic need vs Individuals without prosthetic need Oral health-related quality of life (dichotomous: poor vs not) · 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 vs none: both included studies showed a significant association with poor QoL (Nagarajappa 2015, Shivakumar 2018); 950 participants, 2 observational studies; Moderate certainty (Fig 1 GRADE SoF). No… | 2 studies · 950 participants | Moderate |
Tooth loss / edentulism vs No tooth loss Oral health-related quality of life (OHRQoL) · Adolescents (10-19 years) Oral-health-related quality of life in adolescents: umbrella review. (2023) | Toothache, DMT and tooth loss have a high impact on OHRQoL in adolescentes [26]. | NR | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Fontana,2011 [16]; model performance 10 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 2.05 [1.39, 3.02] | 1 study | 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 2 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.63 [1.17, 2.26] | 1 study | Ungraded |
Clear aligners (CA) vs Conventional fixed orthodontic appliances (CF) Severity of white spot lesions (surface area and depth) · Orthodontic patients undergoing comprehensive treatment (late mixed or permanent dentition, no active caries) · Baseline to end of treatment (varying) White spot lesions, plaque accumulation and salivary caries-associated bacteria in clear aligners compared… (2023) | Not meta-analyzed. 2 RCTs assessed WSL severity by lesion surface area (Albhaisi 2020 [12]; Alshatti 2017 [31]) and 1 (Albhaisi 2020 [12]) also by lesion depth; reported narratively with differing methods, generally… | 2 studies | Ungraded |
Fluoride-containing amalgam (FAAG) 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 0.95 [0.45, 2.00] | 6 studies · 309 participants | Low |
Edentulism (complete or partial missing teeth) vs Individuals without edentulism Oral health-related quality of life (continuous), measured by OHIP-14 · Indian elderly Impact of oral conditions on oral health-related quality of life among Indians- a systematic review and… (2023) | Edentulism and QoL (continuous, OHIP-14): no significant association between individuals with and without edentulism (Ajai 2020). 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, Dolic,2020 [28]; model performance 1 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.74 [0.93, 3.25] | 1 study | Ungraded |
Bruxism vs No bruxism Oral health-related quality of life (OHRQoL) · Adolescents (10-19 years) Oral-health-related quality of life in adolescents: umbrella review. (2023) | While dental erosion and bruxism have not been shown to impact the quality of life of adolescents [26]. Bruxism does not impact quality of life in children and adolescentes [33]. | NR | Ungraded |
Dental erosion vs No dental erosion Oral health-related quality of life · Adolescents aged 10-19 years Oral-health-related quality of life in adolescents: umbrella review. (2023) | no estimate extracted | NR | Ungraded |
Prosthetic need vs No prosthetic need Poor oral health-related quality of life · Indians Impact of oral conditions on oral health-related quality of life among Indians- a systematic review and… (2023) | no estimate extracted | 2 studies · 950 participants | Moderate |
Caries-associated bacterial biofilm vs Sound/control tissue (sound dentin, sound root, or enamel caries) Bacterial collagenolytic protease gene expression · Human ex vivo carious lesions / caries-associated biofilm Presence of host and bacterial-derived collagenolytic proteases in carious dentin: a systematic review of ex… (2023) | Genes coding for bacterial collagenolytic proteases were significantly expressed/overrepresented in coronal (Simon-Soro et al., 2013) and root (Dame-Teixeira et al., 2018: 42 proteases differentially expressed, 18… | 2 studies · 25 participants | Ungraded |
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 3 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.81 [1.33, 2.47] | 1 study | Ungraded |
Dental caries (caries-active; dmft/DMFT > 0) vs Caries-free individuals (dmft/DMFT = 0) Salivary/biofilm CA VI (carbonic anhydrase VI) activity · Children (age about 2-9 years) across the 7 meta-analyzed activity samples; excludes Kivela 1999 adults (18-24 years),… · Cross-sectional (single time point) Associations of the activity and concentration of carbonic anhydrase VI with susceptibility to dental… (2023) | SMD 0.894 [0.386, 1.392] | 7 studies · 411 participants | Ungraded |
Multivariable caries prediction model vs Additional prediction model(s) Coronal caries increment · Individuals of all ages · Follow-up ≥1 year, Beck,1992 [24]; model performance 7 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.38 [0.31, 0.46] | 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 A The effectiveness and safety of botulinum toxin injections for the treatment of sialorrhea with Parkinson's… (2023) | RD 0.10 [0.00, 0.21] | 5 studies · 117 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 5 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0.62 [0.45, 0.86] | 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− 0.21 [0.05, 0.92] | 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 12 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR+ 1.66 [1.50, 1.86] | 1 study | Ungraded |
38% SDF vs atraumatic restorative treatment restoration and caries status · children with caries in permanent molars · 9 months A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023) | no estimate extracted | 1 study · 190 participants | Ungraded |
Early childhood caries / severe early childhood caries vs Caries-free children Growth stunting / low linear growth (height-for-age z-score) · Children in early childhood (0-6 years) · Khanh et al. 2015 (Vietnam; pulp-involved caries) The bi-directional relationship between growth stunting and early childhood caries: a rapid review. (2023) | MD 0.66 | 1 study · 593 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 5 Multivariable prediction models of caries increment: a systematic review and critical appraisal. (2023) | LR− 0 | 1 study | Ungraded |
Dental fluorosis (assessed by TFI or WHO criteria) vs Individuals without dental fluorosis Oral health-related quality of life (continuous), measured by OIDP / CPQ11-14 · Indian children and young adults Impact of oral conditions on oral health-related quality of life among Indians- a systematic review and… (2023) | Dental fluorosis and QoL (continuous, OIDP/CPQ11-14): a significant difference between individuals with and without fluorosis on OHRQoL (Nagarajappa 2015, Shyam 2020). Two studies, 3000 individuals; not pooled. | 2 studies · 3000 participants | Ungraded |