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.
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 |
|---|---|---|---|
Genetically predicted gene expression (TWAS; S-PrediXcan with GTEx v8 cis-eQTL across 49 tissues; cross-tissue S-MultiXcan) vs ECC-unaffected children (association of genetically predicted expression) Early childhood caries (ECC) - association with genetically predicted expression of TAS2R14 (chr12p13.2) · 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), TAS2R14 (chr12p13.2); 48 (4) tissues; significant (Bonferroni p < 3.09x10-6) Association of Early Childhood Caries with Bitter Taste Receptors: A Meta-Analysis of Genome-Wide… (2022) | Z-score (cross-tissue mean, S-MultiXcan) 0.47 | 5 studies · 2974 participants | Ungraded |
Food and nonalcoholic beverage marketing (exposure) vs No, less, or less powerful food marketing Food choice · Children and adolescents aged 0-19 years · Overall (pooled across designs) Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | OR 1.77 [1.26, 2.50] | 27 studies | Ungraded |
Hall-technique preformed metal crown vs Non-restorative caries treatment and compomer Restoration failure · Children with carious primary teeth · 2.5 years, Class II Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) PMC Hall technique 3.1%; compomer 14.7% | 1 study · 169 participants | Ungraded |
Maternal education attainment vs None (descriptive single-group pooled prevalence) Secondary/higher maternal education prevalence (among children with caries) · Children with dental caries (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) | Prevalence 0.4496 [0.33, 0.5722] | 7 studies · 3240 participants | Ungraded |
Intervention NR Caries experience - mean dmfs (descriptive), primary dentition · CL/P vs no CL/P; Table 4 (6 groups/4 studies) Caries in children with and without orofacial clefting: A systematic review and meta-analysis. (2022) | Mean dmfs (SD) CL/P 4.1 (SD 3.52) vs no CL/P 3.2 (SD 2.75) | 4 studies | Ungraded |
Nano-hydroxyapatite (nHA) dentifrice/paste (fluoride-free or fluoridated) vs nHA-free / fluoride-free (negative) control Mineral loss (transversal microradiography) · Enamel/dentin specimens with initial caries lesions (or sound surfaces) in intraoral (in situ) appliances worn by… · Median 21 days (range 14-28 days), Net-demineralizing conditions Efficacy of nano-hydroxyapatite on caries prevention-a systematic review and meta-analysis. (2022) | MD -61 [-1301, 1179] | 1 study | Very low |
Intervention NR Difference in summary sensitivity (NMA, Analysis 2) · Fluorescence vs Visual Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Sensitivity difference (95% CrI) -0.07 [-0.16, 0.01] | 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 · Data collection period: 2010-2014 Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 0.580 [0.320, 0.841] | 5 studies | Ungraded |
Silver diamine fluoride (SDF, including SDF + fluoride varnish) vs Other standard-of-care caries treatments pooled (placebo, ART, or ART + fluoride varnish) Oral health-related quality of life (OHRQoL; ECOHIS/COHIP) · Children with dental caries (ages ~2-13 years in the pooled trials) · Post-treatment (follow-up varied by trial) Silver diamine fluoride and oral health-related quality of life: A review and network meta-analysis. (2022) | SMD -0.06 [-0.20, 0.08] | 5 studies · 820 participants | Ungraded |
Caregiver help with child tooth brushing vs Children without dental caries Dental caries (association with caregiver help with tooth 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 0.35 [0.13, 0.93] | 3 studies · 2016 participants | Ungraded |
Zirconia crown vs Composite strip crown Restoration failure · Children with carious primary teeth · 1 year, Primary incisors Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) zirconia crown 3.3%; composite strip crown 15.0% | 1 study · 32 participants | Ungraded |
Composite resin with etch-and-rinse adhesive vs Composite resin with self-etch adhesive 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 (%) etch-and-rinse 19.5%; self-etch 7.0% | 1 study · 44 participants | Ungraded |
Food and nonalcoholic beverage marketing (exposure) vs No, less, or less powerful food marketing Food choice · Children and adolescents aged 0-19 years · Nonrandomized studies Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | OR 0.56 [0.05, 5.99] | 5 studies · 416 participants | Very low |
Resin infiltration (ICON, low-viscosity infiltrative resin; DMG) vs Pre-treatment baseline before infiltration (T0); pooled as a within-arm before/after change Color change of white spot lesion (color difference, T0 to T1) · Patients with post-orthodontic white spot lesions (permanent dentition, after removal of fixed multibracket… · 6 months Changes in the Color and Brightness of White Spots Associated with Orthodontic Treatment 6 Months after the… (2022) | SMD 1.36 [1.14, 1.59] | 4 studies · 458 participants | Ungraded |
Bottle-feeding only vs Breastfeeding only Dental caries (early childhood caries) · Healthy children under 6 years in South Africa Maternal and infant risk factors and risk indicators associated with early childhood caries in South Africa:… (2022) | OR 1.30 [0.84, 2.02] | 2 studies · 911 participants | Ungraded |
