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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.
10,375 questions in 429 reviews · Oral Health
current versionsNo studies 1,344 · 13%Ungraded 6,832 · 65.9%Very low 1,228 · 11.8%Low 613 · 5.9%Moderate 290 · 2.8%High 68 · 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 |
|---|---|---|---|
Ion-releasing glass ionomer cement (GIC) restorations vs Resin composite restorations Unacceptable marginal adaptation · Patients with permanent dentition in need of restorations · 3 years, All types of cavities 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 |
Intervention NR Caries severity (mean DMFT) · Publication-bias adjusted (trim-and-fill) Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Mean DMFT 0.47 [0.46, 0.48] | NR | Ungraded |
Intervention NR Caries prevalence · Publication-bias adjusted (trim-and-fill) Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Prevalence 0.354 [0.348, 0.361] | NR | Ungraded |
Dental caries vs Caries-free oral health Alpha diversity (Observed, Chao1, Shannon, and Simpson) · Participants in oral 16S rRNA caries microbiome studies Meta-analysis of caries microbiome studies can improve upon disease prediction outcomes. (2022) | Higher alpha diversity in caries than health; p<0.001 (Wilcoxon; no pooled effect size reported) | 19 studies · 2016 participants | 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 -0.58 [-1.62, 0.45] | NR | Ungraded |
Selective (partial, one-step) removal of carious tissue vs Non-selective (complete) caries removal to hard dentine Pulp exposure during caries removal · Children (3-11 years) with symptomless, vital dentine caries in primary molars · 12 months, Primary teeth Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | RR 0.24 [0.06, 0.90] | 262 participants | Ungraded |
Povidone iodine vs Saline Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · operator level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -16.5 [-32.65, -0.35] | 1 study · 12 participants | Very low |
Comprehensive oral health intervention (oral health education plus additional support: motivational interviewing, toothbrush/toothpaste provision, community engagement, and/or fluoride varnish/sealant application) delivered by non-dental 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 · Comprehensive intervention (vs oral health education only) The effectiveness of behaviour change interventions delivered by non-dental health workers in promoting… (2022) | SMD -0.14 [-0.26, -0.02] | 10 studies | Ungraded |
Composite resin with a beveled cavity margin vs Composite resin with no bevel (butt-joint margin) Treatment failure (annual failure rate) · Children with Class-I carious lesions in primary molars, no pulp therapy · 18 months (Oliveira 2008), Cavity margin (bevel vs no bevel) Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) bevel 1.8%; no bevel 3.5% | 1 study · 32 participants | Ungraded |
Food marketing exposure or greater marketing power vs No marketing, less marketing, or less powerful marketing Food purchasing · Children and adolescents aged 0-19 years · Vote counting by direction of effect Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | Proportion 0.40 [0.073, 0.830] | 5 studies | Very 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 rs563135 (10:115067899; nearest gene(s) TCF7L2, CASP7) · 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), rs563135 (10:115067899); effect/non-effect allele A/C; MAF 0.51; 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) -4.532 | 5 studies · 2974 participants | Ungraded |
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 |
Cognitive behavioural therapy (CBT) vs Usual care, waiting list or no treatment (control) Quality of life · People aged 12 years and over with painful TMD lasting 3 months or longer Psychological therapies for temporomandibular disorders (TMDs) (2022) · Cochrane | This outcome was not measured for this comparison. | NR | No studies |
Periodontal treatment (subgingival instrumentation, with or without antimicrobials/surgery) vs No active intervention/usual care Probing pocket depth (PPD/PD) · People with diabetes mellitus (type 1 or type 2, mostly type 2) and periodontitis, at least 16 years of age · 3-4 months Treatment of periodontitis for glycaemic control in people with diabetes mellitus (2022) · Cochrane | MD -0.56 [-0.72, -0.40] | 21 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 |
Cetylpyridinium chloride (CPC) vs No rinsing Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · CPC vs no rinsing; operator level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -34.8 [-65.92, -3.68] | 1 study · 30 participants | Very low |
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 |
Mindfulness plus medication vs Medication alone Pain intensity · People aged 12 years and over with painful TMD lasting 3 months or longer Psychological therapies for temporomandibular disorders (TMDs) (2022) · Cochrane | Shevtsova 2020: data could not be combined; both groups achieved at least a 30% reduction in pain from baseline at treatment completion and follow-up (Table 1). No between-group MD reported. | 1 study | Ungraded |
