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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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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
Near-infrared (NIR) transillumination vs Reference standard: histology, or enhanced visual examination with or without radiographs (also operative excavation, tooth separation, or microcomputed tomography)
Specificity 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
Specificity 0.86 [0.80, 0.91]5 studiesUngraded
Digital radiographs 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 0.87 [0.82, 0.91]40 studiesUngraded
1-19 remaining teeth vs 20-32 remaining teeth
Atherosclerotic cardiovascular disease (ACVD)-related events (morbidity and mortality) · 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 1.69 [1.13, 2.53]2 studies · 165066 participantsHigh
Rubber dam isolation and moisture control (alone or with saliva aspiration) vs Cotton rolls (with or without saliva aspiration)
Adverse events · Dental patients undergoing direct or indirect restorative treatment (no age or gender restriction) · treatment phase
Rubber dam isolation for restorative treatment in dental patients (2021) · Cochrane
Adverse events | Outcome not reported0 studiesNo studies
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)
AUC 0.921 studyUngraded
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)
AUC 0.772 studiesUngraded
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), Occlusal surfaces (CBCT)
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Sensitivity 0.76 [0.55, 0.89]NRUngraded
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances
S. mutans 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 0.22 [0.10, 0.51]2 studies · 140 participantsLow
Special healthcare needs / disability (oral health status and treatment needs) vs None (descriptive; compared across disability types)
Oral health status and treatment needs · Arab children with special healthcare needs in the United Arab Emirates (Ras Al Khaimah)
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Alkhabuli et al. (Ras Al Khaimah) reported a high caries prevalence (85.2%) and high mean dmft/DMFT (5.67) among children with special healthcare needs. About two-thirds had good oral hygiene (highest in autism 100%,…1 studyUngraded
Conventional bitewing radiography, F-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 5.34 [2.55, 11.17]8 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)
Specificity 0.78 [0.46, 0.94]2 studiesUngraded
Restorative dental treatment under general anesthesia vs Before treatment (before-after)
Oral health-related quality of life (child and family) · Preschool children in the United Arab Emirates receiving dental general anesthesia
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Alantali et al. found that restorative dental general anesthesia resulted in significant improvement in child and family physical, psychological and social quality-of-life, with a large change noted in both the child…1 studyUngraded
Higher paternal education vs Lower paternal education
Mean DMFT · 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)
Regression coefficient -0.35 [-0.53, -0.17]1 study · 803 participantsUngraded
Rubber dam isolation vs Isolite system
Costs: direct cost of treatment · Dental patients undergoing restorative treatment (no age or gender restriction)
Rubber dam isolation for restorative treatment in dental patients (2021) · Cochrane
no estimate extracted0 studiesNo studies
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)
Specificity 0.92 [0.86, 0.96]3 studiesUngraded
Observed population vs Not applicable
Mothers believing fluoride does not prevent tooth decay · Emirati preschool children in Ras Al Khaimah nurseries · Mothers of Emirati preschool children (Ras Al Khaimah)
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 13.71 study · 540 participantsUngraded
Intervention NR
Initiation of white spot lesions (WSL), visual-tactile assessment · Sensitivity (coating with vs without fluoride release, excluding parallel-arm studies)
Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021)
RR 0.82 [0.66, 1.02]NRUngraded
Digital bitewing radiography, phosphor plate (PSP) 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 0.89 [0.83, 0.93]11 studiesUngraded
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)
Sensitivity 0.67 [0.19, 0.95]5 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 (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 0.891 studyUngraded
Intervention NR
Initiation of white spot lesions (WSL), visual-tactile assessment · Sensitivity (sealant vs no sealant, excluding high risk-of-bias studies)
Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021)
RR 0.85 [0.66, 1.10]NRUngraded
Intervention NR
Mean dmft · Females (Gopinath)
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Mean(SD) 6.01 (4.95)1 studyUngraded
Visual classification: ERK (Ekstrand-Ricketts-Kidd system) vs Reference standard (histology, excavation, radiographs/microCT, or tooth separation)
Specificity 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)
Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane
Specificity 0.72 [0.61, 0.81]15 studiesUngraded
Fluoride-releasing resin-based sealant vs Non-fluoride resin-based sealant
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, Resin-based sealants
Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021)
RR 0.71 [0.35, 1.43]2 studies · 644 participantsUngraded
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), Permanent dentition
Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane
Sensitivity 0.85 [0.77, 0.90]NRUngraded
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)
