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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 |
|---|---|---|---|
Intervention NR Difference in summary sensitivity (NMA, Analysis 2) · Imaging vs Transillumination Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Sensitivity difference (95% CrI) -0.27 [-0.40, -0.12] | NR | Ungraded |
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities Dental caries measured by net increment in DMFS scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), Intervention type: oral health education Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022) | SMD -1.05 [-2.03, -0.08] | 3 studies | Ungraded |
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls Recurrent oral ulcerations (WHO clinical stage 2) · 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 6.83 [1.18, 39.53] | 3 studies · 284 participants | Ungraded |
Bulk-fill composite resin with 15-second dentine etching vs Bulk-fill composite resin with 7-second dentine etching Restoration failure · Children with carious primary teeth · 1.5 years Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) 15 s 16.9%; 7 s 5.8% | 1 study · 62 participants | Ungraded |
Caries distribution assessment (individual, tooth and surface levels) vs None (descriptive prevalence review; subgroup analyses only) Caries distribution (individual/tooth/surface level) · European adolescents aged 12–19 years Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | No meta-analysis possible; caries distribution reported narratively from 11 studies as skewed at individual, tooth and surface levels, changing with age at tooth and surface level (Results – Caries distribution). | 11 studies | Ungraded |
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls Periodontal disease (gingivitis/periodontitis) · 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 3.11 [1.62, 5.97] | 2 studies · 250 participants | Ungraded |
Combined antiretroviral therapy (post-cART) vs Pre-cART (same children, before therapy) Oral candidiasis prevalence · Children and adolescents (<18 years) living with HIV (CLWH) · After vs before cART (within-person), post-cART vs pre-cART Impact of Antiretroviral Therapy on Oral Health among Children Living with HIV: A Systematic Review and… (2022) | OR 0.19 [0.15, 0.25] | NR | Very low |
Intervention NR Food purchasing · Vote counting by direction of effect; unclear association of public health harm Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | Proportion 0.25 [0.013, 0.781] | 4 studies | Ungraded |
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities Dental caries prevalence measured by dmft or DMFT/S score greater than one · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer) Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022) | RR 0.70 [0.53, 0.94] | 4 studies · 2968 participants | Very low |
Socioeconomic status category vs Children without dental caries Dental caries (association with high SES) · Children (deciduous and/or permanent dentition) in low- and middle-income countries · High SES Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income… (2022) | OR 1.03 [0.81, 1.31] | 5 studies · 4340 participants | Ungraded |
Caries assessment at enamel threshold vs None Caries experience · European adolescents aged 13 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Mean DMFS 1.45 [1.06, 1.98] | 1 study | Ungraded |
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities Dental caries measured by net increment in DMFS scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), WHO health-promoting-schools framework Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022) | SMD -0.57 [-1.56, 0.42] | 2 studies | Ungraded |
Caries assessment at enamel threshold vs None Caries prevalence · European adolescents aged 17 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.83 [0.71, 0.94] | 3 studies | Ungraded |
Pulpotomy with Biodentine 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: Biodentine vs calcium hydroxide Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022) | Biodentine demonstrated a statistically significantly higher success rate than calcium hydroxide (indirect comparison; Supplementary Table S5, not available). | NR | Ungraded |
High-viscosity GIC atraumatic restorative treatment vs No control Restoration survival · Children with caries in primary molars · 2 years, Multi-surface Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | Survival rate 59 | 9 studies | Ungraded |
Fluoride-releasing resin-based sealant vs No sealant (no treatment) Mean caries increment (mean number of new cavitated occlusal lesions) · Children with caries-free or non-cavitated carious lesion primary molars, aged 3-7 years (paediatric department,… · 24 months Sealants for preventing dental caries in primary teeth (2022) · Cochrane | Mean number of new cavitated occlusal lesions 0.23 (SD 0.06) in sealed molars vs 0.29 (SD 0.06) in control molars (Wilcoxon matched-pairs signed-rank test P = 0.42) | 1 study · 85 participants | 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: Kenya Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 0.91 [0.295, 1.525] | 3 studies | Ungraded |
Sociodemographic / socioeconomic factors (single-parent family, low parental education, family income, socioeconomic status) vs Absence of the factor / reference socioeconomic category Caries increment in permanent teeth · School children and adolescents (6-18 years) followed from primary dentition (baseline examination before 72 months of… Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic… (2022) | Inconsistent findings across studies; meta-analysis could not be performed as data could not be extracted. Single-parent family and low parental education were significant in one study (Saethre-Sundli 2020); higher… | 3 studies | Ungraded |
