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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.

Limit to evidence status or GRADE (optional)

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
Edentulous (0 remaining teeth) vs 1-32 remaining teeth
All-cause mortality (ACM) · Adults (any age) with a known number of remaining teeth, followed prospectively in cohort studies · Adjusted for age/sex
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021)
HR 1.56 [1.48, 1.65]3 studies · 43734 participantsUngraded
Dental caries (ascertained mostly by WHO criteria/DMFT; also CAST, ICDAS, or clinical examination) vs None (descriptive prevalence meta-analysis)
Dental caries prevalence · General Pakistani population (all ages and both sexes; predominantly children and adolescents) · Dentition: mixed
Prevalence of dental caries in Pakistan: a systematic review and meta-analysis. (2021)
Prevalence 61.183 [43.796, 73.274]NRUngraded
Higher number of lost teeth (per one additional lost tooth) vs Fewer lost teeth (continuous, per-tooth increment)
All-cause mortality (ACM) · Adults (any age) with a known number of remaining teeth, followed prospectively in cohort studies · Multivariable-adjusted
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021)
HR 1.02 [1.01, 1.03]11 studies · 4467321 participantsLow
Observed population vs Not applicable
Molar-incisor hypomineralization prevalence · School children aged 8-12 years in Dubai public schools · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 27.21 study · 342 participantsUngraded
Conventional bitewing radiography, D-speed film vs Histological validation of dental tissues (gold standard)
Diagnostic accuracy for proximal caries detection (caries detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · Caries detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
DOR 5.2 [1.6, 16.8]2 studiesUngraded
Emirati nationality vs Non-Emirati nationality
Mean dmft · Preschool children in Abu Dhabi nurseries · Emirati children
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
MEAN 2.601 study · 186 participantsUngraded
Non-selective carious tissue removal and conventional restoration (CR) vs Stepwise carious tissue removal (SW)
Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · 6-60 months, Deep lesions, permanent dentition
Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane
OR 2.06 [1.34, 3.17]3 studies · 398 participantsModerate
Edentulous (0 remaining teeth) vs 1-32 remaining teeth
All-cause mortality (ACM) · Adults (any age) with a known number of remaining teeth, followed prospectively in cohort studies
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021)
RR 1.94 [1.19, 3.15]14 studies · 4711667 participantsLow
Induction chemotherapy plus locoregional treatment (radiotherapy and/or surgery) vs Locoregional treatment (radiotherapy and/or surgery) alone
Overall survival, induction platinum + 5-fluorouracil prior to surgery vs surgery alone · People receiving curative-intent treatment for oral cavity and oropharyngeal (squamous cell) cancer
Interventions for the treatment of oral cavity and oropharyngeal cancer: chemotherapy (2021) · Cochrane
HR 1.06 [0.71, 1.60]1 study · 198 participantsLow
Visual or visual-tactile classification systems (any system: ICDAS, ERK, Nyvad, Downer, Lussi, UniViSS, or unspecified) vs Reference standard (histology, excavation, radiographs/microCT, or tooth separation)
Sensitivity for detection of enamel caries · Asymptomatic children or adults presenting for clinical examination (in vivo studies), or extracted teeth of children… · Up to 3 months between index test and reference standard (in vivo studies), Occlusal surface
Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane
Sensitivity 0.87 [0.82, 0.90]NRUngraded
Visual examination (VE) vs Histological validation of dental tissues (gold standard)
Diagnostic accuracy for proximal caries detection (caries detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · Caries detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
Sensitivity 0.64 [0.42, 0.81]9 studiesUngraded
Laser fluorescence (DIAGNOdent 2095) vs Cavity preparation or biopsy (operative validation)
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
AUC 0.922 studiesUngraded
Selective carious tissue removal (selective excavation, SE) vs Hall Technique (sealing with a preformed metal crown)
Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · 24-36 months, Deep lesions, primary dentition
Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane
