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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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10,375 questions in 429 reviews · Oral Health

current versions
No 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.

QuestionEffectEvidenceStatus / GRADE
Periodontal treatment (subgingival SRP with or without other periodontal treatment) vs No treatment (no periodontal treatment)
Change in diastolic blood pressure (DBP, mmHg) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Long term (follow-up 12 months), People diagnosed with periodontitis
Effect of periodontal treatments on blood pressure (2021) · Cochrane
MD -0.2 [-3.02, 2.62]1 study · 168 participantsLow
Maternal smoking during pregnancy vs No maternal smoking during pregnancy
Childhood dental caries · Children in cross-sectional studies from Europe · Europe, Study region: Europe
Correlation Between Maternal Smoking During Pregnancy and Dental Caries in Children: A Systematic Review and… (2021)
OR 1.55 [1.45, 1.66]3 studiesUngraded
High snack consumption vs Low snack consumption
Mean DMFT · 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)
ARR 1.46 [1.26, 1.70]1 study · 1036 participantsUngraded
Direct composite resin restoration vs Amalgam restoration
Harms (toxicity and postoperative sensitivity) · People with permanent or adult posterior teeth requiring restoration (parallel-group trials involved children aged 6… · Follow-up: 2 weeks to 7 years
Direct composite resin fillings versus amalgam fillings for permanent posterior teeth (2021) · Cochrane
SoF (Harms, follow-up 2 weeks to 7 years): See comments; 3 studies; certainty very low (⊕⊝⊝⊝). Comments: data were reported for physical development, neurological and psychological effects, neurobehavioural and…3 studiesVery low
Systemic sclerosis (SSc / scleroderma) vs SSc-free individuals (controls)
Sites with probing depth >= 4 mm · Adults (general and hospital populations assessed in case-control studies) · Hospital/clinic-based case-control studies from Asia, America and Europe
Oral manifestations of patients with systemic sclerosis: a meta-analysis for case-controlled studies. (2021)
SMD 2.071 [0.267, 3.875]3 studiesUngraded
Cone beam computed tomography (CBCT) vs Reference standard (histology, excavation, or enhanced visual examination)
Specificity for detection and diagnosis of early (enamel) caries · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted… · Up to 3 months between index test and reference standard (in vivo studies), Proximal surfaces (CBCT)
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Specificity 0.90 [0.77, 0.96]NRUngraded
Dental imaging (analog or digital radiographs) vs Visual classification
Difference in sensitivity · Children or adults asymptomatic or suspected of enamel caries; extracted teeth · Clinical studies and in vitro extracted teeth, Analysis 1: fully within-person comparison
Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2021)
Difference in sensitivity -0.34 [-0.49, -0.17]19 studies · 2849 participantsUngraded
TaqI (rs731236 T>C) polymorphism in the VDR gene (C allele / variant genotype) vs CC genotype vs CT/TT genotype (recessive model)
Dental caries susceptibility (risk of dental caries) · Children and adults (no age limit) assessed for dental caries susceptibility · Case-control studies of children and adults (China, India, Czech Republic, Turkey), Dentition: Mixed dentition caries
Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021)
OR 1.23 [0.66, 2.29]2 studies · 270 participantsUngraded
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) · In vivo (clinical); permanent posterior teeth, proximal surfaces, Dentin detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
Sensitivity 0.83 [0.77, 0.88]1 studyUngraded
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), Dentine-caries (D3) prevalence medium 15-34% (non-CBCT)
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Sensitivity 0.51 [0.40, 0.61]NRUngraded
Nitinol archwire vs Titinol archwire
Amount of crowding (change) up to 37 weeks · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · up to 37 weeks
Orthodontic treatment for crowded teeth in children (2021) · Cochrane
MD -0.28 [-0.89, 0.33]1 study · 40 participantsVery low
Near-infrared (NIR) transillumination 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 0.58 [0.46, 0.68]5 studiesUngraded
Observed population vs Not applicable
Plaque/gingivitis visible in at least one oral region · 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 951 study · 803 participantsUngraded
TaqI (rs731236 T>C) polymorphism in the VDR gene (C allele / variant genotype) vs CC genotype vs CT/TT genotype (recessive model)
Dental caries susceptibility (risk of dental caries) · Children and adults (no age limit) assessed for dental caries susceptibility · Case-control studies of children and adults (China, India, Czech Republic, Turkey), Dentition: Deciduous tooth decay
Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021)
OR 0.80 [0.05, 12.89]2 studies · 929 participantsUngraded
TaqI (rs731236 T>C) polymorphism in the VDR gene (C allele / variant genotype) vs CC genotype vs CT/TT genotype (recessive model)
Dental caries susceptibility (risk of dental caries) · Children and adults (no age limit) assessed for dental caries susceptibility · Case-control studies of children and adults (China, India, Czech Republic, Turkey), Overall
Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021)
OR 1.38 [1.03, 1.84]7 studies · 2470 participantsUngraded
Observed population vs Not applicable
Severe tooth wear prevalence · School children aged 2.6-6.8 years in Abu Dhabi · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Proportion of examined teeth (severe tooth wear) 0.151 study · 9213 teeth (from 506 children examined) 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)
