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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 |
|---|---|---|---|
Not applicable vs Not applicable Dental caries prevalence · Pakistani population of any sex or age · 2009 to 2020, Pakistan, Fixed-effects model Prevalence of dental caries in Pakistan: a systematic review and meta-analysis. (2021) | Prevalence 56.999 [56.415, 57.581] | 30 studies · 27878 participants | Ungraded |
Systemic sclerosis (SSc / scleroderma) vs SSc-free individuals (controls) Prevalence of periodontitis · 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) | OR 7.007 [3.529, 13.915] | 3 studies | Ungraded |
Conventional bitewing radiography, F-speed film vs Histological validation of dental tissues (gold standard) Diagnostic accuracy for proximal caries detection (1/3 dentin detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, 1/3 dentin detection level Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021) | AUC 0.98 | 1 study | Ungraded |
1-19 remaining teeth vs 20-32 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 1.76 [1.41, 2.19] | 8 studies · 222572 participants | High |
Direct composite resin restoration vs Amalgam restoration Secondary caries · 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 1.93 [0.98, 3.80] | 7 studies | Ungraded |
Glass ionomer cement vs Resin adhesive Incidence of new white spot lesions by visual-tactile assessment · Patients receiving comprehensive fixed orthodontic treatment · 12 to 24 months, Fixed orthodontic treatment, Overall Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021) | RR 0.72 [0.34, 1.54] | 3 studies · 394 participants | Very low |
Observed population vs Not applicable Care index · Emirati preschool children in Ras Al Khaimah nurseries · Overall Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | Proportion 3.8 | 1 study · 540 participants | Ungraded |
Female sex vs Male sex Daily tooth brushing · School-aged children in Sharjah · Females Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | Prevalence 98 | 1 study · 803 participants | Ungraded |
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances S. mutans presence (CFU > 10^5) · Adults undergoing orthodontic treatment · 3 months, Adults Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021) | RR 0.07 [0.01, 0.49] | 2 studies · 140 participants | Low |
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), Dentition: Permanent tooth caries Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021) | OR 1.40 [1.11, 1.77] | 3 studies · 1271 participants | 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) | DOR 11.49 [5.19, 25.46] | 9 studies | Ungraded |
Chemotherapy vs Placebo Outcome NR · 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 | Types of studies: it was anticipated that there would be no studies comparing chemotherapy with placebo (none were identified). | 0 studies | No studies |
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), Dentine-caries (D3) prevalence high >=35% or unreported (non-CBCT) Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Specificity 0.89 [0.82, 0.93] | NR | Ungraded |
Double primary (canine and first molar) tooth extraction vs Single primary (canine) tooth extraction Incidence of successfully erupted PDC that were favourably positioned · Young people aged 9 to 14 years diagnosed with one or both palatally displaced permanent maxillary canines (PDC) · 24 months Interventions for promoting the eruption of palatally displaced permanent canine teeth, without the need for… (2021) · Cochrane | RR 1.64 [0.33, 8.03] | 1 study · 23 participants | Ungraded |
Intervention NR Dental caries prevalence · General population in Ethiopia (all ages, age range 6-100 years) · Community-, school-, and hospital/clinic-based populations across regions of Ethiopia, Addis Ababa Dental caries and associated factors in Ethiopia: systematic review and meta-analysis. (2021) | Prevalence 0.3420 [0.0842, 0.5997] | 2 studies | 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), Analogue and digital combined (non-CBCT); 97 datasets Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Sensitivity 0.46 [0.40, 0.51] | NR | Ungraded |
Lower lip bumper vs No active treatment (control) Lower incisors to mandible at 6 months · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 6 months Orthodontic treatment for crowded teeth in children (2021) · Cochrane | MD 3.14 [1.73, 4.55] | 1 study · 34 participants | Ungraded |
TaqI (rs731236 T>C) polymorphism in the VDR gene (C allele / variant genotype) vs CC genotype vs TT genotype (homozygous 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 0.83 [0.29, 2.40] | 7 studies · 2470 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), City: Islamabad and Rawalpindi (combined) Prevalence of dental caries in Pakistan: a systematic review and meta-analysis. (2021) | Prevalence 57.377 [32.642, 80.287] | 4 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 months, Cavitated but not deep lesions, primary dentition Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane | OR 8.94 [0.57, 139.67] | 2 studies · 586 participants | Very low |
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 (test accuracy for detecting enamel caries) · 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) Electrical conductance for the detection of dental caries (2021) · Cochrane | SoF findings (HSROC; no summary operating point reported): 'ECM: sensitivity from 0.61 to 0.98 ... CarieScan Pro: sensitivity from 0.55 to 0.91'. Across all 7 studies (8 datasets), covering 719 tooth surfaces or sites… | 7 studies | Very low |
Observed population vs Not applicable Mean dmft · Preschool children attending Al Ain pediatric dentistry department · Overall Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | MEAN 10.9 | 1 study · 176 participants | Ungraded |
Bonded Minne appliance (slow maxillary expansion) vs Banded Minne appliance (slow maxillary expansion) Canine expansion · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… · 7 to 15 weeks after start of treatment Orthodontic treatment for posterior crossbites (2021) · Cochrane | Bonded Minne 6.4 mm (SD 1.1) vs Banded Minne 5.3 mm (SD 1.9); P=NS | 1 study | Ungraded |
