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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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10,375 questions in 429 reviews · Oral Health

current versions
No 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.

QuestionEffectEvidenceStatus / 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 participantsLow
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]NRUngraded
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]NRUngraded
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 participantsUngraded
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]NRUngraded
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 participantsUngraded
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 participantsVery 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 studiesUngraded
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 participantsUngraded
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 studiesVery 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) -4.5325 studies · 2974 participantsUngraded
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 881 study · 3000 participantsUngraded
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 32 studiesUngraded
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.NRNo 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 studiesUngraded
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 studies15 studiesUngraded
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 studiesUngraded
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 studyUngraded
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 studiesUngraded
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 participantsVery 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 extracted0 studiesNo 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 participantsUngraded
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 studyUngraded
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 participantsVery 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 participantsVery 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 studiesUngraded
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 studiesUngraded
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 participantsLow
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 studiesUngraded
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 participantsUngraded
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 participantsVery 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 88.41 study · 160 participantsUngraded
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 studiesUngraded
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 participantsUngraded
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 participantsVery 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 participantsLow
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 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 · 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 studiesUngraded
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 participantsUngraded
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 studiesNo 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) <0.14NRUngraded
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 studyUngraded
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 extracted1 study · 30 participantsUngraded
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 studyUngraded
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 studiesUngraded
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 participantsUngraded
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 participantsVery 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)NRUngraded
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 studiesNo 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 participantsUngraded