OR 1.95 [0.57, 6.63]1 study · 72 participantsVery low
Fibre-optic transillumination (FOTI) / digital fibre-optic transillumination (DIFOTI) vs Reference standard: histology, or enhanced visual examination with or without radiographs (also operative excavation, tooth separation, or microcomputed tomography)
Sensitivity for detection of enamel/early caries · Children or adults presenting asymptomatically or suspected of having enamel caries (clinical/in vivo studies);… · Up to 3 months between index test and reference standard (in vivo; in vitro no limit if stored appropriately)
Transillumination and optical coherence tomography for the detection and diagnosis of enamel caries (2021) · Cochrane
Sensitivity 0.47 [0.35, 0.59]8 studiesUngraded
Radiographic imaging methods (any: analogue radiographs, digital radiographs, or CBCT) vs Reference standard (histology, excavation, or enhanced visual examination)
Specificity for detection and diagnosis of early (enamel) caries · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted… · Up to 3 months between index test and reference standard (in vivo studies), Sensitivity analysis: low risk of bias for index test
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Specificity 0.88 [0.82, 0.92]NRUngraded
Resin infiltration vs Untreated control (natural remineralization)
Optical/esthetic improvement (visual-tactile assessment) · Patients with post-orthodontic white spot lesions (WSL) · 4 weeks to 6 months, Visual analog scale (Senestraro et al. 2013)
Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or… (2021)
SMD 2.34 [1.68, 3.01]1 study · 66 participantsUngraded
Intervention NR
Water samples with fluoride concentration below the acceptable range · Region: South Brazil
External control of fluoridation in the public water supplies of Brazilian cities as a strategy against… (2021)
Prevalence 32.4 [7.1, 65.3]NRUngraded
Chemotherapy regimen A (+/- locoregional treatment) vs Chemotherapy regimen B (+/- locoregional treatment)
Overall survival, chemotherapy regimen A vs regimen B · People receiving curative-intent treatment for oral cavity and oropharyngeal (squamous cell) cancer
Interventions for the treatment of oral cavity and oropharyngeal cancer: chemotherapy (2021) · Cochrane
Eight of 11 induction-before-radiotherapy studies reported overall survival; not pooled (heterogeneity). Only Vermorken 2007 significant: cisplatin+5-FU+docetaxel induction HR 0.73 (95% CI 0.57 to 0.93, P = 0.01).…8 studiesUngraded
Electrical conductance devices (electronic caries monitor (ECM) and/or CarieScan Pro), used as an adjunct to clinical oral examination vs Reference standard: histology or enhanced visual examination (with or without radiographs)
Outcome NR · Children/adolescents/adults or extracted teeth; target condition = non-cavitated enamel caries on SMOOTH tooth surfaces. · Up to 3 months between index test and reference standard (in vivo studies)
Electrical conductance for the detection of dental caries (2021) · Cochrane
No eligible studies. All included studies assessed occlusal surfaces only; smooth surfaces were a planned surface subgroup with no data.0 studiesNo studies
Non-selective carious tissue removal and conventional restoration (CR) vs Hall Technique (sealing with a preformed metal crown)
Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · 30-60 months, Cavitated (not deep) lesions, primary dentition
Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane
OR 8.35 [3.73, 18.68]2 studies · 249 participantsLow
Intervention NR
Mean DMFT (decayed, missing, filled permanent teeth) · Individuals with permanent dentition in East Africa · Tanzania
Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and… (2021)
MEAN 0.945 [0.421, 1.468]NRUngraded
Systemic sclerosis (SSc / scleroderma) vs SSc-free individuals (controls)
Probing depth (PD) · Adults (general and hospital populations assessed in case-control studies) · Asia (Elimelech 2015, Leung 2011, Mayer 2013)
Oral manifestations of patients with systemic sclerosis: a meta-analysis for case-controlled studies. (2021)
SMD 1.113 [0.751, 1.476]3 studiesUngraded
Radiographic imaging methods (any: analogue radiographs, digital radiographs, or CBCT) vs Reference standard (histology, excavation, or enhanced visual examination)
Sensitivity for detection and diagnosis of early (enamel) caries · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted… · Up to 3 months between index test and reference standard (in vivo studies), Reference standard: excavation (non-CBCT)
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Sensitivity 0.51 [0.27, 0.74]5 studiesUngraded
