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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.
5,762 questions in 263 reviews · Dental caries
current versionsNo 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.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances Pocket/probing depth (PD) · Adults undergoing orthodontic treatment · 6 to 12 weeks, Adults Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021) | MD -0.42 [-0.71, -0.12] | 2 studies · 62 participants | Very low |
COE with vital rinsing (toluidine blue/tolonium chloride) vs Conventional oral examination (COE) alone Detection rate of oral pre-malignant and malignant lesions after referral (COE+vital rinsing vs COE alone) · OSCC or OPMD symptom-free individuals with tobacco habits Clinical assessment for the detection of oral cavity cancer and potentially malignant disorders in… (2021) · Cochrane | Rate ratio 1.05 [0.74, 1.41] | 1 study · 7975 participants | Moderate |
Visual examination (VE) vs Cavity preparation or biopsy (operative validation) Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; 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 10.18 [3.94, 26.29] | 3 studies | Ungraded |
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances White spot lesions (WSLs), patient level · Adolescents/teenagers undergoing orthodontic treatment · 9 months, Adolescents Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021) | RR 0.33 [0.10, 1.04] | 1 study | Ungraded |
Gingival health assessment (gingivitis / gingival index) vs None (descriptive prevalence review) Gingivitis / gingival health · Children and adolescents in the United Arab Emirates (Sharjah) Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | Gopinath et al. reported high gingival and plaque scores among 3-12-year-olds at a Sharjah teaching clinic; increasing dmft/DMFT corresponded to higher plaque and gingival scores, and females and children >6 years were… | NR | Ungraded |
Resin infiltration alone vs In-office bleaching alone Dentist satisfaction (masking effect) · Patients with dental fluorosis Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or… (2021) | MD 3.97 [3.33, 4.61] | 1 study | Ungraded |
Inflammatory bowel disease (IBD) vs Healthy controls without IBD Dental caries (DMF-t/DMF-s and related caries indices) · Patients with IBD (Crohn's disease and ulcerative colitis) and controls without IBD Oral Health Status in Patients with Inflammatory Bowel Diseases: A Systematic Review. (2021) | Not meta-analyzed (heterogeneity of caries indices). Abstract: "in most studies, patients with IBD were characterized by higher values of caries indices." Table 3 examples (IBD/subtype vs control): Zhang 2020 DMF-t… | NR | Ungraded |
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) | DOR 15.57 [0.47, 515.27] | 2 studies | Ungraded |
Conventional bitewing radiography, E-speed film 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) | Sensitivity 0.35 [0.19, 0.51] | 1 study | Ungraded |
Conventional bitewing radiography, F-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 0.81 | 3 studies | Ungraded |
Surgery +/- radiotherapy + (adjuvant) chemotherapy vs Surgery +/- radiotherapy alone (observation or adjuvant radiotherapy only) Overall survival, adjuvant chemotherapy vs observation alone following surgery · 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 0.95 [0.73, 1.22] | 5 studies · 353 participants | Moderate |
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: excluding high/unclear risk of bias reference standard Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Specificity 0.87 [0.83, 0.90] | NR | Ungraded |
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), Reference standard: excavation (non-CBCT) Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Specificity 0.96 [0.80, 0.99] | 5 studies | Ungraded |
Tooth wear assessment (primary teeth) vs None (descriptive prevalence review) Tooth wear prevalence · School children (primary dentition) in the United Arab Emirates (Abu Dhabi) Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | Al Halabi et al. (Abu Dhabi; 506 children, 9,213 teeth) reported tooth wear in 97.6% of school children, with the highest prevalence and severity at the upper incisor and upper canine segments. Attrition was… | 1 study · 506 participants | Ungraded |
Laser fluorescence (DIAGNOdent 2095) 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 0.71 [0.55, 0.83] | 1 study | Ungraded |
High snack consumption vs Low snack consumption Mean plaque score · 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) | Adjusted difference 0.13 [0.02, 0.24] | 1 study · 1036 participants | Ungraded |
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 outside the acceptable range · Artificially fluoridated public water supply in Brazilian cities (water samples under external control) External control of fluoridation in the public water supplies of Brazilian cities as a strategy against… (2021) | Prevalence 56.6 [45.5, 67.3] | 12 studies | Ungraded |
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), CBCT Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Specificity 0.69 [0.35, 0.90] | 6 studies | Ungraded |
Observed population vs Not applicable Significant caries index · Preschool children in Dubai · Overall Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | MEAN 4.55 | 1 study · 2957 participants | Ungraded |
Sealant or coating agent (with or without fluoride release) applied to teeth with fixed appliances vs No sealant (untreated control teeth) White spot lesions assessed by laser fluorescence (DIAGNOdent) · Patients of any age (11-40 years) receiving comprehensive/fixed orthodontic treatment with fixed appliances Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021) | Laser fluorescence (DIAGNOdent) was assessed in 3 studies comparing sealant vs no sealant, but meta-analysis could not be performed because results were presented parametrically or non-parametrically without the… | 3 studies | Ungraded |
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 medium 15-34% (non-CBCT) Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Specificity 0.87 [0.78, 0.92] | NR | Ungraded |
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) | AUC 0.78 | 4 studies | Ungraded |
Digital radiographs 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) Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Sensitivity 0.49 [0.42, 0.56] | 40 studies | Ungraded |
Digital bitewing radiography, phosphor plate (PSP) 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) | DOR 7.5 [1.19, 47.13] | 1 study | Ungraded |
Observed population vs Not applicable Dental caries prevalence · School children aged 11-17 years in Sharjah · Overall Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | Prevalence 75.5 | 1 study · 803 participants | Ungraded |
