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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 |
|---|---|---|---|
Nd:YAG laser (neodymium-doped:yttrium-aluminum-garnet) 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 0.18 [-0.84, 1.20] | 1 study | Ungraded |
Cervical pull headgear vs Minor interceptive procedures (control) Amount of crowding (lower incisor crowding) at 2 years · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 2 years Orthodontic treatment for crowded teeth in children (2021) · Cochrane | MD 0.33 [-0.60, 1.26] | 1 study · 64 participants | Very low |
Arab non-Emirati nationality vs Reference nationality not stated Dental erosion · Five-year-old preschool children in Sharjah · Overall Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | OR 0.27 [0.18, 0.42] | 1 study · 403 participants | Ungraded |
Molar-incisor hypomineralisation (MIH) assessment vs None (descriptive prevalence review) MIH prevalence · School-aged children in the United Arab Emirates (Dubai) · Dubai, UAE; governmental/public schools Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | Two Dubai studies assessed MIH: Ahmad et al. reported a low prevalence of 7.59% (higher in low-socioeconomic-class schools, 11.31% vs 4.58% in high-class) and Hussain et al. reported 27.2% (higher in females, 32.6% vs… | 2 studies | Ungraded |
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances Average fluorescence loss (dF%) · Adults undergoing orthodontic treatment · 3 months, Adults Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021) | MD -1.40 [-2.15, -0.65] | 1 study | 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, Adjusted for age/sex Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021) | HR 1.56 [1.48, 1.65] | 3 studies · 43734 participants | Ungraded |
Dental caries (ascertained mostly by WHO criteria/DMFT; also CAST, ICDAS, or clinical examination) vs None (descriptive prevalence meta-analysis) Dental caries prevalence · General Pakistani population (all ages and both sexes; predominantly children and adolescents) · Pakistan (school-, community-, and hospital/clinic-based cross-sectional surveys), Dentition: mixed Prevalence of dental caries in Pakistan: a systematic review and meta-analysis. (2021) | Prevalence 61.183 [43.796, 73.274] | NR | Ungraded |
Higher number of lost teeth (per one additional lost tooth) vs Fewer lost teeth (continuous, per-tooth increment) 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 1.02 [1.01, 1.03] | 11 studies · 4467321 participants | Low |
Observed population vs Not applicable Molar-incisor hypomineralization prevalence · School children aged 8-12 years in Dubai public schools · Overall Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | Prevalence 27.2 | 1 study · 342 participants | Ungraded |
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) · 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 5.2 [1.6, 16.8] | 2 studies | Ungraded |
Emirati nationality vs Non-Emirati nationality Mean dmft · Preschool children in Abu Dhabi nurseries · Emirati children Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | MEAN 2.60 | 1 study · 186 participants | Ungraded |
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling Endothelial function (flow-mediated dilation) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Long term, People diagnosed with periodontitis Effect of periodontal treatments on blood pressure (2021) · Cochrane | MD 1.48 [0.67, 2.29] | 1 study · 120 participants | Ungraded |
Non-selective carious tissue removal and conventional restoration (CR) vs Stepwise carious tissue removal (SW) Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · 6-60 months, Deep lesions, permanent dentition Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane | OR 2.06 [1.34, 3.17] | 3 studies · 398 participants | Moderate |
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 Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021) | RR 1.94 [1.19, 3.15] | 14 studies · 4711667 participants | Low |
Induction chemotherapy plus locoregional treatment (radiotherapy and/or surgery) vs Locoregional treatment (radiotherapy and/or surgery) alone Overall survival, induction platinum + 5-fluorouracil prior to surgery vs surgery alone · 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 1.06 [0.71, 1.60] | 1 study · 198 participants | Low |
Extraction of the primary (baby) canine (single primary tooth extraction) vs No extraction (non-intervention control) Root resorption of adjacent permanent teeth caused by the PDC · Young people aged 9 to 14 years diagnosed with one or both palatally displaced permanent maxillary canines (PDC) · 12 months Interventions for promoting the eruption of palatally displaced permanent canine teeth, without the need for… (2021) · Cochrane | RR 0.60 [0.28, 1.31] | 1 study · 89 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) 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), Occlusal surface Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane | Sensitivity 0.87 [0.82, 0.90] | NR | Ungraded |