Electrical conductance devices (electronic caries monitor (ECM) and/or CarieScan Pro), used as an adjunct to clinical oral examination vs Reference standard: histology or enhanced visual examination (with or without radiographs)
Specificity · Children, adolescents, or adults presenting asymptomatically or suspected of early enamel caries (in vivo), or… · Up to 3 months between index test and reference standard (in vivo studies), Permanent dentition
Electrical conductance for the detection of dental caries (2021) · Cochrane
Permanent dentition (4 studies): specificity ranged from 0.73 to 1.00.4 studiesUngraded
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances
Full-mouth plaque score (FMPS) · Adolescents/teenagers undergoing orthodontic treatment · 12 months, Adolescents
Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021)
MD -43.48 [-47.65, -39.31]1 studyUngraded
Intervention NR
Mean dmft · Preschoolers (AlKhayat, Dubai)
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Mean(SD) 1.55 (2.75)1 studyUngraded
Intervention NR
Dental caries prevalence · Kenya
Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and… (2021)
Prevalence 0.456 [0.240, 0.672]5 studiesUngraded
Direct composite resin restoration vs Amalgam restoration
Restoration failure rate · People with permanent or adult posterior teeth requiring restoration (parallel-group trials involved children aged 6… · Follow-up >= 3 years, Parallel-group and split-mouth trials combined
Direct composite resin fillings versus amalgam fillings for permanent posterior teeth (2021) · Cochrane
RR 1.65 [1.13, 2.40]8 studiesUngraded
TaqI (rs731236 T>C) polymorphism in the VDR gene (C allele / variant genotype) vs CC genotype vs CT/TT genotype (recessive model)
Dental caries susceptibility (risk of dental caries) · Children and adults (no age limit) assessed for dental caries susceptibility · Ethnicity: Caucasian
Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021)
OR 1.33 [0.91, 1.95]2 studies · 538 participantsUngraded
Conventional bitewing radiography (D-speed film) vs Cavity preparation or biopsy (operative validation)
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
Sensitivity 0.79 [0.41, 0.96]2 studiesUngraded
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances
Gingival index (GI) · Adolescents/teenagers undergoing orthodontic treatment · 18 months, Adolescents
Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021)
MD -0.57 [-0.93, -0.21]1 studyUngraded
Digital bitewing radiography, sensor-based (CCD/CMOS) vs Direct visual examination after tooth separation or bioptical cavity preparation
Diagnostic accuracy for proximal caries detection (caries detection level) · Patients with permanent posterior teeth, proximal surfaces assessed clinically (in vivo) · Caries detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
Specificity 0.93 [0.77, 0.98]1 studyUngraded
Not applicable vs Not applicable
Dental caries prevalence · Pakistani population of any sex or age · 2009 to 2020, Fixed-effects model
Prevalence of dental caries in Pakistan: a systematic review and meta-analysis. (2021)
Prevalence 56.999 [56.415, 57.581]30 studies · 27878 participantsUngraded
Systemic sclerosis (SSc / scleroderma) vs SSc-free individuals (controls)
Prevalence of periodontitis · Adults (general and hospital populations assessed in case-control studies)
Oral manifestations of patients with systemic sclerosis: a meta-analysis for case-controlled studies. (2021)
OR 7.007 [3.529, 13.915]3 studiesUngraded
Conventional bitewing radiography, F-speed film vs Histological validation of dental tissues (gold standard)
Diagnostic accuracy for proximal caries detection (1/3 dentin detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · 1/3 dentin detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
AUC 0.981 studyUngraded
1-19 remaining teeth vs 20-32 remaining teeth
All-cause mortality (ACM) · Adults (any age) with a known number of remaining teeth, followed prospectively in cohort studies
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021)
RR 1.76 [1.41, 2.19]8 studies · 222572 participantsHigh
Direct composite resin restoration vs Amalgam restoration
Secondary caries · People with permanent or adult posterior teeth requiring restoration (parallel-group trials involved children aged 6… · Follow-up >= 3 years, Parallel-group and split-mouth trials combined
Direct composite resin fillings versus amalgam fillings for permanent posterior teeth (2021) · Cochrane
RR 1.93 [0.98, 3.80]7 studiesUngraded
