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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
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 participantsLow
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 studiesUngraded
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 studiesUngraded
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 participantsUngraded
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]NRUngraded
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]NRVery 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 participantsUngraded
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 participantsUngraded
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 studiesVery 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 97.11 study · 105 participantsUngraded
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 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, Low-fluoridated tap water (0.3-0.51 mg/L)
Fluoride Intake Through Dental Care Products: A Systematic Review. (2022)
Mean contribution to TDFI (%) 951 studyUngraded
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) -0.355 studies · 2974 participantsUngraded
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]NRUngraded
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 participantsVery 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 studyUngraded
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 participantsUngraded
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 studiesUngraded
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 studyUngraded
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 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 · 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 studiesUngraded
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 0.51625 studies · 1205 participantsUngraded
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 studyUngraded
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 participantsUngraded
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 participantsLow
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 studiesUngraded
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) 4.8065 studies · 2974 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 · 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 (%) 32 studiesUngraded
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 studyUngraded
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 participantsLow
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 studyUngraded
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 old2 studiesUngraded
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 participantsUngraded
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]NRUngraded
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]NRUngraded
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 studiesUngraded
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 monthsNRUngraded
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 extracted1 studyUngraded
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 extracted0 studiesNo 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 participantsVery 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 studyUngraded
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 (%) 4510 studiesUngraded
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 studiesUngraded
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 studiesVery 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 participantsUngraded
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 studiesUngraded
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 studiesUngraded
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 studiesUngraded
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 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: 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 studyUngraded