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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. Every word you type has to appear somewhere in the question, and the closest matches are ranked first.

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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
Composite resin vs HVGIC
Restoration failure · Children with carious primary teeth · 2 years, ART; Class I and II
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) HVGIC 5.9%; composite resin 6.7% (cumulative)1 study · 219 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: Eritrea
Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022)
Prevalence 0.78 [0.724, 0.831]1 studyUngraded
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 surface level (dmfs/defs) · 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 -0.20 [-0.43, 0.03]2 studiesUngraded
Combined antiretroviral therapy (cART) vs Monotherapy or dual antiretroviral therapy
Angular cheilitis 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)
No eligible studies compared angular cheilitis between CLWH on different ART medications.0 studiesNo studies
Atraumatic restorative treatment with GIC vs Conventional restoration (amalgam, conventional GIC, composite resin)
Restoration failure · Children (3-13 years) with dentine caries in primary teeth, no pulpal involvement · 12-24 months
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022)
OR 1.60 [1.13, 2.27]6 studies · 1107 participantsUngraded
Machine-learning algorithms for dental caries detection vs Different machine-learning algorithms for caries prediction
Proximal caries detection accuracy · Dental images of human beings · Casalegno et al., 2018; CNN
Uses of Different Machine Learning Algorithms for Diagnosis of Dental Caries. (2022)
Accuracy 85.61 study · 217 participantsUngraded
Caries in first and second primary molars vs Reference (other primary tooth locations / caries-free)
Caries development in permanent teeth · School children and adolescents (6-18 years) followed from primary dentition (baseline examination before 72 months of… · 8-year follow-up, First and second primary molars
Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic… (2022)
RR 3.4 [1.8, 6.1]1 study · 362 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: South Africa
Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022)
Prevalence 0.34 [0.276, 0.401]5 studiesUngraded
Caries assessment at enamel threshold vs None
Caries experience · European adolescents aged 17 years · Exact age
Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022)
Mean DMFS 4.50 [3.63, 5.57]1 studyUngraded
Selective (partial, one-step) removal of carious tissue vs Non-selective (complete) caries removal to hard dentine
Pulp exposure during caries removal · Children with dentine caries in primary and permanent teeth · 12 months, Primary and permanent teeth combined (2 studies)
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022)
RR 0.23 [0.08, 0.69]2 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 · Country: Libya
Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022)
Prevalence 0.48 [0.45, 0.514]1 studyUngraded
Prior SDF application with a rinsing step vs No prior SDF application (untreated dentin control)
Immediate bond strength (MPa) · Glass-ionomer cement bonded to sound dentin (in vitro) · Immediate bond strength, Sound dentin (with rinsing step)
Bonding of Glass-Ionomer Cement and Adhesives to Silver Diamine Fluoride-treated Dentin: An Updated… (2022)
MD -1.11 [-3.47, 1.25]4 studies · 57 participantsUngraded
Atraumatic restorative treatment plus fluoride varnish vs Silver diamine fluoride plus fluoride varnish
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 0.16 [-0.10, 0.42]1 study · 246 participantsUngraded
Machine-learning algorithms for dental caries detection vs Different machine-learning algorithms for caries prediction
Occlusal caries detection accuracy · Dental images of human beings · Moutselos et al., 2019; MASK R-CNN; worst class
Uses of Different Machine Learning Algorithms for Diagnosis of Dental Caries. (2022)
Accuracy 66.71 study · 88 participantsUngraded
Caries assessment at dentine threshold (cavitation into dentine) 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 0.50 [0.06, 0.94]3 studiesUngraded
SDF applied biannually (every 6 months) vs Other non/minimally-invasive treatment (ART or 5% NaF varnish)
Caries arrest · Children (age 1-10 years) with active cavitated dentin caries lesions in primary molars · Follow-up up to 12 months (biannual application), SDF application frequency: biannual (every 6 months)
Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic… (2022)
ES 0.39 [0.19, 0.60]2 studies · 381 participantsUngraded
HVGIC Ketac Molar vs Conventional GIC Vitro Molar
Restoration failure · Children with carious primary teeth · 1 year, ART; Class I, II, III, and V
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) HVGIC 17.8%; GIC 26.6%1 study · 244 participantsUngraded
Silver diamine fluoride (SDF) vs Atraumatic restorative treatment (ART)
Oral health-related quality of life (OHRQoL; B-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 0.02 [-0.32, 0.36]2 studies · 134 participantsUngraded