Visual examination (VE) 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) | Sensitivity 0.64 [0.42, 0.81] | 9 studies | Ungraded |
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 · in vivo Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) | AUC 0.92 | 2 studies | Ungraded |
Selective carious tissue removal (selective excavation, SE) vs Hall Technique (sealing with a preformed metal crown) Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · 24-36 months, Deep lesions, primary dentition Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane | OR 1.95 [0.57, 6.63] | 1 study · 72 participants | Very low |
Fixed tooth-borne expansion (quad-helix) vs Observation (no treatment) Crossbite correction · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… · Children (7 to 11 years) Orthodontic treatment for posterior crossbites (2021) · Cochrane | OR 50.59 [26.77, 95.60] | 3 studies · 149 participants | High |
Fibre-optic transillumination (FOTI) / digital fibre-optic transillumination (DIFOTI) 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 0.47 [0.35, 0.59] | 8 studies | Ungraded |
Fixed tooth-borne expansion (quad-helix) vs Observation (no treatment) Canine expansion (inter-canine distance) · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… · Children (7 to 11 years) Orthodontic treatment for posterior crossbites (2021) · Cochrane | MD 3.15 [2.77, 3.53] | 3 studies · 146 participants | 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), Sensitivity analysis: low risk of bias for index test Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Specificity 0.88 [0.82, 0.92] | NR | Ungraded |
Resin infiltration vs Untreated control (natural remineralization) Optical/esthetic improvement (visual-tactile assessment) · Patients with post-orthodontic white spot lesions (WSL) · 4 weeks to 6 months, Visual analog scale (Senestraro et al. 2013) Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or… (2021) | SMD 2.34 [1.68, 3.01] | 1 study · 66 participants | Ungraded |
Intervention NR Water samples with fluoride concentration below the acceptable range · Region: South Brazil External control of fluoridation in the public water supplies of Brazilian cities as a strategy against… (2021) | Prevalence 32.4 [7.1, 65.3] | NR | Ungraded |
Fixed expander with differential opening expansion (DOE) vs Fixed fan-type expander Canine expansion · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… Orthodontic treatment for posterior crossbites (2021) · Cochrane | Massaro 2020: DOE 7.76 (SD 1.23) mm vs fan-type 8.80 (SD 1.33) mm; P=0.008 (favours fan-type) | 1 study | 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 · Short term (0 to 24 hours) Laser therapy for dentinal hypersensitivity (2021) · Cochrane | MD -2.24 [-3.55, -0.93] | 13 studies · 978 participants | Low |
Chemotherapy regimen A (+/- locoregional treatment) vs Chemotherapy regimen B (+/- locoregional treatment) Overall survival, chemotherapy regimen A vs regimen B · 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 | Eight of 11 induction-before-radiotherapy studies reported overall survival; not pooled (heterogeneity). Only Vermorken 2007 significant: cisplatin+5-FU+docetaxel induction HR 0.73 (95% CI 0.57 to 0.93, P = 0.01).… | 8 studies | 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) Outcome NR · Children/adolescents/adults or extracted teeth; target condition = non-cavitated enamel caries on SMOOTH tooth surfaces. · Up to 3 months between index test and reference standard (in vivo studies) Electrical conductance for the detection of dental caries (2021) · Cochrane | No eligible studies. All included studies assessed occlusal surfaces only; smooth surfaces were a planned surface subgroup with no data. | 0 studies | No studies |
Extraction of the primary (baby) canine (single primary tooth extraction) vs No extraction (non-intervention control) Effect of severity of PDC displacement towards the midline on the proportion of successful eruptions · Young people aged 9 to 14 years diagnosed with one or both palatally displaced permanent maxillary canines (PDC) · 12 months, By baseline sector (severity of displacement) Interventions for promoting the eruption of palatally displaced permanent canine teeth, without the need for… (2021) · Cochrane | Table 4 (Naoumova 2015): probability of successful eruption depended on displacement severity; sector 2 (mild) 14/19 (74%) erupted vs sector 4 0/10 erupted; data refer to 59 teeth (mITT). | 1 study · 59 participants | Ungraded |
Non-selective carious tissue removal and conventional restoration (CR) vs Hall Technique (sealing with a preformed metal crown) Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · 30-60 months, Cavitated (not deep) lesions, primary dentition Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane | OR 8.35 [3.73, 18.68] | 2 studies · 249 participants | Low |