Intervention NR Enamel acid resistance / initiation of new enamel caries lesions (in vivo, narrative) · nHA vs non-fluoridated comparator: nHA significantly superior [25] (Polyakova 2020) Efficacy of nano-hydroxyapatite on caries prevention-a systematic review and meta-analysis. (2022) | no estimate extracted | 1 study | Ungraded |
Caries assessment at dentine threshold vs None Caries prevalence · European adolescents aged 18 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.74 [0.71, 0.76] | 2 studies | Ungraded |
Caries assessment at dentine threshold vs None Caries prevalence · European adolescents aged 15 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.50 [0.30, 0.70] | 5 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 · Country: Nigeria Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 0.60 [0.372, 0.833] | 4 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 Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 1.09 [0.914, 1.266] | 28 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: Kenya Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Prevalence 0.33 [0.066, 0.584] | 3 studies | Ungraded |
Random forest classifier using KEGG Orthology features vs Caries versus healthy disease-state labels External disease-state discrimination · Oral microbiome samples from four selected case-control studies Meta-analysis of caries microbiome studies can improve upon disease prediction outcomes. (2022) | AUC 0.75 | 4 studies | Ungraded |
Intervention NR Difference in summary specificity (NMA, Analysis 2) · Imaging vs Visual Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Specificity difference (95% CrI) 0.08 [0.01, 0.16] | NR | Ungraded |
Icon resin infiltration vs Baseline before resin infiltration Lightness 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 study | Ungraded |
Genetically predicted gene expression (TWAS; S-PrediXcan with GTEx v8 cis-eQTL across 49 tissues; cross-tissue S-MultiXcan) vs ECC-unaffected children (association of genetically predicted expression) Early childhood caries (ECC) - association with genetically predicted expression of IGSF5 (chr21q22.2) · 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), IGSF5 (chr21q22.2); 27 (11) tissues; suggestive (p < 1.0x10-4) ; flagged possible false positive Association of Early Childhood Caries with Bitter Taste Receptors: A Meta-Analysis of Genome-Wide… (2022) | Z-score (cross-tissue mean, S-MultiXcan) 0.63 | 5 studies · 2974 participants | Ungraded |
Flowable resin composite vs Fluoride-releasing resin-based sealant Retention of sealant (complete or partial retention) · Children who were regular dental attenders with caries-free first or second primary molars (public health service… · 12 months Sealants for preventing dental caries in primary teeth (2022) · Cochrane | Effect estimate not calculable. All sealants were completely or partially retained; 40 (1 RCT). Flowable composite: 39/40 completely retained (1 partially lost) at 6 months; resin-based: 33 completely and 7 partially… | 1 study · 40 participants | Low |
Caries assessment at enamel threshold vs None Caries experience · European adolescents aged 18 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Mean DMFS 14.98 [11.87, 18.90] | 2 studies | Ungraded |
Food and nonalcoholic beverage marketing (exposure) vs No, less, or less powerful food marketing Purchase requests · Children and adolescents aged 0-19 years · Randomized trials Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | Combination of P values statistically significant in both model iterations, indicating evidence of an association of food marketing with purchase requests. | 5 studies | Moderate |
Caries in upper primary incisors 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, Upper incisors Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic… (2022) | RR 1.6 [1.07, 2.45] | 1 study · 362 participants | Ungraded |
Pulpotomy with mineral trioxide aggregate (MTA) 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: MTA vs calcium hydroxide Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022) | MTA yielded a statistically significantly higher success rate than calcium hydroxide (indirect comparison; Supplementary Table S5, not available). | NR | Ungraded |
Food and nonalcoholic beverage marketing (exposure) vs No, less, or less powerful food marketing Diet-related noncommunicable diseases · Children and adolescents aged 0-19 years Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | No studies were found with relevant data on diet-related noncommunicable diseases or validated surrogate indicators. | 0 studies | No studies |
Fluoride-containing dental care products (mainly fluoride toothpaste; one study also included fluoride varnish) vs Dietary fluoride sources (drinking water, beverages, food) Contribution of dental care products to total daily fluoride intake (TDFI) · Humans using fluoride-containing dental care products; 28 included studies, mostly young children, only two studies in… · Habitual daily intake Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | Mean contribution to TDFI (%) 38 | 28 studies | Ungraded |
