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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.

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
Intervention NR
Mean dmft · Nationals in public day cares (El Batawi)
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
MEAN 0.81 studyUngraded
Visual examination (VE) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
Specificity 0.83 [0.70, 0.92]3 studiesUngraded
Dental imaging (analog or digital radiographs) vs Visual classification
Difference in specificity · Children or adults asymptomatic or suspected of enamel caries; extracted teeth · Analysis 1: fully within-person comparison
Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2021)
Difference in specificity 0.06 [-0.04, 0.19]19 studies · 2849 participantsUngraded
Micro-invasive treatment (resin infiltration or sealing) vs Non-invasive / control treatment
Radiographic proximal caries lesion progression · Patients with non-cavitated proximal (approximal) caries lesions (primary or permanent dentition) · Longest available follow-up, Caries risk: moderate to high
Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis. (2021)
OR 0.17 [0.10, 0.29]4 studiesUngraded
Beta-thalassemia major vs Healthy Emirati children
Calculus prevalence · Children with beta-thalassemia major in Dubai · Children with beta-thalassemia major
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 28.91 studyUngraded
Inflammatory bowel disease (IBD; Crohn's disease or ulcerative colitis) vs Healthy controls without IBD
Periodontal disease (periodontitis) coincidence · Patients with inflammatory bowel disease (IBD) and controls without IBD; mostly adults (one pediatric study), both sexes
Oral Health Status in Patients with Inflammatory Bowel Diseases: A Systematic Review. (2021)
OR 2.49 [1.97, 3.15]6 studiesUngraded
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)
Sensitivity 0.55 [0.42, 0.67]1 studyUngraded
Intervention NR
Dental caries prevalence · General population in Ethiopia (all ages, age range 6-100 years) · Tigray
Dental caries and associated factors in Ethiopia: systematic review and meta-analysis. (2021)
Prevalence 0.4659 [0.2464, 0.6854]2 studiesUngraded
Laser fluorescence pen (DIAGNOdent 2190/Pen) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
DOR 5.85 [1.77, 19.30]4 studiesUngraded
Conventional bitewing radiography, E-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 6.80 [4.58, 10.10]9 studiesUngraded
Digital bitewing radiography (phosphor plates) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
Sensitivity 0.48 [0.24, 0.73]2 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), Primary dentition (non-CBCT)
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Specificity 0.87 [0.77, 0.93]NRUngraded
Cone beam computed tomography (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), Proximal surfaces (CBCT)
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Sensitivity 0.68 [0.42, 0.86]NRUngraded
Conventional bitewing radiography, E-speed film vs Histological validation of dental tissues (gold standard)
Diagnostic accuracy for proximal caries detection (dentin detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · Dentin detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
AUC 0.925 studiesUngraded
Observed population vs Not applicable
Tooth brushing less than once daily, males in 2016 · Nationally surveyed adolescents in the United Arab Emirates · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 46.11 study · 24220 participantsUngraded
Fibre-optic transillumination (FOTI) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
Sensitivity 0.97 [-0.92, 0.99]1 studyUngraded
Laser fluorescence (DIAGNOdent 2190/pen) 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 30.79 [8.74, 108.51]5 studiesUngraded
Laser fluorescence (DIAGNOdent 2190/pen) 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 0.79 [0.62, 0.90]5 studiesUngraded
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)
Specificity 0.85 [0.74, 0.92]9 studiesUngraded
Maternal smoking during pregnancy vs No maternal smoking during pregnancy
Dental caries · Children · Children's age: 3 years or younger
Correlation Between Maternal Smoking During Pregnancy and Dental Caries in Children: A Systematic Review and… (2021)
OR 1.71 [1.34, 2.16]3 studiesUngraded
Autism spectrum disorder vs Not applicable
Poor oral hygiene prevalence · Autistic children and young adults in Dubai · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 591 studyUngraded
Conventional bitewing radiography (F-speed film) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
DOR 23.60 [8.28, 67.24]2 studiesUngraded
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: primary
Prevalence of dental caries in Pakistan: a systematic review and meta-analysis. (2021)
Prevalence 50.493 [43.867, 57.110]NRUngraded
Autism spectrum disorder vs Healthy counterparts
Dental-care visit prevalence · Children with autism spectrum disorder in Dubai · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 651 studyUngraded
Non-selective carious tissue removal and conventional restoration (CR) vs Hall Technique (sealing with a preformed metal crown)
Efficiency, costs or cost-effectiveness · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · Primary dentition
Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane
Cost-effectiveness reported narratively: HT found more cost-effective than CR in primary teeth (Innes 2011; Santamaria 2018); not GRADE-rated.2 studiesUngraded
Cone beam computed tomography (CBCT) vs Digital radiographs (direct within-person / paired comparison); reference standard: histology
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), Digital
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Specificity 0.76 [0.43, 0.93]6 studiesUngraded
Intervention NR
Dental caries prevalence · General population in Ethiopia (all ages, age range 6-100 years)
Dental caries and associated factors in Ethiopia: systematic review and meta-analysis. (2021)
Prevalence 0.4098 [0.3162, 0.5034]13 studies · 6950 participantsUngraded
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 · Teeth with previously applied restorations (secondary caries) or pit and fissure sealants; target condition =… · 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. 'No included studies reported inclusion criteria of previously applied restorations or pit and fissure sealants' (a planned subgroup).0 studiesNo studies
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances
Simplified gingival index (s-GI) · Adolescents/teenagers undergoing orthodontic treatment · 1 month, Adolescents
Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021)
MD -8.46 [-10.47, -6.45]1 studyUngraded
Visual examination (VE) vs Direct visual examination after tooth separation or bioptical cavity preparation
Diagnostic accuracy for proximal caries detection (dentin detection level) · Patients with permanent posterior teeth, proximal surfaces assessed clinically (in vivo) · Dentin detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
Specificity 0.76 [0.11, 0.99]2 studiesUngraded
Poor / no tooth brushing habit vs Good tooth brushing habit
Dental caries (presence) · Individuals in East Africa assessed for dental caries
Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and… (2021)
OR 1.967 [1.205, 3.211]10 studies · 4927 participantsUngraded
Visual examination (VE) vs Cavity preparation or biopsy (operative validation)
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · 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)
Specificity 0.47 [0.26, 0.70]2 studiesUngraded
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)
Specificity 0.75 [0.68, 0.82]2 studiesUngraded
Observed population vs Not applicable
Mean dmft/DMFT · School children aged 12-14 years in Dubai schools · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
MEAN 1.831 study · 2237 participantsUngraded
Lower parental (maternal/paternal) education vs Higher parental education
Dental caries · Healthy children and adolescents in the United Arab Emirates
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Maternal education was not associated with children's caries in the Hashim et al. studies, whereas father's educational level was negatively associated with DMFT in Khadri et al. (secondary-aged children: -0.35, 95% CI…NRUngraded
Leukemia (oral health status) vs None (descriptive; compared by treatment location)
Oral health problems (mucositis, caries, candidiasis) · Children with leukemia in the United Arab Emirates
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Alnuaimi et al. reported a 60% prevalence of oral problems (mostly oral mucositis/ulceration, then dental caries and oral candidiasis) among children with leukemia; prevalence was not associated with age, gender,…1 studyUngraded
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)
DOR 35.90 [13.43, 96.00]2 studiesUngraded
Fluorescence-based devices vs Visual classification
Difference in specificity · Children or adults asymptomatic or suspected of enamel caries; extracted teeth · Analysis 1: fully within-person comparison
Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2021)
Difference in specificity -0.03 [-0.09, 0.16]19 studies · 2849 participantsUngraded
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances
Lactobacilli presence (CFU > 10^5) · Adults undergoing orthodontic treatment · 6 months, Adults
Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021)
RR 0.19 [0.08, 0.45]2 studies · 140 participantsLow
Conventional bitewing radiography (D-speed film) vs Cavity preparation or biopsy (operative validation)
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · 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)
Specificity 0.58 [0.42, 0.72]1 studyUngraded
Fluoride concentration relative to the acceptable range (electrometric ion-selective electrode measurement; acceptable range mostly 0.6-0.8 ppmF) vs None (descriptive proportion meta-analysis)
Water samples with fluoride concentration above the acceptable range · Artificially fluoridated public water supply in Brazilian cities (water samples under external control) · Region: Southeast Brazil
External control of fluoridation in the public water supplies of Brazilian cities as a strategy against… (2021)
Prevalence 11.5NRUngraded
COE with light-based detection (e.g. ViziLite Plus, Microlux/DL, VELscope, Identafi 3000) vs Reference standard: examination and clinical evaluation by a physician/clinician with specialist knowledge or training (long-term follow-up accepted for those screened negative)
Outcome NR · Apparently healthy adults not reporting symptoms of OPMD or OSCC, attending an organised screening or surveillance…
Clinical assessment for the detection of oral cavity cancer and potentially malignant disorders in… (2021) · Cochrane
There were no eligible studies evaluating light-based detection.0 studiesNo studies
Low family income vs High family income
Severe early childhood caries · Children aged 5-6 years in Ajman schools · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
OR 1.43 [1.11, 1.85]1 study · 1036 participantsUngraded
Dental fluorosis assessment vs None (descriptive prevalence review)
Dental fluorosis prevalence · School-aged children in the United Arab Emirates (Dubai)
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Ahmad et al. (Dubai, school-aged children; n=779) reported dental fluorosis in 10.9%, mostly very mild or mild (Table 2).1 study · 779 participantsUngraded
Sugary or carbonated beverages vs Water
Dental erosion · Five-year-old preschool children in Sharjah · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
OR 0.30 [0.19, 0.41]1 study · 403 participantsUngraded
Rubber dam isolation vs Isolite system
Costs: operation/chair time · Dental patients undergoing restorative treatment (no age or gender restriction) · Pit and fissure sealing (permanent molars)
Rubber dam isolation for restorative treatment in dental patients (2021) · Cochrane
MD 9.36 [8.42, 10.30]1 study · 42 participantsVery low
Cone beam computed tomography (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)
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Specificity 0.81 [0.73, 0.88]7 studiesUngraded
Cone beam computed tomography (CBCT) vs Digital radiographs (direct within-person / paired comparison); reference standard: histology
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), CBCT
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Sensitivity 0.76 [0.65, 0.85]6 studiesUngraded
Fluoride-releasing compomer-based bonding agent vs Non-fluoride compomer-based bonding agent
Initiation of white spot lesions (WSL), visual-tactile assessment · Patients of any age (11-40 years) receiving comprehensive/fixed orthodontic treatment with fixed appliances · 1-24 months follow-up, Compomer-based bonding agents
Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021)
RR 0.71 [0.46, 1.11]2 studies · 400 participantsUngraded
Conventional bitewing radiography (E-speed film) vs Cavity preparation or biopsy (operative validation)
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · 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)
Specificity 0.94 [0.46, 0.996]1 studyUngraded