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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 |
|---|---|---|---|
Caries in upper primary incisors vs Reference (other primary tooth locations / caries-free) Caries development in permanent teeth · School children and adolescents (6-18 years) followed from primary dentition (baseline examination before 72 months of… · 8-year follow-up, Cohort study, China (Li & Wang 2002), Upper incisors Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic… (2022) | RR 1.6 [1.07, 2.45] | 1 study · 362 participants | Ungraded |
Pulpotomy with mineral trioxide aggregate (MTA) vs Pulpotomy with calcium hydroxide (Ca(OH)2) Clinical and radiographic success rate (>=6 months) · Human permanent teeth with irreversible pulpitis due to carious pulp exposure · >=6 months, Clinical (endodontic/dental), Pulp capping material: MTA vs calcium hydroxide Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022) | MTA yielded a statistically significantly higher success rate than calcium hydroxide (indirect comparison; Supplementary Table S5, not available). | NR | Ungraded |
Food and nonalcoholic beverage marketing (exposure) vs No, less, or less powerful food marketing Diet-related noncommunicable diseases · Children and adolescents aged 0-19 years · Predominantly high-income countries Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | No studies were found with relevant data on diet-related noncommunicable diseases or validated surrogate indicators. | 0 studies | No studies |
Fluoride-containing dental care products (mainly fluoride toothpaste; one study also included fluoride varnish) vs Dietary fluoride sources (drinking water, beverages, food) Contribution of dental care products to total daily fluoride intake (TDFI) · Humans using fluoride-containing dental care products; 28 included studies, mostly young children, only two studies in… · Habitual daily intake, Multiple countries (28 studies; ~43% conducted in Brazil); community/general-population settings Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | Mean contribution to TDFI (%) 38 | 28 studies | Ungraded |
Chlorhexidine (CHX) vs Water (distilled) 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 · assistant level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | At assistant level, because of high heterogeneity (I2 = 96%), the results were not meta-analysed (4 studies, 136 participants). No pooled estimate or GRADE rating. | 4 studies · 136 participants | Ungraded |
Chlorhexidine (CHX) vs Povidone iodine 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 · operator level; aerobic cultures Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -10.75 [-26.24, 4.74] | 2 studies · 52 participants | Very low |
Cetylpyridinium chloride (CPC) vs Water 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 · CPC vs water; operator level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -48.7 [-67.82, -29.58] | 1 study · 30 participants | Very low |
Fluoride-releasing resin-based sealant vs No sealant (no treatment) Development of >=1 new carious lesion (caries incidence) · Children with caries-free or non-cavitated carious lesion primary molars, aged 3-7 years (paediatric department,… · 24 months Sealants for preventing dental caries in primary teeth (2022) · Cochrane | BB OR 0.76 [0.41, 1.42] | 1 study · 85 participants | Low |
Intervention NR Caries experience - mean dmft (descriptive), primary dentition · CL/P vs no CL/P; Table 4 (15 groups/13 studies) Caries in children with and without orofacial clefting: A systematic review and meta-analysis. (2022) | Mean dmft (SD) CL/P 3.2 (SD 2.22) vs no CL/P 2.5 (SD 1.53) | 13 studies | Ungraded |
Combined antiretroviral therapy (cART) vs Monotherapy or dual antiretroviral therapy Gingivitis prevalence · Children and adolescents (<18 years) living with HIV (CLWH) · Hospitals and AIDS outpatient centres in India, Brazil, and several Asian countries Impact of Antiretroviral Therapy on Oral Health among Children Living with HIV: A Systematic Review and… (2022) | No significant difference in gingivitis between CLWH on cART and those on monotherapy or dual therapy (no numeric estimate reported in the text); 2 study(ies). | 2 studies | Very low |
Subperiosteal prepared (SPP) wound closure after tooth extraction vs Epiperiosteal prepared (EPP) wound closure after tooth extraction MRONJ after tooth extraction (incidence proportion) · People on antiresorptive therapy for cancer or osteoporosis undergoing dental extractions (at risk of MRONJ) · 6 months Interventions for managing medication‐related osteonecrosis of the jaw (2022) · Cochrane | RR 0.09 [0.00, 1.56] | 1 study · 132 participants | Low |