Fluoride-releasing resin-based sealant vs No sealant (no treatment) Development of >=1 new carious lesion (caries incidence) · 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 | BB OR 0.76 [0.41, 1.42] | 1 study · 85 participants | Low |
Intervention NR Caries experience - mean dmft (descriptive), primary dentition · CL/P vs no CL/P; Table 4 (15 groups/13 studies) Caries in children with and without orofacial clefting: A systematic review and meta-analysis. (2022) | Mean dmft (SD) CL/P 3.2 (SD 2.22) vs no CL/P 2.5 (SD 1.53) | 13 studies | Ungraded |
Combined antiretroviral therapy (cART) vs Monotherapy or dual antiretroviral therapy Gingivitis 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 gingivitis between CLWH on cART and those on monotherapy or dual therapy (no numeric estimate reported in the text); 2 study(ies). | 2 studies | Very low |
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), Sensitivity analysis (pre-post correlation set to 0.95 for the SFG group) A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum on Plaque Quantity in the Oral… (2022) | SMD -1.098 [-1.539, -0.656] | 7 studies | Ungraded |
Atraumatic restorative treatment plus fluoride varnish vs Silver diamine fluoride plus fluoride varnish 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 0.16 [-0.10, 0.42] | 1 study · 246 participants | Ungraded |
Socioeconomic status category vs Children without dental caries Dental caries (association with low SES) · Children (deciduous and/or permanent dentition) in low- and middle-income countries · Low SES Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income… (2022) | OR 1.52 [1.22, 1.89] | 7 studies · 7175 participants | Ungraded |
Intervention NR Mean number of arrested caries surfaces · 38% SDF vs comparators (NaF/no treatment) Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | Mean arrested caries surfaces (count) 2.5-4.5 (38% SDF) vs 1.3-1.8 (comparators) | 2 studies | Ungraded |
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 · Children using fluoride-containing dental care products (majority of included studies) · 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 (%) 51 | 14 studies | Ungraded |
Composite resin vs High-viscosity GIC and bulk-fill composite resins Restoration failure · Children with carious primary teeth · 1 year, Class II Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) HVGIC 2.9%; composite resin 0%; bulk-fill CR1 0%; bulk-fill CR2 0% | 1 study · 30 participants | Ungraded |
Prior SDF application with a rinsing step vs No prior SDF application (untreated dentin control) Immediate bond strength (MPa) · Dental adhesives 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 -4.79 [-9.19, -0.40] | 3 studies · 72 participants | Ungraded |
Low parental socioeconomic status (SES) vs High parental socioeconomic status (SES) Dental caries (early childhood caries) · Healthy children under 6 years in South Africa Maternal and infant risk factors and risk indicators associated with early childhood caries in South Africa:… (2022) | OR 2.21 [0.41, 11.96] | 3 studies · 1620 participants | Ungraded |
Early childhood caries (caries present in primary dentition) vs No caries in primary dentition (caries-free) Caries development in permanent teeth · School children and adolescents (6-18 years) followed from primary dentition (baseline examination before 72 months of… · At least 24 months follow-up (3-12 years) Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic… (2022) | OR 3.22 [2.80, 3.71] | 3 studies · 5080 participants | Very low |
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, Selective caries removal (SCR) arm Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated… (2022) | AFR 17.1 | 1 study · 48 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: Eritrea Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 2.50 [2.173, 2.827] | 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 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 0.02 [-0.13, 0.17] | 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: South Africa Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 1.13 [0.795, 1.454] | 6 studies | Ungraded |
CD4+ T-cell count below 250 cells/mm3 HIV-related oral lesions · Children living with HIV receiving ART · CD4+ T-cell count below 250 cells/mm3 Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A… (2022) | OR 1.999 [0.129, 3.688] | 1 study | Ungraded |
Glass ionomer-based sealant vs No sealant Mean caries increment (dmft) · Children with caries-free primary first molars (with or without caries on other teeth), aged 1-5 years (paediatric… · 12 months Sealants for preventing dental caries in primary teeth (2022) · Cochrane | Joshi 2019: dmft 8.43 (SD 5.84) with sealant vs 10.05 (SD 6.16) with no sealant at 12 months (caries threshold uncertain); Chadwick 2005: no significant difference in caries increment on occlusal surfaces, no summary… | 2 studies | Ungraded |