Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

224 questions · 272 findings · 31 reviews · Dental caries

No studies found 23 · 8.5%GRADE not reported 170 · 62.5%Very low 64 · 23.5%Low 6 · 2.2%Moderate 9 · 3.3%High 0 · 0%

Single full-coverage metal-ceramic crown over composite core and post vs Direct adhesive composite restoration with post (conventional filling, no crown)

Incidence or recurrence of caries (assessed clinically or by radiographs) · People with a permanent tooth that has undergone endodontic (root canal) treatment

The review found no eligible studies for this question.

1 finding from 1 review

Single full-coverage metal-ceramic crown over composite core and post vs Direct adhesive composite restoration with post (conventional filling, no crown)

Non-catastrophic failure of the restoration (requiring further treatment) · People with a permanent tooth that has undergone endodontic (root canal) treatment

It is very uncertain whether single full-coverage metal-ceramic crown over composite core and post changes non-catastrophic failure of the restoration (requiring further… compared with direct adhesive composite restoration with post (conventional… (very low certainty).

1 finding from 1 review

Minimally invasive caries removal (MIT): selective removal to soft dentin, self-limiting chemomechanical removal, or partial/incomplete caries removal vs Conventional caries removal (CT): selective removal to firm dentin, stepwise excavation, or complete caries removal

Pulp exposure rate · Patients with deep carious lesions in permanent (mainly posterior) teeth

Minimally invasive caries removal was associated with a lower mean pulp exposure rate than conventional removal (1.2% vs 8.1%), but the difference was not statistically significant (Wilcoxon, p = 0.068); certainty of evidence was not graded.

1 finding from 1 review

Opal Seal fluoride-releasing primer vs Conventional Transbond XT primer

White spot lesion area · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

Opal Seal showed no significant difference in WSL area, with certainty not graded.

1 finding from 1 review

TiO2-modified composite (1 wt.%) vs Control composite in contralateral quadrant

Streptococcus mutans count · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

TiO2-modified composite showed no S. mutans difference, with certainty not graded.

1 finding from 1 review

Clearfil Protect Bond antibacterial fluoride-releasing primer vs Conventional Transbond XT primer

White spot lesion incidence · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

Clearfil Protect Bond showed no difference in WSL incidence, with certainty not graded.

1 finding from 1 review

Opal Seal fluoride-releasing primer vs Conventional Transbond XT primer

White spot lesions assessed by laser fluorescence (DIAGNOdent) · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

Opal Seal had fewer DIAGNOdent-measured lesions, with certainty not graded.

1 finding from 1 review

Opal Seal fluoride-releasing primer vs Conventional Transbond XT primer

Photographic white spot lesion score · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

Opal Seal showed no difference in photographic WSL severity, with certainty not graded.

1 finding from 1 review

nCaF2 primer vs Control Transbond primer

Enamel demineralization (DIAGNOdent score) · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

nCaF2 primer favored lower demineralization scores, but certainty was not graded.

1 finding from 1 review

Opal Seal fluoride-releasing primer vs Conventional Transbond XT primer

Bracket (bond) failure · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

Opal Seal showed no difference in bracket failure, with certainty not graded.

1 finding from 1 review

Transbond Plus self etching primer (3M Unitek) vs Conventional three-step bonding system (3M Transbond XT)

White spot lesion incidence · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

The self-etch primer system had higher WSL incidence than the conventional system, with certainty not graded.

1 finding from 1 review

nCaF2 primer vs Control Transbond primer

White spot lesions assessed by laser fluorescence (DIAGNOdent) · Patients undergoing fixed orthodontic (fixed appliance) treatment (adolescents and adults, ages 12 to 35)

A single small split-mouth RCT found the nCaF2-containing primer reduced demineralization (DIAGNOdent) but showed no significant clinical white spot lesion difference at debonding (ungraded).

1 finding from 1 review

nCaF2 primer vs Control Transbond primer

Photographic white spot lesion score · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

nCaF2 primer showed no clinical photographic WSL difference at debonding, with certainty not graded.

1 finding from 1 review

Minimally invasive caries removal (MIT): selective removal to soft dentin, self-limiting chemomechanical removal, or partial/incomplete caries removal vs Conventional caries removal (CT): selective removal to firm dentin, stepwise excavation, or complete caries removal

Treatment success (caries lesion arrest or restoration survival) · Patients with deep carious lesions in permanent (mainly posterior) teeth

Minimally invasive caries removal showed a marginally higher mean restoration success rate than conventional removal (83.6% vs 75.4%), but the difference was not statistically significant (Mann-Whitney U, p > 0.05); certainty of evidence was not graded.

1 finding from 1 review

nCaF2 primer vs Control Transbond primer

Streptococcus mutans count · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

nCaF2 primer differed in S. mutans count only at T1, with certainty not graded.

1 finding from 1 review

Clearfil Protect Bond antibacterial fluoride-releasing primer vs Conventional Transbond XT primer

Bracket (bond) failure · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

Clearfil Protect Bond showed no difference in bracket failure, with certainty not graded.

1 finding from 1 review

TiO2-modified composite (1 wt.%) vs Control composite in contralateral quadrant

Enamel demineralization (DIAGNOdent score) · Orthodontic patients of any age with fixed braces (new DLs assessed at debond)

TiO2-modified composite favored lower DIAGNOdent scores, with certainty not graded.

1 finding from 1 review

Chlorhexidine mouthwash vs placebo

Cariogenic bacteria (Mutans streptococci) · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)

Chlorhexidine mouthwash reduced Mutans streptococci versus placebo, but certainty is very low.

1 finding from 1 review