Intervention NR Mean DMFT (decayed, missing, filled permanent teeth) · Individuals with permanent dentition in East Africa · Community- and school-based populations, East Africa, Tanzania Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and… (2021) | MEAN 0.945 [0.421, 1.468] | NR | Ungraded |
Systemic sclerosis (SSc / scleroderma) vs SSc-free individuals (controls) Probing depth (PD) · Adults (general and hospital populations assessed in case-control studies) · Hospital/clinic-based case-control studies from Asia, America and Europe, Asia (Elimelech 2015, Leung 2011, Mayer 2013) Oral manifestations of patients with systemic sclerosis: a meta-analysis for case-controlled studies. (2021) | SMD 1.113 [0.751, 1.476] | 3 studies | Ungraded |
Vibrational appliance with fixed appliances vs Fixed appliances only / no vibrational appliance (control) Amount of crowding (change in mandibular crowding) at 10 to 30 weeks · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 10 to 30 weeks Orthodontic treatment for crowded teeth in children (2021) · Cochrane | MD 0.24 [-0.81, 1.30] | 2 studies · 119 participants | Very low |
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), Reference standard: excavation (non-CBCT) Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Sensitivity 0.51 [0.27, 0.74] | 5 studies | Ungraded |
In-office laser therapy (all types combined) vs Placebo (placebo laser or placebo agent) or no treatment Adverse events · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Air blast stimuli studies (SoF 1) Laser therapy for dentinal hypersensitivity (2021) · Cochrane | No adverse event was noted in the experimental and control groups | 11 studies · 954 participants | Low |
ARP with allograft vs ARP with xenograft Changes in vertical height of alveolar ridge (mm) · 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 | MD -0.45 [-1.48, 0.58] | 2 studies · 60 participants | Very low |
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling Adverse events (participants with adverse events or withdrawals due to adverse events) · 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 | SoF 2 (Adverse effects): 3 studies reported no adverse effects. 328 (3 studies); Moderate. | 3 studies · 328 participants | Moderate |
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) Specificity · 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): specificity ranged from 0.73 to 1.00. | 4 studies | Ungraded |
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances Full-mouth plaque score (FMPS) · Adolescents/teenagers undergoing orthodontic treatment · 12 months, Adolescents Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021) | MD -43.48 [-47.65, -39.31] | 1 study | Ungraded |
Intervention NR Mean dmft · Preschoolers (AlKhayat, Dubai) Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | Mean(SD) 1.55 (2.75) | 1 study | Ungraded |
Intervention NR Dental caries prevalence · Kenya Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and… (2021) | Prevalence 0.456 [0.240, 0.672] | 5 studies | Ungraded |
Direct composite resin restoration vs Amalgam restoration Restoration failure rate · People with permanent or adult posterior teeth requiring restoration (parallel-group trials involved children aged 6… · Follow-up >= 3 years, Parallel-group and split-mouth trials combined Direct composite resin fillings versus amalgam fillings for permanent posterior teeth (2021) · Cochrane | RR 1.65 [1.13, 2.40] | 8 studies | Ungraded |
Periodontal treatment (subgingival SRP with or without other periodontal treatment) vs No treatment (no periodontal treatment) Change in systolic blood pressure (SBP, 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 0.14 [-4.4, 4.68] | 1 study · 168 participants | Low |
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), Ethnicity: Caucasian Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021) | OR 1.33 [0.91, 1.95] | 2 studies · 538 participants | Ungraded |
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 · in vivo Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) | Sensitivity 0.79 [0.41, 0.96] | 2 studies | Ungraded |
Bone-borne expansion vs Fixed tooth-borne expansion (Hyrax) Crossbite correction · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… · Adolescents Orthodontic treatment for posterior crossbites (2021) · Cochrane | RR 1.00 [0.94, 1.07] | 2 studies · 81 participants | Low |
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances Gingival index (GI) · Adolescents/teenagers undergoing orthodontic treatment · 18 months, Adolescents Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021) | MD -0.57 [-0.93, -0.21] | 1 study | Ungraded |
Digital bitewing radiography, sensor-based (CCD/CMOS) 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) · In vivo (clinical); permanent posterior teeth, proximal surfaces, Caries detection level Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021) | Specificity 0.93 [0.77, 0.98] | 1 study | Ungraded |