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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 |
|---|---|---|---|
Chlorhexidine (CHX) vs Ozonated water Reduction in level of contamination by particles <=5 um (droplet nuclei) at >=2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · droplet nuclei; anaerobic cultures Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -3.4 [-14.66, 7.86] | 1 study · 40 participants | Very low |
Imaging (analog or digital radiographs) 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 0.89 [0.83, 0.93] | 64 studies · 24567 participants | Low |
Compomer (polyacid-modified composite resin) restoration vs Amalgam, RMGIC, HVGIC, composite resin, bulk-fill composite resin, another compomer, or alternative caries management Treatment failure (annual failure rate) · Children with previously unrestored, vital carious lesions in primary teeth (no pulp therapy); aged 1.5-11 years · 12-30 months Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) 0-14.7% | 7 studies | Ungraded |
Metronidazole gel (25%, intrasocket) vs Placebo gel Presence of dry socket · Adults (>18 years) having permanent tooth extraction (predominantly mandibular third molars) · Follow-up: median 7 days Local interventions for the management of alveolar osteitis (dry socket) (2022) · Cochrane | RR 0.53 [0.23, 1.20] | 1 study · 302 participants | Ungraded |
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls Dental caries prevalence (DMFT/dmft/DMFS/dmfs > 0) · Children and adolescents (<18 years) · Cross-sectional (case-control; single time point), Primary dentition (dmft > 0) Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A… (2022) | OR 1.93 [1.34, 2.79] | 1 study · 564 participants | Ungraded |
Non-responsive complementary feeding (NRCF) vs Other models of complementary feeding Overweight and obesity · Healthy children aged 6–24 months in Western industrialized countries · 15–20 months, observational Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other… (2022) | No significant association for all comparisons for documented exposures of at least 6 months; 4 observational studies; Very low certainty. | 4 studies | Very low |
Adaptive dragonfly algorithm with neural-network classifier vs KNN or SVM (not disaggregated in source) Accuracy advantage in test case 2 · Dental images of human beings · Patil et al., 2019 Uses of Different Machine Learning Algorithms for Diagnosis of Dental Caries. (2022) | Accuracy advantage 11.76 | 1 study · 40 participants | Ungraded |
Flowable bulk-fill composite resin vs Compomer 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 (%) compomer 0%; bulk-fill composite resin 0% | 1 study · 32 participants | Ungraded |
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls Oral hairy leukoplakia (WHO clinical stage 3) · 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 · 217 participants | Ungraded |
38% silver diamine fluoride (SDF) vs No treatment / other preventive agents (GIC, 5% NaF varnish) Caries arrest · Children with dentine carious lesions (ICDAS 4-5) in primary teeth · 18-30 months, 38% SDF vs 5% NaF varnish/water (Trieu et al. 2019 meta-analysis) Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | OR (caries arrest) OR 2.44-3.63 (range); 2.44 = Chu estimate including 30% SDF | 3 studies | Ungraded |
Imaging (analog or digital radiographs) vs Reference standard (histology, operative excavation, or enhanced visual examination) Sensitivity for detecting enamel caries · Asymptomatic children or adults suspected of enamel caries (clinical studies); extracted teeth (in vitro studies) · Analysis 1: fully within-person comparison (studies evaluating >=3 index tests) Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Sensitivity 0.48 [0.35, 0.62] | 19 studies · 2849 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) Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022) | SMD -0.26 [-0.70, 0.18] | 5 studies · 3506 participants | Very 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 · Data collection period: 2010-2014 Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | Prevalence 0.346 [0.085, 0.606] | 3 studies | Ungraded |
Intervention NR Difference in summary specificity (NMA, Analysis 2) · Electrical conductance vs Transillumination Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Specificity difference (95% CrI) -0.09 [-0.38, 0.12] | NR | Ungraded |
Autopolymerised sealant vs Light polymerised sealant Development of >=1 new carious lesion (caries incidence) · Children with sound primary molars, aged 2-4 years (municipal dental clinics or hospital paediatric clinics, Denmark) · 24-36 months Sealants for preventing dental caries in primary teeth (2022) · Cochrane | OR 0.58 [0.15, 2.19] | 1 study · 52 participants | Very low |
Fluoride-containing dental care products, primarily toothpaste vs Dietary fluoride sources in poor-fluoridated areas Contribution to total daily fluoride intake · Children · Poor fluoride in water (<0.3 mg/L) Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | Mean percentage contribution 45 | 10 studies | Ungraded |
