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

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
Machine-learning algorithms for dental caries detection vs Different machine-learning algorithms for caries prediction
Premolar caries detection accuracy · Dental images of human beings · Lee et al., 2018; CNN
Uses of Different Machine Learning Algorithms for Diagnosis of Dental Caries. (2022)
Accuracy 881 study · 3000 participantsUngraded
Fluoride-containing dental care products, primarily toothpaste vs Dietary fluoride sources in extremely fluoridated areas
Contribution to total daily fluoride intake · Children · Extreme fluoride in water (>1.5 mg/L)
Fluoride Intake Through Dental Care Products: A Systematic Review. (2022)
Mean percentage contribution 32 studiesUngraded
Intervention NR
Alpha diversity (study-level, caries vs health) · Per-study across 15 studies (log2 fold change; Figure 7B)
Meta-analysis of caries microbiome studies can improve upon disease prediction outcomes. (2022)
Chao1 and Observed significantly increased in caries in only 3 of 15 studies (and pooled); overall little significance across studies15 studiesUngraded
Responsive complementary feeding (RCF) vs Other models of complementary feeding (traditional/non-responsive CF)
Physical growth / weight gain · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western… · First 2 years (up to 3-5 years)
Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other… (2022)
The results of the two RCTs are consistent and suggest that RF during CF is effective, leading to better weight gain in the first 2 years of life; observational cohort results (2 RCTs and 5 observational studies) were…7 studiesUngraded
Caries assessment at enamel 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 0.94 [0.92, 0.95]1 studyUngraded
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 DMFT scores · Primary school children (aged 3-16 years) attending primary school in low- and middle-income countries (LMICs) · <2 years, Intervention duration <2 years
Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022)
SMD 0.01 [-0.16, 0.18]3 studiesUngraded
Responsive complementary feeding (RCF) vs Other models of complementary feeding
Dental caries · 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
Conventional GIC vs Compomer and glass carbomer
Restoration failure · Children with carious primary teeth · 3 years, ART; Class I and II
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) GIC 17.5%; compomer 17.5%; glass carbomer 28.7% (cumulative)1 study · 568 participantsUngraded
Caries assessment at enamel threshold vs None
Enamel caries proportion · European adolescents aged 18 years · Exact age
Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022)
Proportion 0.29 [0.22, 0.38]2 studiesUngraded
Sugar-free chewing gum (any polyol: xylitol, sorbitol, or maltitol), chewed regularly 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 -0.778 [-1.167, -0.390]7 studiesUngraded
Enamel caries quantification (DeS/DeT within total D(M)FS/D(M)FT) vs None (descriptive prevalence review; subgroup analyses only)
Enamel caries proportion of total caries experience · European adolescents aged 12–19 years
Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022)
Proportion 0.50 [0.39, 0.65]7 studies · 7056 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 · Devito et al., 2008; hidden-layer perceptron with backpropagation
Uses of Different Machine Learning Algorithms for Diagnosis of Dental Caries. (2022)
Accuracy 88.41 study · 160 participantsUngraded
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: partial-mouth
Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022)
MEAN 3.53 [1.62, 7.70]2 studiesUngraded
Atraumatic restorative treatment 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 0.02 [-0.32, 0.36]2 studies · 134 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 · Setting: Urban/rural (unspecified)
Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022)
Prevalence 0.391 [0.305, 0.477]10 studiesUngraded
Maternal education attainment vs Children without dental caries
Dental caries (association with primary maternal education) · Children (deciduous and/or permanent dentition) in low- and middle-income countries · Primary education
Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income… (2022)
OR 1.25 [1.02, 1.54]7 studies · 6529 participantsUngraded
Fluoride-releasing resin-based sealant vs Resin-based sealant
Progression of non-cavitated enamel caries · 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
Daily fluoride intake from toothpaste vs Child age (across age groups)
Association between age and daily fluoride intake from toothpaste · Children using fluoride toothpaste (all tap-water fluoride categories) · All tap-water fluoride categories; Levy et al. [20,22,24] data excluded