Glass ionomer cement vs Resin adhesive
Incidence of new white spot lesions by visual-tactile assessment · Patients receiving comprehensive fixed orthodontic treatment · 12 to 24 months, Overall
Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021)
RR 0.72 [0.34, 1.54]3 studies · 394 participantsVery low
Observed population vs Not applicable
Care index · Emirati preschool children in Ras Al Khaimah nurseries · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Proportion 3.81 study · 540 participantsUngraded
Female sex vs Male sex
Daily tooth brushing · School-aged children in Sharjah · Females
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 981 study · 803 participantsUngraded
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances
S. mutans presence (CFU > 10^5) · Adults undergoing orthodontic treatment · 3 months, Adults
Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021)
RR 0.07 [0.01, 0.49]2 studies · 140 participantsLow
TaqI (rs731236 T>C) polymorphism in the VDR gene (C allele / variant genotype) vs C allele vs T allele (allele contrast model)
Dental caries susceptibility (risk of dental caries) · Children and adults (no age limit) assessed for dental caries susceptibility · Dentition: Permanent tooth caries
Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021)
OR 1.40 [1.11, 1.77]3 studies · 1271 participantsUngraded
Visual examination (VE) vs Histological validation of dental tissues (gold standard)
Diagnostic accuracy for proximal caries detection (caries detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · Caries detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
DOR 11.49 [5.19, 25.46]9 studiesUngraded
Chemotherapy vs Placebo
Outcome NR · People receiving curative-intent treatment for oral cavity and oropharyngeal (squamous cell) cancer
Interventions for the treatment of oral cavity and oropharyngeal cancer: chemotherapy (2021) · Cochrane
Types of studies: it was anticipated that there would be no studies comparing chemotherapy with placebo (none were identified).0 studiesNo studies
Radiographic imaging methods (any: analogue radiographs, digital radiographs, or CBCT) vs Reference standard (histology, excavation, or enhanced visual examination)
Specificity for detection and diagnosis of early (enamel) caries · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted… · Up to 3 months between index test and reference standard (in vivo studies), Dentine-caries (D3) prevalence high >=35% or unreported (non-CBCT)
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Specificity 0.89 [0.82, 0.93]NRUngraded
Intervention NR
Dental caries prevalence · General population in Ethiopia (all ages, age range 6-100 years) · Addis Ababa
Dental caries and associated factors in Ethiopia: systematic review and meta-analysis. (2021)
Prevalence 0.3420 [0.0842, 0.5997]2 studiesUngraded
Radiographic imaging methods (any: analogue radiographs, digital radiographs, or CBCT) vs Reference standard (histology, excavation, or enhanced visual examination)
Sensitivity for detection and diagnosis of early (enamel) caries · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted… · Up to 3 months between index test and reference standard (in vivo studies), Analogue and digital combined (non-CBCT); 97 datasets
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Sensitivity 0.46 [0.40, 0.51]NRUngraded
TaqI (rs731236 T>C) polymorphism in the VDR gene (C allele / variant genotype) vs CC genotype vs TT genotype (homozygous model)
Dental caries susceptibility (risk of dental caries) · Children and adults (no age limit) assessed for dental caries susceptibility · Overall
Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021)
OR 0.83 [0.29, 2.40]7 studies · 2470 participantsUngraded
Dental caries (ascertained mostly by WHO criteria/DMFT; also CAST, ICDAS, or clinical examination) vs None (descriptive prevalence meta-analysis)
Dental caries prevalence · General Pakistani population (all ages and both sexes; predominantly children and adolescents) · City: Islamabad and Rawalpindi (combined)
Prevalence of dental caries in Pakistan: a systematic review and meta-analysis. (2021)
Prevalence 57.377 [32.642, 80.287]4 studiesUngraded
Selective carious tissue removal (selective excavation, SE) vs Hall Technique (sealing with a preformed metal crown)
Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · 24 months, Cavitated but not deep lesions, primary dentition
Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane
OR 8.94 [0.57, 139.67]2 studies · 586 participantsVery low