Herbal mouthrinse vs Chlorhexidine 0.2% mouthrinse Presence of dry socket · Adults (>18 years) having permanent tooth extraction (predominantly mandibular third molars) · Follow-up: median 7 days Local interventions for the management of alveolar osteitis (dry socket) (2022) · Cochrane | RR 0.50 [0.05, 5.17] | 1 study · 50 participants | Ungraded |
Atraumatic restorative treatment with GIC vs Conventional treatment Pain during procedure · Children (3-13 years) with dentine caries in primary teeth, no pulpal involvement · During procedure Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | MD -0.65 [-1.38, 0.07] | 6 studies · 1107 participants | Ungraded |
Silver diamine fluoride (30% SDF) vs Atraumatic restorative treatment (ART) Patient discomfort during treatment (anxiety scale) · Children (age 1-10 years) with active cavitated dentin caries lesions in primary molars · During/after the treatment procedure Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic… (2022) | Only one study assessed patient discomfort during treatment (SDF vs ART) using the patient's anxiety scale, obtaining almost overlapping results (p = 0.15). | 1 study · 67 participants | Ungraded |
Living with HIV and undergoing antiretroviral therapy (ART/HAART) vs Healthy HIV-negative controls Angular cheilitis (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 1.95 [0.16, 23.65] | 2 studies · 224 participants | Ungraded |
Multi-surface ART with high-viscosity GIC vs Single-surface ART with high-viscosity GIC Mean annual restoration failure rate · Children (2-9 years) with caries in posterior primary teeth · First 3 years, Multi-surface Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | Mean annual failure rate (%) 17 | NR | Ungraded |
Referral to a specific dental treatment facility vs Generic advice letter to see a dentist Number of caries in primary teeth (dt index) · School children, primary school in Saudi Arabia · median 11 months School dental screening programmes for oral health (2022) · Cochrane | MD -0.20 [-0.72, 0.32] | 1 study · 362 participants | Very low |
Transillumination and OCT vs Reference standard (histology, operative excavation, or enhanced visual examination) Sensitivity 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) | Sensitivity 0.76 [0.63, 0.86] | 64 studies · 24567 participants | 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 · Setting: Rural Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 1.133 [0.863, 1.404] | 11 studies | Ungraded |
Chlorhexidine (CHX) vs Cetylpyridinium chloride (CPC) 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 · CHX 0.12% vs CPC+Zn+F; operator level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -30 [-85.86, 25.86] | 1 study · 30 participants | Very low |
Acellular dermal matrix vs Control Presence of dry socket · Adults (>18 years) having permanent tooth extraction (predominantly mandibular third molars) · Follow-up: median 7 days Local interventions for the management of alveolar osteitis (dry socket) (2022) · Cochrane | RR 0.15 [0.04, 0.67] | 1 study · 300 participants | Ungraded |
Intervention NR Difference in summary specificity (NMA, Analysis 2) · Fluorescence vs Imaging Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Specificity difference (95% CrI) -0.05 [-0.14, 0.02] | NR | Ungraded |
Scaling and root planing (SRP) plus antibiotics (amoxicillin and metronidazole) vs Supragingival scaling (plus placebo) All-cause 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 |
Professional oral care vs Usual oral care Change in data on economics and quality of life · Residents of nursing homes and other long-term care facilities · 24 months Oral care measures for preventing nursing home‐acquired pneumonia (2022) · Cochrane | MD 1.5 [0.32, 2.68] | 1 study · 322 participants | Ungraded |
High-viscosity GIC atraumatic restorative treatment vs Amalgam or composite resin restoration Restoration survival · Children with occlusoproximal caries in primary teeth · 2–3 years Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | Pooled ART success estimate (Raggio 2013; not an odds ratio) 1.04 | 3 studies | Ungraded |
Pulpotomy (partial or full) vs None (single-arm pooled success proportion) Clinical and radiographic success rate (>=6 months) · Human permanent teeth with irreversible pulpitis (symptomatic and asymptomatic) due to carious pulp exposure · >=6 months (follow-up 6 to 73.6 months) Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022) | Proportion 0.86 [0.76, 0.92] | 11 studies | Very low |
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 6.80 [5.70, 7.82] | 1 study | Ungraded |
Caries assessment at dentine threshold vs None Caries prevalence · European adolescents aged 17 years · Exact age Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.84 [0.79, 0.88] | 1 study | Ungraded |
Good brushing habits (>=2 daily tooth brushing) vs None (descriptive single-group pooled prevalence) Good brushing habits prevalence (among children with caries) · Children with dental caries (deciduous and/or permanent dentition) in low- and middle-income countries Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income… (2022) | Prevalence 0.5687 [0.3539, 0.7708] | 7 studies | Ungraded |
Platelet rich plasma vs Placebo or no treatment Presence of dry socket · Adults (>18 years) having permanent tooth extraction (predominantly mandibular third molars) · Follow-up: median 7 days Local interventions for the management of alveolar osteitis (dry socket) (2022) · Cochrane | RR 0.51 [0.19, 1.33] | 2 studies · 127 participants | Very low |
