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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 |
|---|---|---|---|
Baby-Led Introduction to SolidS (BLISS) vs Other models of complementary feeding Overweight/obesity risk · Healthy children aged 6–24 months in Western industrialized countries · 24 months, BLISS RCTs Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other… (2022) | RR 0.15 [0.00, 17.79] | 2 studies · 457 participants | Low |
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: 2005-2009 Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 1.085 [-0.092, 2.260] | 2 studies | Ungraded |
Intervention NR Food purchasing · Vote counting by direction of effect; clear 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 |
Glass carbomer vs Resin-modified GIC and composite resin 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 (%) RMGIC 1.9-7.5%; glass carbomer 5.8-46.2%; composite resin 2.1% | 1 study · 50 participants | Ungraded |
Intervention NR Difference in summary specificity (NMA, Analysis 2) · Transillumination vs Visual Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Specificity difference (95% CrI) 0.01 [-0.13, 0.12] | NR | Ungraded |
Antiretroviral therapy (any, including cART) vs No antiretroviral medication (treatment-naive) Chronic herpes simplex infection 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 2.47 [0.88, 6.97] | NR | Very low |
Glass carbomer restoration (placed after drilling) vs Composite resin or RMGIC Treatment failure (annual failure rate) · Children with previously unrestored, vital carious lesions in primary teeth (no pulp therapy); aged 1.5-11 years · 12 months (El-Housseiny 2019) Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) up to 46.2% | 1 study · 50 participants | Ungraded |
SDF applied once (single application, no re-application) vs Other non/minimally-invasive treatment (ART or silver-fluoride varnish) Caries arrest · Children (age 1-10 years) with active cavitated dentin caries lesions in primary molars · Follow-up up to 12 months (single application), SDF application frequency: single (one-time) application Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic… (2022) | ES -0.09 [-0.48, 0.29] | 2 studies · 117 participants | Ungraded |
Fluoride-free nano-hydroxyapatite (nHA) dentifrice/paste vs Fluoridated control (sodium fluoride, NaF) 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-remineralizing conditions Efficacy of nano-hydroxyapatite on caries prevention-a systematic review and meta-analysis. (2022) | MD -15 [-133, 103] | 2 studies | Very low |
Machine-learning algorithms for dental caries detection vs Different machine-learning algorithms for caries prediction Dental caries detection accuracy · Dental images of human beings · Geetha et al., 2020; backpropagation Uses of Different Machine Learning Algorithms for Diagnosis of Dental Caries. (2022) | Accuracy 97.1 | 1 study · 105 participants | Ungraded |
Resin-based pit and fissure sealant (PFS) vs Fluoride varnish (FV) Caries incidence in first permanent molars · Schoolchildren aged 6-12 years with sound occlusal surfaces of the first permanent molars · 24 months Pit and Fissure Sealant versus Fluoride Varnish for the Prevention of Dental Caries in School Children: A… (2022) | RR 0.65 [0.31, 1.38] | 3 studies · 1263 participants | 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 · Adults using fluoride-containing dental care products (two included studies [28,47]; aged 20-35) · Habitual daily intake, Low-fluoridated tap water (0.3-0.51 mg/L) Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | Mean contribution to TDFI (%) 95 | 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 LINC02905 (C8orf49) (chr8p23.1) · 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), LINC02905 (C8orf49) (chr8p23.1); 9 (3) tissues; significant (Bonferroni p < 3.09x10-6) ; 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) -0.35 | 5 studies · 2974 participants | Ungraded |
Atraumatic restorative treatment vs Placebo 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 -0.01 [-0.40, 0.38] | NR | Ungraded |
Glass ionomer-based sealant vs Resin-based sealant (fluoride-releasing or non-fluoride-releasing) Retention of sealant (complete or partial retention) · 'Healthy' children with caries-free second primary molars, aged 3-5 years (schools and kindergartens, India and China) · 24 months Sealants for preventing dental caries in primary teeth (2022) · Cochrane | BB OR 0.20 [0.11, 0.36] | 1 study · 100 participants | Very low |
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: Burkina Faso Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 0.70 [0.639, 0.761] | 1 study | Ungraded |
Conventional GIC vs Metal-reinforced GIC Restoration failure · Children with carious primary teeth · 1.5 years, Class II Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) GIC 16.6%; MRGIC 29.9% | 1 study · 37 participants | 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 tooth level (dmft) · 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 -0.34 [-0.54, -0.13] | 6 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 measured by net increment in DMFT 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), Age 9-12 years Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022) | SMD -0.20 [-0.44, 0.04] | 1 study | Ungraded |
Access to/visit to dental services vs None (descriptive single-group pooled prevalence) Access to/visited dental services prevalence · Children in low- and middle-income countries (both with and without dental caries) Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income… (2022) | Prevalence 0.4444 [0.2773, 0.6182] | 5 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 · Data collection period: >2015 Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Prevalence 0.574 [0.427, 0.721] | 5 studies | Ungraded |
Silver diamine fluoride (SDF >=30%, i.e. 30% or 38%), applied annually or biannually vs No treatment or another non-invasive/minimally-invasive treatment (ART, sodium fluoride or silver-based varnish, or 12% SDF) Caries arrest rate (absolute proportion of lesions arrested) · Children (age 1-10 years) with active cavitated dentin caries lesions in primary molars · Follow-up >=12 months Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic… (2022) | Proportion 0.5162 | 5 studies · 1205 participants | Ungraded |
Hall Technique preformed metal crowns vs Conventional restorations (amalgam, GIC, composite) Restoration failure · Children (3-10 years) with dentine caries in primary molars · 1-5 years Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | 3% (HT) vs 37% (control) | 1 study | Ungraded |