Primary dentition DMFT score 1-3 vs No caries in primary teeth (DMFT = 0)
Caries prevalence in permanent dentition · School children and adolescents (6-18 years) followed from primary dentition (baseline examination before 72 months of… · 7-year follow-up, Primary DMFT 1-3
Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic… (2022)
RR 1.5 [1.3, 1.8]1 study · 1683 participantsUngraded
Selective caries removal (SCR) + composite resin vs Complete caries removal (CCR) + composite resin
Treatment failure (annual failure rate) · Children with deep dentine caries in primary molars restored with composite resin (indirect pulp treatment; pulpotomy… · 36 months, Complete caries removal (CCR) arm
Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated… (2022)
AFR 6.81 study · 48 participantsUngraded
Caregiver help with child tooth brushing vs None (descriptive single-group pooled prevalence)
Caregiver help with tooth brushing prevalence (among children with caries) · Children with dental caries (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)
Prevalence 0.5408 [0.2663, 0.8025]3 studies · 830 participantsUngraded
Combined antiretroviral therapy (cART) vs Monotherapy or dual antiretroviral therapy
Recurrent oral ulceration 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)
No significant difference in recurrent oral ulceration between CLWH on cART and those on monotherapy or dual therapy (no numeric estimate reported in the text); 1 study(ies).1 studyVery low
Caries assessment at dentine threshold vs None
Caries prevalence · European adolescents aged 16 years · Exact age
Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022)
Prevalence 0.83 [0.80, 0.85]1 studyUngraded
Preformed metal crowns vs Resin-modified glass-ionomer cement plus composite resin
Restoration failure · Children with carious primary teeth after vital or non-vital pulp therapy · 2 years
Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated… (2022)
Annual failure rate (AFR, %) 2.51 study · 87 participantsUngraded
Female sex vs None (descriptive single-group pooled prevalence)
Female sex prevalence (among children with caries) · Children with dental caries (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)
Prevalence 0.4968 [0.4749, 0.5186]6 studies · 1999 participantsUngraded
Fluoride-releasing resin-based sealant vs Resin-based sealant
Retention of sealant (complete or partial retention) · Children with caries-free second primary molars, aged 4-8 years (dental clinic, Turkey and Spain) · 6-24 months
Sealants for preventing dental caries in primary teeth (2022) · Cochrane
Effect estimate not calculable; 69 (2 studies). Retention equivocal: Unal 2015 100% (fluoride resin) vs 96.0% (resin) at 12 months; Baca 2007 84.1% (fluoride resin) vs 97.7% (resin) at 12 months; at 24 months 87.8% vs…2 studies · 69 participantsVery low
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls
Dental caries prevalence (DMFT/dmft/DMFS/dmfs > 0) · Children and adolescents (<18 years) · Cross-sectional (case-control; single time point), Permanent dentition (DMFT > 0)
Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A… (2022)
OR 2.49 [1.86, 3.32]1 study · 724 participantsUngraded
Icon resin infiltration vs Baseline before resin infiltration
Color 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 0.40 [0.11, 0.65]1 studyUngraded
Responsive complementary feeding (RCF) vs Other models of complementary feeding
Choking events · 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
Icon resin infiltration vs Baseline before resin infiltration
Color 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 0.82 [0.43, 1.20]1 studyUngraded
Compomer (C) vs Composite resin (CR)
Treatment failure (annual failure rate) · Children with carious primary molars treated by pulpotomy (vital pulp therapy) · 2 years, Composite resin (CR) arm
Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated… (2022)
AFR 01 study · 84 participantsUngraded
CD4+ T-cell count <250 cells/mm3 vs CD4+ T-cell count >=250 cells/mm3
HIV-related oral lesions · Children and adolescents living with HIV on ART/HAART · Cross-sectional (case-control; single time point), CD4+ T-cell count <250 cells/mm3 vs higher
Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A… (2022)
CLWH with CD4+ <250 cells/mm3 were about twice as likely to have HIV-related oral lesions: Baghirath 2013 OR 1.916 (95% CI 0.613 to 2.513), p=0.001; Divakar 2015 OR 1.999 (95% CI 0.129 to 3.688), p=0.001. Not pooled.2 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 · Publication year: ≥ 2010
Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022)
MEAN 6.24 [4.16, 9.37]10 studiesUngraded
Glass ionomer-based sealant vs No sealant
Adverse events · Children with caries-free primary first molars (with or without caries on other teeth), aged 1-5 years (paediatric…
Sealants for preventing dental caries in primary teeth (2022) · Cochrane
No studies reported this outcome.0 studiesNo studies
Responsive complementary feeding (RCF) / other caregivers' feeding practices vs Other models of complementary feeding (traditional/non-responsive CF)
Type 2 diabetes (later in life) · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western… · Later in life
Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other… (2022)
