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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.
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 |
|---|---|---|---|
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 88 | 1 study · 3000 participants | Ungraded |
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 3 | 2 studies | Ungraded |
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 studies | 15 studies | Ungraded |
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 studies | Ungraded |
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 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 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 studies | Ungraded |
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 extracted | 0 studies | No 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 participants | Ungraded |
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 studies | Ungraded |
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 studies | Ungraded |
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 participants | Ungraded |
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 88.4 | 1 study · 160 participants | Ungraded |
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 studies | Ungraded |
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 participants | 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 · 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 studies | Ungraded |
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 participants | Ungraded |
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 studies | No 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) <0.14 | NR | 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: 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 study | 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 · 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 studies | Ungraded |
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) | NR | Ungraded |
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 participants | Ungraded |
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 participants | Ungraded |
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 41 | 8 studies | Ungraded |
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 participants | Ungraded |
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 studies | No 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 participants | Low |
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 studies | No 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 participants | Ungraded |
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 participants | Ungraded |
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 studies | 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 · 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 studies | Ungraded |
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 studies | Ungraded |
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). | NR | Ungraded |
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 participants | Low |
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 participants | Ungraded |
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 0.75 | 19 studies · 2016 participants | Ungraded |
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 studies | Ungraded |
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 studies | Ungraded |
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 participants | Ungraded |
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 2.5 | 1 study · 87 participants | Ungraded |
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] | NR | Very 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 participants | Ungraded |
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 69 | 1 study · 189 participants | 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 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 participants | Ungraded |
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 participants | Very 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 participants | Ungraded |
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 participants | 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 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) 4.551 | 5 studies · 2974 participants | 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 · 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 studies | Ungraded |