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), High prevalence of dentine caries (>= 35%)
Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane
Specificity 0.75 [0.66, 0.82]NRUngraded
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) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Dentin detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
DOR 8.7 [4.2, 18.1]3 studiesUngraded
Periodontal treatment (subgingival SRP with or without other periodontal treatment) vs No treatment (no periodontal treatment)
Clinical attachment level (CAL) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Long term, People diagnosed with periodontitis and other cardiovascular diseases except hypertension
Effect of periodontal treatments on blood pressure (2021) · Cochrane
MD -1.85 [-2.41, -1.29]1 study · 48 participantsUngraded
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 · Case-control studies of children and adults (China, India, Czech Republic, Turkey), Ethnicity: Caucasian
Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021)
OR 1.16 [0.90, 1.50]2 studies · 538 participantsUngraded
Intervention NR
Water samples with fluoride concentration above the acceptable range
External control of fluoridation in the public water supplies of Brazilian cities as a strategy against… (2021)
Prevalence 6.712 studiesUngraded
COE with blood/salivary (biomarker) analysis vs Reference standard: examination and clinical evaluation by a physician/clinician with specialist knowledge or training (long-term follow-up accepted for those screened negative)
Outcome NR · Apparently healthy adults not reporting symptoms of OPMD or OSCC, attending an organised screening or surveillance…
Clinical assessment for the detection of oral cavity cancer and potentially malignant disorders in… (2021) · Cochrane
There were no eligible studies evaluating blood or salivary sample analysis (which tests for the presence of biomarkers for OPMD and OSCC).0 studiesNo studies
Remote screening of the oral cavity (mobile application/telemedicine) vs Reference standard: examination and clinical evaluation by a physician/clinician with specialist knowledge or training (long-term follow-up accepted for those screened negative)
Specificity for detection of oral cavity cancer/OPMD · 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
Summary of findings 4 (no pooled analysis): specificity 0.99 (95% CI 0.99 to 1.00), 1.00 (95% CI 0.91 to 1.00), and 0.72 (95% CI 0.63 to 0.80) across the 3 studies. Certainty VERY LOW.3 studies · 3600 participantsVery low
11-16 remaining teeth vs 25-32 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 · Community-based and clinical cohorts worldwide (all continents); events ascertained from medical records, death certificates/registers, or self-report
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021)
RR 2.27 [1.55, 3.32]4 studies · 189120 participantsHigh
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances
Plaque index (PI) · 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 -0.58 [-0.82, -0.34]4 studies · 202 participantsVery low
Intervention NR
Dental caries prevalence · General population (children and adults) in East Africa · Community- and school-based populations, East Africa, Permanent dentition (>=12 years)
Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and… (2021)
Prevalence 0.502 [0.384, 0.621]NRUngraded
Preterm birth (oral health / enamel defects) vs Full-term children
Caries (DMFT) and enamel defects · Preterm children (about 8 years old) in the United Arab Emirates (Dubai) · Dubai, UAE
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Alshehhi et al. (Dubai) reported a significantly higher mean DMFT (1.00 vs 0.38) and a 4-times higher prevalence of enamel defects (58.15% vs 24.2%; OR 4.33, 95% CI 2.01-9.36) in preterm vs full-term children, highest…1 studyUngraded
Electrical conductance devices (electronic caries monitor (ECM) and/or CarieScan Pro), used as an adjunct to clinical oral examination vs Reference standard: histology or enhanced visual examination (with or without radiographs)
Sensitivity · Children, adolescents, or adults presenting asymptomatically or suspected of early enamel caries (in vivo), or… · Up to 3 months between index test and reference standard (in vivo studies), Permanent dentition
Electrical conductance for the detection of dental caries (2021) · Cochrane
Permanent dentition (4 studies): sensitivity ranged from 0.55 to 0.65.4 studiesUngraded
Private day care vs Public day care
Mean dmft · Preschool children in Sharjah day cares · Private day-care residents
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
MEAN 8.11 study · 435 participantsUngraded
Active self-ligating brackets vs Passive self-ligating brackets
Time to alignment (days) · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · alignment
Orthodontic treatment for crowded teeth in children (2021) · Cochrane
MD -13.11 [-28.76, 2.53]2 studies · 144 participantsUngraded
In-office laser therapy (all types combined) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Long term (more than 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -2.60 [-4.47, -0.73]5 studies · 564 participantsVery low
ARP with xenograft (bone graft) vs Extraction alone
Peri-implant marginal bone level changes · Adults aged 18 years or older, in good general health (including well-controlled systemic disease), requiring… · 7 months
Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane
Peri-implant marginal bone level changes obtained after 7 months (Barone 2012); no statistically significant differences between the two groups (Analysis 1.5)1 studyUngraded
Lower lingual arch vs No active treatment (control)
Amount of crowding · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 1 year
Orthodontic treatment for crowded teeth in children (2021) · Cochrane
