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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 |
|---|---|---|---|
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 participants | Low |
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 studies | Ungraded |
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 participants | Ungraded |
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 studies | Very 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 studies | Ungraded |
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] | NR | Ungraded |
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 participants | Ungraded |
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 participants | 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) · 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 study | 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), 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] | NR | Ungraded |
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 participants | Very 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 studies | Ungraded |
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 95 | 1 study · 803 participants | Ungraded |
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 participants | Ungraded |
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 participants | Ungraded |
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) 0.15 | 1 study · 9213 teeth (from 506 children examined) participants | Ungraded |
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] | NR | 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) · 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 studies | Ungraded |
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 participants | Ungraded |
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 participants | Ungraded |
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 6.7 | 12 studies | Ungraded |
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 studies | No 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 participants | Very 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 participants | High |
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 participants | Very 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] | NR | Ungraded |
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 study | Ungraded |
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 studies | Ungraded |
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 8.1 | 1 study · 435 participants | Ungraded |
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 participants | Ungraded |
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 participants | Very 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 study | Ungraded |
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 study | Ungraded |
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. | NR | No 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 participants | Very 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 study | Ungraded |
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 studies | Ungraded |
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 participants | Ungraded |
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 0.70 | 2 studies | Ungraded |
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… | NR | Ungraded |
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 participants | Ungraded |
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 participants | Very 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] | NR | Ungraded |
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 participants | Ungraded |
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 reported | 0 studies | No 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 studies | Ungraded |
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 participants | Ungraded |
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 0.79 | 7 studies | Ungraded |
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 studies | Ungraded |
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 participants | Moderate |