Sugar-free chewing gum (any polyol: xylitol, sorbitol, or maltitol), chewed regularly vs No sugar-free gum / no chewing gum (or gum-base control); no chewing Plaque quantity (plaque index or plaque weight) · Adults and children (predominantly adults; one study in children), with natural dentition · End of study (last reported time point; study durations 4 days to 2 years), Community, residential care homes, and schools; predominantly adults, Sensitivity analysis (pre-post correlation set to 0.95 for the SFG group) A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum on Plaque Quantity in the Oral… (2022) | SMD -1.098 [-1.539, -0.656] | 7 studies | Ungraded |
Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing) vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart Change in clinical attachment level (CAL) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); similar at 3 to 4 months Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane | MD 0.07 [-0.11, 0.24] | 6 studies · 214 participants | Low |
Atraumatic restorative treatment plus fluoride varnish vs Silver diamine fluoride plus fluoride varnish Oral health-related quality of life · Children with dental caries · Network estimate Silver diamine fluoride and oral health-related quality of life: A review and network meta-analysis. (2022) | MD 0.16 [-0.10, 0.42] | 1 study · 246 participants | Ungraded |
Socioeconomic status category vs Children without dental caries Dental caries (association with low SES) · Children (deciduous and/or permanent dentition) in low- and middle-income countries · Low- and middle-income countries (Brazil, Nigeria, Cambodia, Tanzania, Mexico, Ethiopia), Low SES Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income… (2022) | OR 1.52 [1.22, 1.89] | 7 studies · 7175 participants | Ungraded |
Intervention NR Mean number of arrested caries surfaces · 38% SDF vs comparators (NaF/no treatment) Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) | Mean arrested caries surfaces (count) 2.5-4.5 (38% SDF) vs 1.3-1.8 (comparators) | 2 studies | Ungraded |
Fluoride-containing dental care products (mainly fluoride toothpaste) vs Dietary fluoride sources (drinking water, beverages, food) Contribution of dental care products to total daily fluoride intake (TDFI), by tap-water fluoride level · Children using fluoride-containing dental care products (majority of included studies) · Habitual daily intake, Multiple countries (28 studies; ~43% conducted in Brazil); community/general-population settings, Medium-fluoridated tap water (0.52-0.77 mg/L) Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | Mean contribution to TDFI (%) 51 | 14 studies | Ungraded |
Composite resin vs High-viscosity GIC and bulk-fill composite resins Restoration failure · Children with carious primary teeth · 1 year, University, Class II Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) HVGIC 2.9%; composite resin 0%; bulk-fill CR1 0%; bulk-fill CR2 0% | 1 study · 30 participants | Ungraded |
Prior SDF application with a rinsing step vs No prior SDF application (untreated dentin control) Immediate bond strength (MPa) · Dental adhesives bonded to caries-affected dentin (in vitro) · Immediate bond strength, In vitro (laboratory bond-strength testing), Caries-affected dentin (with rinsing step) Bonding of Glass-Ionomer Cement and Adhesives to Silver Diamine Fluoride-treated Dentin: An Updated… (2022) | MD -4.79 [-9.19, -0.40] | 3 studies · 72 participants | Ungraded |
Cognitive behavioural therapy (CBT) vs Alternative (active) treatment (e.g. oral splint, medication, self-care or disease management) Pain intensity at follow-up (6-12 months) · People aged 12 years and over with painful TMD lasting 3 months or longer · Follow-up (6-12 months) Psychological therapies for temporomandibular disorders (TMDs) (2022) · Cochrane | SMD -0.29 [-0.50, -0.08] | 5 studies · 475 participants | Low |
Periodontal treatment: scaling and root planing (SRP) plus advice vs Community care: advice only Serum high-sensitivity C-reactive protein (hs-CRP) · People with cardiovascular disease and chronic periodontitis · 12 months Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane | Serum hs-CRP tested at one year; as loss to follow-up was almost 90%, data not considered useful for analysis (no usable estimate). | 1 study · 37 participants | Ungraded |
Low parental socioeconomic status (SES) vs High parental socioeconomic status (SES) Dental caries (early childhood caries) · Healthy children under 6 years in South Africa · South Africa Maternal and infant risk factors and risk indicators associated with early childhood caries in South Africa:… (2022) | OR 2.21 [0.41, 11.96] | 3 studies · 1620 participants | Ungraded |
Early childhood caries (caries present in primary dentition) vs No caries in primary dentition (caries-free) Caries development in permanent teeth · School children and adolescents (6-18 years) followed from primary dentition (baseline examination before 72 months of… · At least 24 months follow-up (3-12 years), School/community-based cohort studies (USA, China, Norway) Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic… (2022) | OR 3.22 [2.80, 3.71] | 3 studies · 5080 participants | Very low |