Fluoride Intake Through Dental Care Products: A Systematic Review. (2022)
R2 (coefficient of determination) <0.14NRUngraded
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: Algeria
Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022)
MEAN 1.69 [1.463, 1.917]1 studyUngraded
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 · Data collection period: 2000-2004
Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022)
MEAN 0.994 [0.731, 1.257]14 studiesUngraded
Atraumatic restorative treatment with high-viscosity GIC vs Conventional restoration (amalgam / composite resin)
Restoration survival · Children with occlusoproximal caries in primary teeth · 2-3 years, Occlusoproximal cavities (Raggio 2013; Tedesco 2017)
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022)
OR OR 0.298-1.267 (Raggio 2013); Tedesco 2017 ORs 0.298/0.710/1.26 (NS)NRUngraded
Socioeconomic status category vs Children without dental caries
Dental caries (association with middle SES) · Children (deciduous and/or permanent dentition) in low- and middle-income countries · Middle SES
Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income… (2022)
OR 0.80 [0.59, 1.10]7 studies · 7175 participantsUngraded
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
Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022)
MEAN 5.93 [4.82, 7.28]14 studies · 17658 participantsUngraded
Fluoride-containing dental care products, primarily toothpaste vs Dietary fluoride sources in high-fluoridated areas
Contribution to total daily fluoride intake · Children · High fluoride in water (0.78-1.5 mg/L)
Fluoride Intake Through Dental Care Products: A Systematic Review. (2022)
Mean percentage contribution 418 studiesUngraded
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls
Mucocele · 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 3.03 [0.12, 75.37]1 study · 190 participantsUngraded
Autopolymerised sealant vs Light polymerised sealant
Adverse events · Children with sound primary molars, aged 2-4 years (municipal dental clinics or hospital paediatric clinics, Denmark)
Sealants for preventing dental caries in primary teeth (2022) · Cochrane
No studies reported this outcome.0 studiesNo studies
Ion-releasing glass ionomer cement (GIC) restorations vs Resin composite restorations
Secondary caries · Patients with permanent dentition in need of restorations · 1 year, All types of cavities
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic… (2022)
RD -0.00 [-0.01, 0.01]12 studies · 1677 participantsLow
Flowable resin composite vs Fluoride-releasing resin-based sealant
Adverse events · Children who were regular dental attenders with caries-free first or second primary molars (public health service…
Sealants for preventing dental caries in primary teeth (2022) · Cochrane
No studies reported this outcome.0 studiesNo studies
Prior SDF application with 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 (with rinsing step)
Bonding of Glass-Ionomer Cement and Adhesives to Silver Diamine Fluoride-treated Dentin: An Updated… (2022)
MD -0.36 [-1.07, 0.35]5 studies · 178 participantsUngraded
Prior application of silver diamine fluoride (SDF), with or without a rinsing step vs No prior SDF application (untreated dentin control)
Immediate bond strength (MPa) · Glass-ionomer cement bonded to dentin (in vitro), sound or caries-affected · Immediate bond strength, Overall (all dentin conditions and rinsing protocols)
Bonding of Glass-Ionomer Cement and Adhesives to Silver Diamine Fluoride-treated Dentin: An Updated… (2022)
MD -0.11 [-0.54, 0.31]11 studies · 583 participantsUngraded
Restorative materials placed by atraumatic restorative treatment (ART); mostly high-viscosity/conventional GIC, also RMGIC, glass carbomer, compomer, composite resin vs Different ART materials or application techniques (e.g., bilayer vs single-step, with vs without cavity conditioner/disinfectant), or composite resin
Treatment failure (annual failure rate) · Children with carious primary teeth treated by atraumatic restorative treatment (hand-instrument caries removal), no… · 12-48 months, Restorative technique (ART)
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) 1.2-37.1%10 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 · Data collection period: >2015
Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022)
MEAN 1.802 [1.492, 2.111]6 studiesUngraded
Behaviour change / oral health promotion interventions delivered by non-dental professionals and health workers (nurses, midwives, health visitors, community 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
The effectiveness of behaviour change interventions delivered by non-dental health workers in promoting… (2022)
SMD -0.15 [-0.25, -0.04]12 studiesUngraded
Dental caries (carious oral microbiome) vs Caries-free / healthy oral microbiome
Alpha diversity (Shannon) · Children providing oral (saliva/supragingival plaque) 16S rRNA microbiome samples · Children