SoF1: Amount of crowding - Not measured. The single study (Rebellato 1997) did not report the amount of crowding for this comparison.1 studyUngraded
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling
Proportion of participants diagnosed with hypertension at trial completion · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension
Effect of periodontal treatments on blood pressure (2021) · Cochrane
No included study in this comparison reported the proportion of participants diagnosed with hypertension at trial completion.NRNo studies
Remote screening of the oral cavity (mobile application/telemedicine) vs Reference standard: examination and clinical evaluation by a physician/clinician with specialist knowledge or training (long-term follow-up accepted for those screened negative)
Sensitivity for detection of oral cavity cancer/OPMD · 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
Summary of findings 4 (no pooled analysis): sensitivity 0.85 (95% CI 0.81 to 0.88), 0.82 (95% CI 0.57 to 0.96), and 0.94 (95% CI 0.70 to 1.00) across the 3 studies. Prevalence 12.2% to 30.9%. Certainty VERY LOW.3 studies · 3600 participantsVery low
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) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Dentin detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
Specificity 0.99 [0.96, 0.999]1 studyUngraded
Digital bitewing radiography, sensor-based (CCD/CMOS) 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) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Caries detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
DOR 5.01 [2.83, 8.88]12 studiesUngraded
3-month school-based supervised daily tooth-brushing program with fluoridated toothpaste (multilevel: trained school nurses plus parental involvement) vs Pre-intervention (before-after)
Visible plaque and oral-hygiene behavior · Schoolchildren aged 4-6 years in the United Arab Emirates (Dubai) · 3 months, Dubai, UAE; private and governmental schools
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Al Mashhadani evaluated a 3-month school-based daily tooth-brushing program (1,500 students aged 4-6 in 7 private and governmental schools). The presence of visible plaque decreased from 76.8% to 36.7%…1 study · 1500 participantsUngraded
Visual examination (VE) vs Cavity preparation or biopsy (operative validation)
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
AUC 0.702 studiesUngraded
Higher consumption of snacks / sugar / soft drinks vs Lower consumption
Dental caries · Healthy children and adolescents in the United Arab Emirates · UAE; schools (Ajman, Sharjah), nurseries (Ras Al Khaimah)
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Soft drink consumption (Khadri et al.: 0.31, 95% CI 0.14-0.47) and a high extent of snacking (Hashim et al.: high vs low snack level aRR 1.46, 95% CI 1.26-1.70; snacking >=3x vs once daily aRR 1.25, 1.00-1.57) were…NRUngraded
Sealant/coating agent WITH fluoride release applied to teeth with fixed appliances vs No sealant (untreated control teeth)
Initiation of white spot lesions (WSL), visual-tactile assessment · Patients of any age (11-40 years) receiving comprehensive/fixed orthodontic treatment with fixed appliances · 3-27 months follow-up, Patients undergoing fixed (multibracket) orthodontic appliance treatment; clinical/dental setting; analysis at tooth level, Sealant with fluoride release
Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021)
RR 0.69 [0.46, 1.05]3 studies · 1467 participantsUngraded
ARP with xenograft (bone graft) vs Extraction alone
Changes in bucco-lingual/palatal width of alveolar ridge (mm) · Adults aged 18 years or older, in good general health (including well-controlled systemic disease), requiring… · 6 to 36 months
Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane
MD -1.18 [-1.82, -0.54]6 studies · 184 participantsVery low
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), Permanent dentition (non-CBCT)
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Specificity 0.90 [0.85, 0.93]NRUngraded
Tooth brushing at least twice daily vs Brushing less than daily
Mean DMFT · 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)
ARR 0.80 [0.64, 0.93]1 study · 1036 participantsUngraded
ARP with alloplast vs Extraction alone
Aesthetic outcomes of future prosthodontic rehabilitation · Adults aged 18 years or older, in good general health (including well-controlled systemic disease), requiring… · 6 months
Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane
Outcome not reported0 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) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Dentin detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
Sensitivity 0.42 [0.29, 0.56]3 studiesUngraded
ARP with alloplast vs ARP with xenograft
Changes in probing depth (PD) at teeth adjacent to the extraction site · Adults aged 18 years or older, in good general health (including well-controlled systemic disease), requiring… · 12 months
Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane
MD -0.3 [-0.61, 0.01]1 study · 25 participantsUngraded
Laser fluorescence (DIAGNOdent 2095) 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 · in vitro
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
AUC 0.797 studiesUngraded
Conventional bitewing radiography (E-speed film) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces · in vitro
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
Sensitivity 0.48 [0.21, 0.77]2 studiesUngraded
Edentulous (0 remaining teeth) vs 1-32 remaining teeth
All-cause mortality (ACM) · Adults (any age) with a known number of remaining teeth, followed prospectively in cohort studies · Community-based and clinical cohorts worldwide (all continents); events ascertained from medical records, death certificates/registers, or self-report, Multivariable-adjusted
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021)
HR 1.30 [1.21, 1.40]7 studies · 102254 participantsModerate