Chlorhexidine (CHX) vs Essential oils/herbal mouthwash 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 · assistant level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -12.21 [-15.58, -8.83] | 3 studies · 76 participants | Low |
Selective caries removal (SCR) + composite resin vs Complete caries removal (CCR) + composite resin Treatment failure (annual failure rate) · Children with deep dentine caries in primary molars restored with composite resin (indirect pulp treatment; pulpotomy… · 36 months, University, Brazil (Liberman et al. 2020 / Franzon et al. 2015), Selective caries removal (SCR) arm Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated… (2022) | AFR 17.1 | 1 study · 48 participants | Ungraded |
Antibiotic prophylaxis before dental procedure vs No antibiotic prophylaxis or placebo Cost implications of antibiotic provision · Adults or children at increased risk of bacterial endocarditis (pre-existing cardiac condition) undergoing an invasive… Antibiotic prophylaxis for preventing bacterial endocarditis following dental procedures (2022) · Cochrane | The study did not provide any data on mortality, adverse events requiring hospitalisation, adverse effects of antibiotics or cost implications of treatment. | 0 studies | No studies |
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 · Eritrea (Africa), Country: Eritrea Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 2.50 [2.173, 2.827] | 1 study | Ungraded |
Cognitive behavioural therapy (CBT) vs Usual care, waiting list or no treatment (control) Psychological distress at treatment completion · People aged 12 years and over with painful TMD lasting 3 months or longer · Treatment completion Psychological therapies for temporomandibular disorders (TMDs) (2022) · Cochrane | MD 2.36 [-1.17, 5.89] | 1 study · 101 participants | Low |
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), Primary schools in low- and middle-income countries (Southeast Asia, Africa, the Americas, Europe, eastern Mediterranean), >3 intervention activities Effectiveness of primary school-based interventions in improving oral health of children in low- and… (2022) | SMD 0.02 [-0.13, 0.17] | NR | Ungraded |
Single-visit root canal treatment vs Multiple-visit root canal treatment (two or more visits) Pain at 1 month · People aged 10 years or above requiring root canal treatment; permanent teeth with completely formed apex and without… · 1 month Single versus multiple visits for endodontic treatment of permanent teeth (2022) · Cochrane | One study (Dhyani 2022) reported pain at 1 month: 60 teeth (all vital at enrolment, mechanical NiTi), 0 events (no participant reported pain at 1 month); no meta-analysis | 1 study · 60 participants | Ungraded |
Honey (Manuka, topical) vs Chlorhexidine rinse (0.2%) 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 1.32 [0.41, 4.22] | 1 study · 100 participants | Ungraded |
Chlorhexidine gel (0.2%, intrasocket) 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 | OR 0.44 [0.27, 0.71] | 7 studies · 753 participants | Moderate |
Chlorhexidine (CHX) vs Essential oils/herbal mouthwash 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 · operator level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -23.09 [-34.4, -11.78] | 3 studies · 76 participants | Low |
Any preprocedural mouth rinse vs Placebo, no rinsing or control Cost · Dental patients undergoing aerosol-generating procedures (AGPs) Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | No included study reported cost. | 0 studies | No studies |
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 · South Africa (Africa), Country: South Africa Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 1.13 [0.795, 1.454] | 6 studies | Ungraded |
CD4+ T-cell count below 250 cells/mm3 HIV-related oral lesions · Children living with HIV receiving ART · CD4+ T-cell count below 250 cells/mm3 Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A… (2022) | OR 1.999 [0.129, 3.688] | 1 study | Ungraded |
Glass ionomer-based sealant vs No sealant Mean caries increment (dmft) · Children with caries-free primary first molars (with or without caries on other teeth), aged 1-5 years (paediatric… · 12 months Sealants for preventing dental caries in primary teeth (2022) · Cochrane | Joshi 2019: dmft 8.43 (SD 5.84) with sealant vs 10.05 (SD 6.16) with no sealant at 12 months (caries threshold uncertain); Chadwick 2005: no significant difference in caries increment on occlusal surfaces, no summary… | 2 studies | Ungraded |