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) Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Specificity 0.88 [0.84, 0.92] | 77 studies | Low |
Fluoride-releasing compomer bonding agent vs Compomer bonding agent without fluoride release Incidence of new white spot lesions by visual-tactile assessment · Patients receiving comprehensive fixed orthodontic treatment · 1 to 24 months, 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 participants | Ungraded |
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 · Ethnicity: Caucasian Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021) | OR 0.62 [0.13, 3.09] | 2 studies · 538 participants | Ungraded |
Intervention NR Mean DMFT (decayed, missing, filled permanent teeth) · Individuals with permanent dentition in East Africa · Eritrea Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and… (2021) | MEAN 2.273 [1.884, 2.661] | NR | Ungraded |
Digital bitewing radiography, sensor-based (CCD/CMOS) 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 0.50 [0.02, 0.98] | 1 study | Ungraded |
Non-selective carious tissue removal and conventional restoration (CR) vs Selective carious tissue removal (selective excavation, SE) Lesion progression · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · Cavitated but not deep lesions, primary dentition Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane | Lesion progression reported narratively: Ribeiro 1999 found 6/24 lesions progressed after 12 months; not pooled and not GRADE-rated. | 1 study | Ungraded |
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances S. mutans presence · 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) | RR 0.86 [0.64, 1.14] | 1 study | Ungraded |
Sugar-free chewing gum (any polyol-based SFG; predominantly xylitol) vs Pooled controls: no gum, placebo/control gum, probiotic, or fluoride varnish Streptococcus mutans load in the oral cavity (saliva and/or dental plaque) · Adults and children (general population) · Final/end-of-study time point (follow-up 2 weeks to 18 months), Sensitivity analysis: baseline-to-endpoint correlation 0.95 for SFG arm A systematic review and meta-analysis of the role of sugar-free chewing gum on Streptococcus mutans. (2021) | SMD -0.55 [-0.80, -0.30] | 13 studies · 1335 participants | Ungraded |
Fluorescence-based devices vs Visual classification Difference in sensitivity · 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 sensitivity -0.11 [-0.25, 0.03] | 19 studies · 2849 participants | Ungraded |
Radiographic imaging methods (any: analogue radiographs, digital radiographs, or CBCT) vs Reference standard (histology, excavation, or enhanced visual examination) Diagnostic accuracy on surfaces with pit and fissure sealants · 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), Pit and fissure sealants Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Pre-specified heterogeneity investigation of surfaces with pit and fissure sealants: no study reported the inclusion of sealants that would allow evaluation of early caries lesions. | 0 studies | No studies |
Intervention NR Initiation of white spot lesions (WSL), visual-tactile assessment · Sensitivity (glass ionomer cement vs resin adhesive, excluding high risk-of-bias studies) Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021) | RR 1.02 [0.82, 1.27] | NR | Ungraded |
Habit of tooth cleaning vs No habit of tooth cleaning Dental caries (presence) · Individuals in Ethiopia assessed for dental caries Dental caries and associated factors in Ethiopia: systematic review and meta-analysis. (2021) | OR 0.71 [0.17, 2.96] | 5 studies | Ungraded |
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) | AUC 0.53 | 2 studies | Ungraded |
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), Setting: in vivo / clinical (non-CBCT) Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Sensitivity 0.56 [0.43, 0.69] | 17 studies | Ungraded |
Rubber dam isolation vs Isolite system Clinical evaluation of restoration's quality · Dental patients undergoing restorative treatment (no age or gender restriction) Rubber dam isolation for restorative treatment in dental patients (2021) · Cochrane | no estimate extracted | 0 studies | No studies |
Analogue (conventional) radiographs vs Digital radiographs (direct within-person / paired comparison); 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 Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Sensitivity 0.41 [0.30, 0.53] | 15 studies | Ungraded |
Sweet food consumption (frequent) vs No/less frequent sweet food consumption Dental caries (presence) · Individuals in Ethiopia assessed for dental caries Dental caries and associated factors in Ethiopia: systematic review and meta-analysis. (2021) | OR 2.4 [1.91, 3.01] | 4 studies | Ungraded |
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: low to moderate Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis. (2021) | OR 0.38 [0.18, 0.81] | 1 study | Ungraded |
External control of fluoride concentration vs Not applicable Samples with fluoride concentration above the acceptable range · Brazilian cities in the Northeast region with artificially fluoridated public water supplies · 1995-2013, Northeast region External control of fluoridation in the public water supplies of Brazilian cities as a strategy against… (2021) | Prevalence 0.2 | NR | Ungraded |
Conventional bitewing radiography, D-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) | Sensitivity 0.17 [0.07, 0.40] | 1 study | Ungraded |
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 outside 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 42.4 [30.9, 54.4] | NR | Ungraded |
Chemotherapy (any regimen; added to, or compared with, locoregional treatment) vs Locoregional treatment and/or an alternative chemotherapy regimen Toxicity / adverse effects (harms) of chemotherapy · 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 | Harms/toxicity were planned but very little quantitative data suitable for analysis were found; toxicity reported narratively and not quantified or GRADE-rated. | NR | Ungraded |
Preterm birth vs Full-term birth Mean DMFT · Preterm children aged 5-10 years in Dubai · Preterm children Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | MEAN 1.00 | 1 study | Ungraded |
Problem-driven / less regular dental visiting vs More frequent / regular dental visits 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) | Both Kowash et al. and Hashim et al. found a higher frequency of dental visits protective against caries. Hashim et al. reported higher odds of severe early childhood caries among children who visited a dentist because… | NR | Ungraded |
Rubber dam isolation vs Isolite system Adverse events · Dental patients undergoing restorative treatment (no age or gender restriction) · treatment phase Rubber dam isolation for restorative treatment in dental patients (2021) · Cochrane | no estimate extracted | 0 studies | No studies |