High-viscosity glass-ionomer cement (HVGIC) restoration (conventional restorative approach) vs Compomer, composite resin, or another HVGIC Treatment failure (annual failure rate) · Children with previously unrestored, vital carious lesions in primary teeth (no pulp therapy); aged 1.5-11 years · 12-36 months Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) 2.9-25.6% | 3 studies | Ungraded |
Food and nonalcoholic beverage marketing (exposure) vs No, less, or less powerful food marketing Food preference · Children and adolescents aged 0-19 years · Randomized trials Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | SMD 0.38 [0.03, 0.72] | 8 studies · 1802 participants | Very low |
Intervention NR Difference in summary specificity (NMA, Analysis 2) · Electrical conductance vs Imaging Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Specificity difference (95% CrI) -0.16 [-0.45, 0.02] | NR | Ungraded |
Cleft lip and/or palate (CL/P) vs No cleft lip and/or palate (non-CL/P) Care index (CI = f/[d+m+f]) in the primary dentition · Children in the primary dentition with non-syndromic cleft lip and/or palate (CL/P) and comparable children without CL/P Caries in children with and without orofacial clefting: A systematic review and meta-analysis. (2022) | Two out of three studies for which the CI could be calculated (Nagappan 2019; Veiga 2016) showed a higher CI for non-CL/P children demonstrating a higher proportion of extraction-based treatment in CL/P children… | 3 studies | Ungraded |
Caries assessment at enamel threshold (D(M)FS>0 or D(M)FT>0, enamel lesions included) vs None (descriptive prevalence review; subgroup analyses only) Caries prevalence · European adolescents aged 12–19 years · Age group: 12–15 years Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.73 [0.59, 0.87] | 24 studies | Ungraded |
Intervention NR Pain during treatment · Hall Technique vs non-selective caries removal to hard dentine Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | Proportion with no/mild pain 89% (HT) vs 78% (control) | 1 study | Ungraded |
Caries assessment at dentine threshold (cavitation into dentine) vs None (descriptive prevalence review; subgroup analyses only) Caries prevalence · European adolescents aged 12–19 years · Region: non-Scandinavian Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.57 [0.32, 0.81] | 6 studies | Ungraded |
Intervention NR Difference in summary sensitivity (NMA, Analysis 2) · Imaging vs Visual Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Sensitivity difference (95% CrI) -0.34 [-0.42, -0.23] | NR | Ungraded |
Fluorescence-based devices 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 2: network meta-analysis (all studies evaluating >=2 index tests) Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Sensitivity 0.76 [0.68, 0.82] | 64 studies · 24567 participants | Low |
Fluoride-containing dental care products, primarily toothpaste vs Dietary fluoride sources in extremely fluoridated areas Contribution to total daily fluoride intake · Adults · Extreme fluoride in water (>1.5 mg/L) Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | Mean percentage contribution 3 | 1 study | Ungraded |
Antiretroviral therapy (any, including cART) vs No antiretroviral medication (treatment-naive) Parotid hypertrophy 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 0.01 [0.00, 0.05] | NR | Very low |
Baby-led weaning (BLW) vs Other models of complementary feeding (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 18-78 months, BLW; observational studies Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other… (2022) | OR 0.37 [0.25, 0.55] | 3 studies · 969 participants | Very low |
Good brushing habits (>=2 daily tooth brushing) vs Children without dental caries Dental caries (association with good/>=2 daily brushing) · Children (deciduous and/or permanent dentition) in low- and middle-income countries Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income… (2022) | OR 0.65 [0.46, 0.92] | 7 studies · 5446 participants | Ungraded |
Single-surface ART with high-viscosity GIC vs Multi-surface ART with high-viscosity GIC Mean annual restoration failure rate · Children (2-9 years) with caries in posterior primary teeth · First 3 years, Single-surface Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | Mean annual failure rate (%) 4.7% (van 't Hof 2006) to 5% (de Amorim 2018) | NR | Ungraded |
Prefabricated zirconia crowns (e.g., NuSmile, Zirkiz, Kinder Krown) vs Other crowns/restorations (stainless steel crowns, pre-veneered SSC, resin composite strip crowns, glass-fiber composite crowns) Recurrent caries (crowns free of recurrent caries) · Children with primary (deciduous) teeth requiring full-coverage crown restoration · 12 months Zirconia Crowns for Primary Teeth: A Systematic Review and Meta-Analyses. (2022) | RR 1.03 [0.96, 1.10] | 2 studies · 203 participants | Ungraded |
Placebo vs Silver diamine fluoride Oral health-related quality of life · Children with dental caries · Direct estimate Silver diamine fluoride and oral health-related quality of life: A review and network meta-analysis. (2022) | MD 0.03 [-0.16, 0.22] | 2 studies · 440 participants | Ungraded |