GIC with cavity conditioner vs GIC without cavity conditioner Restoration failure · Children with carious primary teeth · 1 year, ART; Class I Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) with conditioner 26%; without conditioner 33% | 1 study · 96 participants | Ungraded |
Ion-releasing glass ionomer cement (GIC) restorations vs Resin composite restorations Secondary caries · Patients with permanent dentition in need of restorations · 18 months to 2 years, 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] | 8 studies · 1087 participants | 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 year: < 2010 Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.78 [0.70, 0.87] | 10 studies | 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 rs76823412 (8:134690570; nearest gene(s) ST3GAL1) · 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), rs76823412 (8:134690570); effect/non-effect allele T/C; MAF 0.47; 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) 4.806 | 5 studies · 2974 participants | 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, Extreme-fluoridated tap water (>1.5 mg/L) Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | Mean contribution to TDFI (%) 3 | 2 studies | Ungraded |
Caries assessment at enamel threshold vs None Caries prevalence · European adolescents aged 19 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.92 [0.83, 0.97] | 1 study | Ungraded |
Electrical conductance or impedance vs Reference standard (histology, operative excavation, or enhanced visual examination) Specificity 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) | Specificity 0.72 [0.44, 0.89] | 64 studies · 24567 participants | Low |
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 2.37 [1.91, 2.82] | 1 study | Ungraded |
High Streptococcus mutans colonization in primary dentition (age 2-3 years) vs Lower Streptococcus mutans load Caries (DMFT/DMFS) in mixed/permanent dentition · 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) | Two studies found a significantly higher DMFT/DMFS score among school children aged 6-12 years who had a higher Streptococcus mutans load at 2-3 years old | 2 studies | Ungraded |
Cleft lip and/or palate (CL/P) vs No cleft lip and/or palate (non-CL/P) Caries experience in the primary dentition (dmft/dmfs/dfs/deft/ds; pooled as standardized mean difference) · Children in the primary dentition with non-syndromic cleft lip and/or palate (CL/P) and comparable children without CL/P · Overall (all dentition groups) Caries in children with and without orofacial clefting: A systematic review and meta-analysis. (2022) | SMD 0.46 [0.15, 0.77] | 16 studies · 3863 participants | Ungraded |
Intervention NR Difference in summary specificity (NMA, Analysis 2) · Electrical conductance vs Visual Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Specificity difference (95% CrI) -0.08 [-0.37, 0.10] | NR | Ungraded |
Intervention NR Difference in summary sensitivity (NMA, Analysis 2) · Electrical conductance vs Transillumination Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Sensitivity difference (95% CrI) 0.06 [-0.12, 0.22] | NR | 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: Tanzania Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Prevalence 0.34 [0.299, 0.376] | 2 studies | Ungraded |
38% SDF applied twice yearly (biannual) vs 38% SDF applied once yearly (annual) Caries arrest · Children with dentine carious lesions (ICDAS 4-5) in primary teeth · 24 months, Biannual vs annual application Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | Caries arrest rate (%) 91% (twice-yearly) vs 79% (once-yearly) at 24 months | NR | Ungraded |
Prior SDF application without 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 (without rinsing step) Bonding of Glass-Ionomer Cement and Adhesives to Silver Diamine Fluoride-treated Dentin: An Updated… (2022) | no estimate extracted | 1 study | Ungraded |
Fluoride-containing dental care products (toothpaste) vs Dietary/other fluoride sources Contribution of dental care products to total fluoride exposure · Pregnant and lactating women Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | no estimate extracted | 0 studies | No studies |
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) Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022) | SMD -1.09 [-1.91, -0.27] | 4 studies · 3755 participants | Very low |
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: Algeria Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Prevalence 0.59 [0.523, 0.654] | 1 study | 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, Poor-fluoridated tap water (<0.3 mg/L) Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | Mean contribution to TDFI (%) 45 | 10 studies | Ungraded |
Socioeconomic status category vs None (descriptive single-group pooled prevalence) Middle SES prevalence (among children with caries) · Children with dental caries (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) | Prevalence 0.3534 [0.1804, 0.55] | 7 studies | Ungraded |
Combined antiretroviral therapy (cART) vs Monotherapy or dual antiretroviral therapy Oral candidiasis 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 0.22 [0.16, 0.29] | 4 studies | Very low |
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) Crown retention · 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 1.00 [0.94, 1.05] | 3 studies · 156 participants | Ungraded |
Socioeconomic status category vs None (descriptive single-group pooled prevalence) High SES prevalence (among children with caries) · Children with dental caries (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) | Prevalence 0.2451 [0.1621, 0.339] | 5 studies | Ungraded |
Food marketing exposure or greater marketing power vs No marketing, less marketing, or less powerful marketing Food preference · Children and adolescents aged 0-19 years · Crossover designs with binary outcomes Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | OR 3.49 [2.03, 6.22] | 4 studies | Ungraded |
Unfavourable oral hygiene and dietary habits (frequent sweet/sugar consumption; low toothbrushing frequency in early childhood) vs Favourable oral hygiene and dietary habits Caries development 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) | Two studies reported associations; frequent sweet consumption and lower toothbrushing frequency in early childhood were associated with higher caries prevalence/severity in adolescence, but these behaviours were not… | 2 studies | Ungraded |
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls Linear gingival erythema (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 1.00 [0.06, 16.19] | 2 studies · 224 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 · Country: Zambia Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Prevalence 0.11 [0.045, 0.26] | 1 study | Ungraded |