Single-visit root canal treatment vs Multiple-visit root canal treatment (two or more visits) Analgesic (painkiller) use · People aged 10 years or above requiring root canal treatment; permanent teeth with completely formed apex and without… Single versus multiple visits for endodontic treatment of permanent teeth (2022) · Cochrane | RR 1.25 [0.75, 2.09] | 6 studies · 540 participants | Very low |
Scaling and root planing (SRP) plus antibiotics (amoxicillin and metronidazole) vs Supragingival scaling (plus placebo) All CVD-related death · People with periodontitis and metabolic syndrome (no CVD; primary prevention) · 12 months Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane | Peto OR 7.48 [0.15, 376.98] | 1 study · 165 participants | Very low |
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 |
Cognitive behavioural therapy (CBT) vs Alternative (active) treatment (e.g. oral splint, medication, self-care or disease management) Disability caused by pain at treatment completion · People aged 12 years and over with painful TMD lasting 3 months or longer · Treatment completion Psychological therapies for temporomandibular disorders (TMDs) (2022) · Cochrane | SMD -0.15 [-0.40, 0.10] | 3 studies · 245 participants | Low |
Zinc oxide eugenol vs Alvogyl (old formulation) Healing · Adults (>18 years) with established dry socket following permanent tooth extraction Local interventions for the management of alveolar osteitis (dry socket) (2022) · Cochrane | Healing: 2 studies (Faizel 2015; Supe 2018) used different healing outcomes and could not be combined; Alvogyl appeared to heal faster than zinc oxide eugenol. Supe 2018: delayed (non-healed after 10 days) 2/25 Alvogyl… | 2 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 |
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart Change in bleeding on probing (BOP) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); similar at 3 to 4 months Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane | MD 2.64 [-8.81, 14.09] | 3 studies · 80 participants | Very low |
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 |
Chlorhexidine (CHX) vs Saline Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · 3 feet from patient's mouth Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -668.4 [-1044.45, -292.35] | 1 study · 20 participants | Ungraded |
Platelet-rich fibrin after bone surgery vs Bone surgery alone Healing of MRONJ (mucosal integrity, absence of infection, and no re-intervention) · People with established (manifest) MRONJ · 1 year Interventions for managing medication‐related osteonecrosis of the jaw (2022) · Cochrane | RR 1.60 [1.04, 2.46] | 1 study · 47 participants | Very low |
Cetylpyridinium chloride (CPC) vs No rinsing Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · CPC+Zn+F vs no rinsing; operator level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -583 [-958.36, -207.64] | 1 study · 30 participants | Low |
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 |
Essential oil/herbal mouthwash vs Water Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · patient level (pharynx; not analysed) Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | Bay 1993 compared essential oil mouthwash C (Listerine) with distilled water and reported combined CFUs at different levels using Andersen's air sampler; level 2 (pharynx) was considered patient level and was not… | 1 study | Ungraded |
Alvogyl vs Platelet rich fibrin Pain · Adults (>18 years) with established dry socket following permanent tooth extraction Local interventions for the management of alveolar osteitis (dry socket) (2022) · Cochrane | Alvogyl versus platelet rich fibrin (Keshini 2020): single study (30 participants); no usable pooled estimate extracted | 1 study · 30 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: 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 |
Metronidazole (intrasocket) vs Placebo Duration of treatment (days) · Adults (>18 years) with established dry socket following permanent tooth extraction Local interventions for the management of alveolar osteitis (dry socket) (2022) · Cochrane | MD -3.17 [-5.30, -1.04] | 1 study · 55 participants | Ungraded |
Cetylpyridinium chloride (CPC) vs Water Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · CPC + domiphen bromide + quaternary ammonium vs water; combined Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -0.78 [-1.24, -0.31] | 1 study · 105 participants | Very low |
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 |
Traditional screening (referral card given if the inspecting dentist judges the child needs to see a dentist) vs No screening Gingivitis measured by any validated index · School children (aged 4 to 15 years), primary and secondary schools in the UK and India School dental screening programmes for oral health (2022) · Cochrane | No studies measured gingivitis (by any validated index). | 0 studies | No studies |
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 |