Antiretroviral therapy (any, including cART) vs No antiretroviral medication (treatment-naive) Dental development and maturation · 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) | One study (Trigueiro 2010) reported that dental age exceeded chronological age by 5.35 to 14.36 months (SE 3.03 to 15.86) in children on NRTI/PI/NNRTI regimens versus -0.67 months in those without medication; the… | 1 study | Very low |
Maternal education attainment vs Children without dental caries Dental caries (association with secondary/higher maternal education) · Children (deciduous and/or permanent dentition) in low- and middle-income countries · Secondary and higher education Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income… (2022) | OR 0.96 [0.64, 1.44] | 7 studies · 6529 participants | Ungraded |
Not applicable vs Not applicable Mean DMFT score · Children aged 12 years (plus or minus one year) in Africa · Overall, publication-period analysis Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Mean DMFT 1.0900 [0.9143, 1.2657] | NR | Ungraded |
Fluoride-containing dental care products, primarily toothpaste vs Dietary fluoride sources in low-fluoridated areas Contribution to total daily fluoride intake · Children · Low fluoride in water (0.3-0.51 mg/L) Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | Mean percentage contribution 39 | 7 studies | Ungraded |
BLW vs Other models of complementary feeding (traditional CF) Infant weight-length gain (achievement of adequate weight) · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western… · Measured at 18-78 months of age, observational studies Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other… (2022) | OR 1.36 [0.18, 10.51] | 3 studies | Ungraded |
Antiretroviral therapy (any, including cART) vs No antiretroviral medication (treatment-naive) Oral hygiene status · 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 0.73 [0.13, 4.26] | 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 · Country: Nigeria Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Prevalence 0.13 [0.106, 0.163] | 2 studies | Ungraded |
Intervention NR Oral Candida carriage and salivary yeast concentration Impact of Antiretroviral Therapy on Oral Health among Children Living with HIV: A Systematic Review and… (2022) | no estimate extracted | 1 study | Ungraded |
Caries assessment at enamel threshold (D(M)FS>0 or D(M)FT>0, enamel lesions included) vs None (descriptive prevalence review; subgroup analyses only) Caries prevalence · European adolescents aged 12–19 years · Examination type: partial-mouth Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.81 [0.70, 0.91] | 5 studies | Ungraded |
Placebo vs Silver diamine fluoride Oral health-related quality of life · Children with dental caries · Network estimate Silver diamine fluoride and oral health-related quality of life: A review and network meta-analysis. (2022) | MD 0.03 [-0.16, 0.22] | 2 studies · 440 participants | Ungraded |
Common genetic variants genome-wide (GWAS; ~3.9 million SNPs with MAF > 5%) vs ECC-unaffected children (per-allele case-control association) Early childhood caries (ECC) - association at lead SNP rs8091366 (18:24715618; nearest gene(s) CHST9, KCTD1) · Children up to age 5-6 years (European / European non-Hispanic ancestry); 843 ECC-affected vs 2124 unaffected across 5… · Cross-sectional (ECC ascertained at the last dental exam before age 6), rs8091366 (18:24715618); effect/non-effect allele A/G; MAF 0.52; direction across 5 cohorts +++++ Association of Early Childhood Caries with Bitter Taste Receptors: A Meta-Analysis of Genome-Wide… (2022) | Z-score (Stouffer's combined Z, 5 cohorts) 4.476 | 5 studies · 2974 participants | Ungraded |
Primary school-based interventions (one or more of: school health policy, oral health education, healthy school environment, access to oral health services, community involvement) vs No intervention or usual practice/activities Dental caries measured by net increment in DMFS scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · Post-intervention; follow-up varied across studies (interventions ranged from <2 years to >=2 years and longer), Non-WHO-framework interventions Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022) | SMD -1.88 [-3.15, -0.60] | NR | Ungraded |
Silver diamine fluoride (SDF) vs Placebo Oral health-related quality of life (OHRQoL; C-ECOHIS) · Children with dental caries (ages ~2-13 years in the pooled trials) · Post-treatment Silver diamine fluoride and oral health-related quality of life: A review and network meta-analysis. (2022) | MD 0.03 [-0.16, 0.22] | 2 studies · 440 participants | Ungraded |
Food and nonalcoholic beverage marketing (exposure) vs No, less, or less powerful food marketing Dental caries · Children and adolescents aged 0-19 years · Nonrandomized studies Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | Vote counting: 1 of 2 studies (50%; 95% CI, 9%-90.5%) showed an association of public health harm; 1 moderate-quality study found a clear association with caries and 1 high-quality study found no association. | 2 studies | Very low |
Caries assessment at enamel threshold (D(M)FS>0 or D(M)FT>0, enamel lesions included) vs None (descriptive prevalence review; subgroup analyses only) Caries prevalence · 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) | Prevalence 0.74 [0.57, 0.90] | 17 studies | Ungraded |
HVGIC Fuji IX Gold Label vs HVGIC Vitro Molar and Maxxion R Restoration failure · Children with carious primary teeth · 2 years, ART; Class I Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) Fuji IX 14.7%; Vitro Molar 31.8%; Maxxion R 37.1% | 1 study · 150 participants | Ungraded |