Baby-Led Introduction to SolidS (BLISS) vs Other models of complementary feeding Overweight/obesity risk · Healthy children aged 6–24 months in Western industrialized countries · 24 months, Outpatient, BLISS RCTs Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other… (2022) | RR 0.15 [0.00, 17.79] | 2 studies · 457 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 · Africa (cross-sectional surveys), Data collection period: 2005-2009 Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review… (2022) | MEAN 1.085 [-0.092, 2.260] | 2 studies | Ungraded |
Intervention NR Food purchasing · Vote counting by direction of effect; clear association of public health harm Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and… (2022) | Proportion 0.25 [0.013, 0.781] | 4 studies | Ungraded |
Glass carbomer vs Resin-modified GIC and composite resin Restoration failure · Children with carious primary teeth · 1 year, University, Class II Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) RMGIC 1.9-7.5%; glass carbomer 5.8-46.2%; composite resin 2.1% | 1 study · 50 participants | Ungraded |
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing) Change in bleeding on probing (BOP) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); similar at 3 to 4 months Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane | MD -0.20 [-13.27, 12.87] | 2 studies · 42 participants | Very low |
Intervention NR Difference in summary specificity (NMA, Analysis 2) · Transillumination vs Visual Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2022) | Specificity difference (95% CrI) 0.01 [-0.13, 0.12] | NR | Ungraded |
Antiretroviral therapy (any, including cART) vs No antiretroviral medication (treatment-naive) Chronic herpes simplex infection prevalence · Children and adolescents (<18 years) living with HIV (CLWH) · Hospitals and AIDS outpatient centres in India, Brazil, and several Asian countries Impact of Antiretroviral Therapy on Oral Health among Children Living with HIV: A Systematic Review and… (2022) | OR 2.47 [0.88, 6.97] | NR | Very low |
Glass carbomer restoration (placed after drilling) vs Composite resin or RMGIC Treatment failure (annual failure rate) · Children with previously unrestored, vital carious lesions in primary teeth (no pulp therapy); aged 1.5-11 years · 12 months (El-Housseiny 2019), University (Saudi Arabia) Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022) | Annual failure rate (%) up to 46.2% | 1 study · 50 participants | Ungraded |
SDF applied once (single application, no re-application) vs Other non/minimally-invasive treatment (ART or silver-fluoride varnish) Caries arrest · Children (age 1-10 years) with active cavitated dentin caries lesions in primary molars · Follow-up up to 12 months (single application), Pediatric dental care in hospital, community/school and outpatient settings (Saudi Arabia, China, India, Brazil, Spain), SDF application frequency: single (one-time) application Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic… (2022) | ES -0.09 [-0.48, 0.29] | 2 studies · 117 participants | Ungraded |
Fluoride-free nano-hydroxyapatite (nHA) dentifrice/paste vs Fluoridated control (sodium fluoride, NaF) Mineral loss (transversal microradiography) · Enamel/dentin specimens with initial caries lesions (or sound surfaces) in intraoral (in situ) appliances worn by… · Median 21 days (range 14-28 days), In situ (intraoral appliance); net-remineralizing model, Net-remineralizing conditions Efficacy of nano-hydroxyapatite on caries prevention-a systematic review and meta-analysis. (2022) | MD -15 [-133, 103] | 2 studies | Very low |
Machine-learning algorithms for dental caries detection vs Different machine-learning algorithms for caries prediction Dental caries detection accuracy · Dental images of human beings · India, Geetha et al., 2020; backpropagation Uses of Different Machine Learning Algorithms for Diagnosis of Dental Caries. (2022) | Accuracy 97.1 | 1 study · 105 participants | Ungraded |
Resin-based pit and fissure sealant (PFS) vs Fluoride varnish (FV) Caries incidence in first permanent molars · Schoolchildren aged 6-12 years with sound occlusal surfaces of the first permanent molars · 24 months, School-based caries prevention; schoolchildren (included trials aged 6-9 years) Pit and Fissure Sealant versus Fluoride Varnish for the Prevention of Dental Caries in School Children: A… (2022) | RR 0.65 [0.31, 1.38] | 3 studies · 1263 participants | Ungraded |
Fluoride-containing dental care products (mainly fluoride toothpaste) vs Dietary fluoride sources (drinking water, beverages, food) Contribution of dental care products to total daily fluoride intake (TDFI), by tap-water fluoride level · Adults using fluoride-containing dental care products (two included studies [28,47]; aged 20-35) · Habitual daily intake, Multiple countries (28 studies; ~43% conducted in Brazil); community/general-population settings, Low-fluoridated tap water (0.3-0.51 mg/L) Fluoride Intake Through Dental Care Products: A Systematic Review. (2022) | Mean contribution to TDFI (%) 95 | 1 study | Ungraded |