Meta-analysis of caries microbiome studies can improve upon disease prediction outcomes. (2022)
In children, the Shannon alpha-diversity index differed significantly between caries and health (p < 0.001).NRUngraded
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 2: network meta-analysis (all studies evaluating >=2 index tests)
Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022)
Sensitivity 0.83 [0.77, 0.87]64 studies · 24567 participantsLow
Dentinal caries in primary dentition (at 5 years) vs Caries-free primary dentition
Dentinal caries in permanent (newly erupted) teeth · School children and adolescents (6-18 years) followed from primary dentition (baseline examination before 72 months of… · 7-year follow-up, Dentinal caries in primary dentition
Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic… (2022)
OR 3.2 [2.6, 3.9]1 study · 3282 participantsUngraded
Dental caries (carious oral microbiome) vs Caries-free / healthy oral microbiome
Discrimination of caries vs health (random forest ROC-AUC) · Individuals providing oral (saliva/supragingival plaque) 16S rRNA microbiome samples; 2016 samples from 19 studies…
Meta-analysis of caries microbiome studies can improve upon disease prediction outcomes. (2022)
AUC 0.7519 studies · 2016 participantsUngraded
Glass ionomer-based sealant vs No sealant
Retention of sealant (complete or partial retention) · Children with caries-free primary first molars (with or without caries on other teeth), aged 1-5 years (paediatric… · 6-30 months
Sealants for preventing dental caries in primary teeth (2022) · Cochrane
Chadwick 2005: one or more sealants fully/partially retained in 69 (31.2%) children at 12-30 months; Joshi 2019: at 12 months 75 (43.6%) teeth completely retained, 58 (33.7%) partially retained, 39 (22.7%) completely…2 studiesUngraded
Hall Technique preformed metal crowns vs Conventional restorations (amalgam, GIC, composite)
Discomfort during treatment · Children (3-10 years) with dentine caries in primary molars · During treatment
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022)
RR 1.67 [0.65, 4.25]2 studiesUngraded
HVGIC vs Composite resin
Restoration failure · Children with carious primary teeth · 3 years, Class II
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) HVGIC 6.1%; composite resin 1.7%1 study · 87 participantsUngraded
Preformed metal crown (PMC) vs Resin-modified glass-ionomer cement + composite resin (modified open-sandwich restoration)
Treatment failure (annual failure rate) · Children with carious primary molars treated by pulpotomy (vital pulp therapy) · 2 years, PMC arm
Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated… (2022)
AFR 2.51 study · 87 participantsUngraded
Antiretroviral therapy (any, including cART) vs No antiretroviral medication (treatment-naive)
Mucocele 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 0.02 [0.00, 1.09]NRVery low
HVGIC Fuji IX vs HVGIC Amalgomer CR
Restoration failure · Children with carious primary teeth · 1 year, ART; Class I and II
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) Fuji IX 9.0%; Amalgomer CR 4.0% (cumulative)1 study · 100 participantsUngraded
Machine-learning algorithms for dental caries detection vs Different machine-learning algorithms for caries prediction
Dental caries detection accuracy · Dental images of human beings · Zanella-Calzada et al., 2018; ANN
Uses of Different Machine Learning Algorithms for Diagnosis of Dental Caries. (2022)
Accuracy 691 study · 189 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
Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022)
Prevalence 0.36 [0.294, 0.417]25 studies · 18080 participantsUngraded
Dental caries (early childhood caries, ECC) vs Caries-free controls
Relative abundance of Veillonella spp. · Children with early childhood caries (ECC) and caries-free children · Overall (all sample types)
Meta-Analysis Using NGS Data: The Veillonella Species in Dental Caries. (2022)
MD 2.22 [0.54, 3.90]6 studies · 319 participantsVery low
HVGIC with chlorhexidine cavity disinfectant vs HVGIC without cavity disinfectant
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 (%) without disinfectant 9.1%; with disinfectant 11.1% (cumulative)1 study · 126 participantsUngraded
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… · 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
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 rs1044956 (7:24854765; nearest gene(s) OSBPL3, NPVF) · 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), rs1044956 (7:24854765); effect/non-effect allele A/G; MAF 0.49; 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) 4.5515 studies · 2974 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 · Publication year: ≥ 2010
Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022)
Prevalence 0.51 [0.36, 0.66]11 studiesUngraded