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 · Publication year: < 2010 Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | MEAN 5.48 [4.27, 8.47] | 4 studies | 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: Uganda Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 0.81 [0.646, 0.979] | 3 studies | Ungraded |
Conventional glass-ionomer cement (GIC) restoration vs Amalgam or metal-reinforced GIC Treatment failure (annual failure rate) · Children with previously unrestored, vital carious lesions in primary teeth (no pulp therapy); aged 1.5-11 years · 12-60 months (Welbury 5 years; Kilpatrick 1.5 years mean) Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) 7.6-16.6% | 2 studies | Ungraded |
Cognitive behavioural therapy (CBT) vs Usual care, waiting list or no treatment (control) Psychological distress at follow-up · People aged 12 years and over with painful TMD lasting 3 months or longer · Follow-up Psychological therapies for temporomandibular disorders (TMDs) (2022) · Cochrane | MD -1.02 [-4.02, 1.98] | 1 study · 101 participants | Low |
Class-I (single-surface) cavity restoration vs Class-II (proximal/multi-surface) cavity restoration Treatment failure (annual failure rate) by cavity class · Children with carious primary teeth restored in Class-I versus Class-II cavities, no pulp therapy · 12-48 months, Cavity class (Class-I vs Class-II) Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) Class II 5-28.9%; Class I 1.2-14.7% (ART) | NR | Ungraded |
Tempered chlorhexidine vs Non-tempered chlorhexidine 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 · combined operator, assistant and patient level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -10.8 [-15.15, -6.45] | 1 study · 20 participants | Very low |
Single-visit root canal treatment vs Multiple-visit root canal treatment (two or more visits) Pain at 12 months or more (long-term postobturation pain) · People aged 10 years or above requiring root canal treatment; permanent teeth with completely formed apex and without… · 12 to 18 months Single versus multiple visits for endodontic treatment of permanent teeth (2022) · Cochrane | Pain at 12 months or more reported by 2 studies (de Castro Rizzi-Maia 2016 at 12 months; Wong 2015 at 18 months). de Castro Rizzi-Maia 2016: no participant reported pain. Wong 2015: 1/117 single-visit vs 1/103… | 2 studies | Ungraded |
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 · Age group: 16–19 years Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis. (2022) | Prevalence 0.90 [0.85, 0.94] | 7 studies | Ungraded |
Artemisia desertorum spreng (Yunnan) vs Placebo Presence of dry socket · Adults (>18 years) having permanent tooth extraction (predominantly mandibular third molars) · Follow-up: median 7 days Local interventions for the management of alveolar osteitis (dry socket) (2022) · Cochrane | RR 0.28 [0.06, 1.28] | 1 study · 182 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: Zimbabwe Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 0.98 [0.829, 1.121] | 1 study | Ungraded |
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 LACC1 (chr13q14.11) · 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), LACC1 (chr13q14.11); 48 (4) tissues; suggestive (p < 1.0x10-4) ; 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) 0.10 | 5 studies · 2974 participants | Ungraded |
Periodontal treatment: scaling and root planing (SRP) plus advice vs Community care: advice only Adverse events due to periodontal therapy · People with cardiovascular disease and chronic periodontitis · 6 to 25 months Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane | Adverse events: because of variable follow-up (6 to 25 months) and almost 90% loss to follow-up by one year, results were not considered useful for analysis; uncertain whether adverse events are more likely with either… | 1 study · 303 participants | Ungraded |
Acellular dermal matrix patch vs No treatment Presence of dry socket · Adults (>18 years) having permanent tooth extraction (predominantly mandibular third molars) · Follow-up: median 7 days Local interventions for the management of alveolar osteitis (dry socket) (2022) · Cochrane | RR 0.07 [0.01, 0.50] | 1 study · 400 participants | Ungraded |
38% silver diamine fluoride (SDF) vs No treatment / other preventive agents (GIC, 5% NaF varnish) Caries arrest · Children with dentine carious lesions (ICDAS 4-5) in primary teeth · 6-48 months, Pooled caries-arrest proportion (Gao et al. 2016 meta-analysis) Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | Proportion (caries arrest) 81 [68, 89] | 12 studies | Ungraded |
Pulpotomy with Biodentine vs Pulpotomy with mineral trioxide aggregate (MTA) Clinical and radiographic success rate (>=6 months) · Human permanent teeth with irreversible pulpitis due to carious pulp exposure · >=6 months, Pulp capping material: Biodentine vs MTA Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022) | Biodentine demonstrated a statistically significantly higher success rate than MTA (indirect comparison; numeric estimate in Supplementary Table S5, not available). | NR | Ungraded |