Sensitivity 0.70 [0.59, 0.80]2 studiesUngraded
Maternal smoking during pregnancy vs No maternal smoking during pregnancy
Dental caries · Children · Caries assessment: visual/tactile examination
Correlation Between Maternal Smoking During Pregnancy and Dental Caries in Children: A Systematic Review and… (2021)
OR 1.48 [1.15, 1.91]3 studiesUngraded
Incarcerated mother vs Comparison children
Plaque prevalence · Preschool children of incarcerated mothers in UAE prison nurseries · Children of incarcerated mothers
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 93.81 studyUngraded
Laser fluorescence (DIAGNOdent 2190/pen) 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 0.90 [0.73, 0.97]1 studyUngraded
Utilization of dental services assessment (care/restorative index; dental visits) vs None (descriptive prevalence review)
Utilization of dental services · Healthy Emirati preschool children in the United Arab Emirates
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Kowash et al. reported very low utilization of dental services among healthy Emirati preschoolers: two-thirds never visited a dentist, with a very low care/restorative index of 6.4% in Al Ain, and a care index of 3.8%…2 studiesUngraded
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: Deciduous tooth decay
Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021)
OR 1.10 [0.87, 1.38]2 studies · 929 participantsUngraded
Down syndrome (oral health status) vs Healthy controls
Oral health status (caries, DMFT, calculus, erosion, malocclusion, treatment indices) · Children with Down syndrome 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)
Ghaith et al. (Dubai) reported dental decay in 57.6% of children with Down syndrome (same as controls) but a higher mean DMFT (2.73 vs 1.65) and calculus index (0.25 vs 0.07), higher erosion prevalence/severity, and…1 studyUngraded
Systemic sclerosis (SSc / scleroderma) vs SSc-free individuals (controls)
DMFT index · 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)
SMD -0.025 [-0.296, 0.247]3 studiesUngraded
COE with light-based detection (e.g. ViziLite Plus, Microlux/DL, VELscope, Identafi 3000) vs Conventional oral examination (COE) alone
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
No eligible studies; planned comparative analysis (COE vs COE with light-based detection) not populated in this version.0 studiesNo studies
Conventional bitewing radiography, F-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)
Sensitivity 0.43 [0.31, 0.57]8 studiesUngraded
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)
AUC 0.552 studiesUngraded
Digital bitewing radiography, phosphor plate (PSP) 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 0.86 [0.03, 0.99]2 studiesUngraded
Observed population vs Not applicable
Dental caries prevalence · School children aged 5-7 years in Dubai schools · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 60.31 study · 1317 participantsUngraded
Down syndrome vs Healthy controls
Dental erosion prevalence · Children with Down syndrome in Dubai · Children with Down syndrome
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 341 studyUngraded
Maternal smoking during pregnancy vs No maternal smoking during pregnancy
Childhood dental caries · Children in cross-sectional studies from Asia · Study region: Asia
Correlation Between Maternal Smoking During Pregnancy and Dental Caries in Children: A Systematic Review and… (2021)
OR 1.84 [1.39, 2.45]2 studiesUngraded
Concomitant (concurrent) chemoradiotherapy vs Radiotherapy alone (non-resectable tumours)
Disease-free survival, concurrent chemoradiotherapy vs radiotherapy alone (pooled) · 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 0.74 [0.67, 0.80]13 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), Analogue and digital combined (non-CBCT); 97 datasets
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Specificity 0.89 [0.86, 0.92]NRUngraded
Visual examination (VE) 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 0.798 studiesUngraded
Early childhood caries (ECC) vs ECC-free children (caries-free controls)
Iron deficiency (ID) · Preschool children (<6 years) · Sensitivity analysis (Ramos-Gomez et al. 2002 excluded)
Iron deficiency and early childhood caries: a systematic review and meta-analysis. (2021)
OR 2.76 [2.42, 3.13]7 studies · 9028 participantsUngraded
Resin infiltration vs Fluoride varnish
Optical/esthetic improvement (DIAGNOdent reading) · Patients (mainly children) with white spot lesions (WSL) · 3 to 6 months, Mild lesions, DIAGNOdent score <=14 (Ciftci et al. 2018; Giray et al. 2018)
Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or… (2021)
MD 3.65 [0.82, 6.48]2 studies · 172 participantsUngraded
Optical coherence tomography (OCT) 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 0.94 [0.88, 0.97]10 studiesUngraded
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)
DOR 5.55 [1.88, 16.38]3 studiesUngraded
Intervention NR
Dental caries prevalence · General population (children and adults) in East Africa · Primary dentition
Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and… (2021)
Prevalence 0.395 [0.269, 0.521]NRUngraded
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
Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis. (2021)
OR 0.32 [0.01, 8.27]1 studyUngraded
Direct composite resin restoration vs Amalgam restoration
Fracture of restorations · People with permanent or adult posterior teeth requiring restoration (parallel-group trials involved children aged 6… · Follow-up: 5 to 7 years
Direct composite resin fillings versus amalgam fillings for permanent posterior teeth (2021) · Cochrane
RR 0.87 [0.46, 1.64]2 studies · 921 participantsLow