No studies on the influence of caregivers' feeding practices during complementary feeding on type 2 diabetes later in life were identified.0 studiesNo studies
Ion-releasing restoration, glass ionomer-based (conventional GIC, HV-GIC, RMGIC, glass hybrid) vs Resin composite restoration
Marginal adaptation (unacceptable marginal adaptation) · Patients with permanent dentition in need of restorations (all cavity types: Black's Class I, II, V, and non-carious… · 3 years
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic… (2022)
RD 0.00 [-0.02, 0.02]3 studies · 321 participantsLow
Machine-learning algorithms for dental caries detection vs Different machine-learning algorithms for caries prediction
Dental caries detection accuracy · Dental images of human beings · Mayank et al., 2017; F-CNN
Uses of Different Machine Learning Algorithms for Diagnosis of Dental Caries. (2022)
Accuracy 701 study · 3000 participantsUngraded
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 · Adults using fluoride-containing dental care products (two included studies [28,47]; aged 20-35) · Habitual daily intake, Medium-fluoridated tap water (0.52-0.77 mg/L)
Fluoride Intake Through Dental Care Products: A Systematic Review. (2022)
Mean contribution to TDFI (%) 531 studyUngraded
Sugary drinks/sweets consumption vs None (descriptive single-group pooled prevalence)
Sugary drinks/sweets consumption prevalence (among children with caries) · Children with dental caries (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)
Prevalence 0.6974 [0.4784, 0.8773]7 studiesUngraded
Ion-releasing restoration, glass ionomer-based (conventional GIC, HV-GIC, RMGIC, glass hybrid) vs Resin composite restoration
Secondary caries (caries around restorations), all cavity types · Patients with permanent dentition in need of restorations (all cavity types: Black's Class I, II, V, and non-carious… · 18 months-2 years
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic… (2022)
RD -0.00 [-0.01, 0.01]8 studies · 1087 participantsLow
Ion-releasing glass ionomer cement (GIC) restorations vs Resin composite restorations
Unacceptable marginal adaptation · Patients with permanent dentition in need of restorations · 3 years, All types of cavities
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic… (2022)
RD 0.00 [-0.02, 0.02]3 studies · 321 participantsLow
Intervention NR
Caries severity (mean DMFT) · Publication-bias adjusted (trim-and-fill)
Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022)
Mean DMFT 0.47 [0.46, 0.48]NRUngraded
Intervention NR
Caries prevalence · Publication-bias adjusted (trim-and-fill)
Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022)
Prevalence 0.354 [0.348, 0.361]NRUngraded
Dental caries vs Caries-free oral health
Alpha diversity (Observed, Chao1, Shannon, and Simpson) · Participants in oral 16S rRNA caries microbiome studies
Meta-analysis of caries microbiome studies can improve upon disease prediction outcomes. (2022)
Higher alpha diversity in caries than health; p<0.001 (Wilcoxon; no pooled effect size reported)19 studies · 2016 participantsUngraded
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 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), <=3 intervention activities
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD -0.58 [-1.62, 0.45]NRUngraded
Selective (partial, one-step) removal of carious tissue 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, Primary teeth
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022)
RR 0.24 [0.06, 0.90]262 participantsUngraded
Comprehensive oral health intervention (oral health education plus additional support: motivational interviewing, toothbrush/toothpaste provision, community engagement, and/or fluoride varnish/sealant application) delivered by non-dental health workers vs Control (usual care, no intervention, or comparison group)
Caries experience at the surface level (dmfs/defs) · Children (mean age newborn to ~5.2 years) and their parents/carers · Comprehensive intervention (vs oral health education only)
The effectiveness of behaviour change interventions delivered by non-dental health workers in promoting… (2022)
SMD -0.14 [-0.26, -0.02]10 studiesUngraded
Composite resin with a beveled cavity margin vs Composite resin with no bevel (butt-joint margin)
Treatment failure (annual failure rate) · Children with Class-I carious lesions in primary molars, no pulp therapy · 18 months (Oliveira 2008), Cavity margin (bevel vs no bevel)
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) bevel 1.8%; no bevel 3.5%1 study · 32 participantsUngraded
Food marketing exposure or greater marketing power vs No marketing, less marketing, or less powerful marketing
Food purchasing · Children and adolescents aged 0-19 years · Vote counting by direction of effect
Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022)
Proportion 0.40 [0.073, 0.830]5 studiesVery low
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 rs563135 (10:115067899; nearest gene(s) TCF7L2, CASP7) · 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), rs563135 (10:115067899); effect/non-effect allele A/C; MAF 0.51; 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) -4.5325 studies · 2974 participantsUngraded