Resin infiltration (Icon) vs Non-invasive treatment Radiographic proximal caries lesion progression · Patients with non-cavitated proximal caries lesions · Longest available follow-up Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis. (2021) | OR 0.21 [0.15, 0.30] | 11 studies · 549 participants | Moderate |
Intervention NR Dental caries prevalence · General population (children and adults) in East Africa · Community- and school-based populations, East Africa, Eritrea Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and… (2021) | Prevalence 0.652 [0.492, 0.811] | NR | Ungraded |
Laser fluorescence (DIAGNOdent 2190/pen) 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) | Sensitivity 0.92 [0.82, 0.96] | 1 study | Ungraded |
Nickel-titanium archwire vs Stainless steel archwire Amount of crowding (change in mandibular crowding) at 8 weeks · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 8 weeks Orthodontic treatment for crowded teeth in children (2021) · Cochrane | MD -16.80 [-42.79, 9.19] | 1 study · 24 participants | Very low |
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), Overall Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021) | OR 1.24 [1.07, 1.44] | 7 studies · 2470 participants | Ungraded |
Conventional bitewing radiography, F-speed film vs Histological validation of dental tissues (gold standard) Diagnostic accuracy for proximal caries detection (1/3 dentin detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, 1/3 dentin detection level Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021) | Sensitivity 0.54 [0.36, 0.70] | 1 study | Ungraded |
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), Setting: in vitro (non-CBCT) Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Specificity 0.89 [0.84, 0.92] | NR | Ungraded |
Cervical pull headgear vs Minor interceptive procedures (control) Size of the jaws (maxillary and mandibular arch length) · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 2 to 8 years Orthodontic treatment for crowded teeth in children (2021) · Cochrane | MD 1.98 [1.80, 2.16] | 1 study · 64 participants | Ungraded |
Lower lip bumper vs No active treatment (control) Size of the lower jaw (mandibular arch length) at 6 months · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 6 months Orthodontic treatment for crowded teeth in children (2021) · Cochrane | MD 3.34 [2.71, 3.97] | 1 study · 34 participants | Ungraded |
COE with vital rinsing (toluidine blue/tolonium chloride) vs Conventional oral examination (COE) alone Specificity (COE plus vital rinsing arm) · OSCC or OPMD symptom-free individuals with tobacco habits Clinical assessment for the detection of oral cavity cancer and potentially malignant disorders in… (2021) · Cochrane | Specificity 0.91 [0.90, 0.91] | 1 study · 4080 participants | Moderate |
Intervention NR Dental caries prevalence · General population in Ethiopia (all ages, age range 6-100 years) · Community-, school-, and hospital/clinic-based populations across regions of Ethiopia, Amhara Dental caries and associated factors in Ethiopia: systematic review and meta-analysis. (2021) | Prevalence 0.4044 [0.2467, 0.5621] | 6 studies | Ungraded |
Non-selective carious tissue removal and conventional restoration (CR) vs Selective carious tissue removal (selective excavation, SE) Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · 6-36 months, Deep lesions, primary dentition Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane | OR 4.43 [1.04, 18.77] | 4 studies · 265 participants | Very low |
Bleaching before resin infiltration (bleaching + infiltration) vs Resin infiltration alone Patient/dentist satisfaction · Patients with dental fluorosis Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or… (2021) | SMD -1.53 [-4.75, 1.70] | 2 studies | Ungraded |
Double primary (canine and first molar) tooth extraction vs Single primary (canine) tooth extraction Any other adverse effects, such as gingival disease and demineralisation · Young people aged 9 to 14 years diagnosed with one or both palatally displaced permanent maxillary canines (PDC) Interventions for promoting the eruption of palatally displaced permanent canine teeth, without the need for… (2021) · Cochrane | The studies did not report adverse events. | 0 studies | No studies |
Laser fluorescence (DIAGNOdent 2190/pen) 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 0.81 [0.78, 0.85] | 5 studies | Ungraded |
Analogue (conventional) radiographs vs Cone beam computed tomography (CBCT) (direct within-person / paired comparison); reference standard: histology Diagnostic accuracy: analogue versus CBCT (within-person, not pooled) · 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) Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Direct comparison analogue vs CBCT (within-person): 6 datasets from 3 studies (737 tooth sites or surfaces) provided data, but the results could not be pooled; only individual study results are shown (Figure 21). No… | 3 studies | Ungraded |
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling Heart rate · 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 | Heart rate was reported only by Higashi 2009 (periodontal treatment vs no treatment); no study in the intensive-treatment vs supra-gingival-scaling comparison reported heart rate. | NR | No studies |
ARP with xenograft (bone graft) 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 to 36 months Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane | Outcome not reported | 0 studies | No studies |
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) Diagnostic accuracy: in vitro versus in vivo comparison · 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), Study setting (in vitro vs in vivo) Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane | Pre-specified in vitro versus in vivo comparison was not completed because 49 of the 60 histology studies were in vitro; a sensitivity analysis removing the in vivo studies confirmed a minimal change to summary… | NR | Ungraded |
Rubber dam isolation and moisture control (alone or with saliva aspiration) vs Cotton rolls (with or without saliva aspiration) Costs: direct cost of treatment · Dental patients undergoing direct or indirect restorative treatment (no age or gender restriction) Rubber dam isolation for restorative treatment in dental patients (2021) · Cochrane | no estimate extracted | 0 studies | No studies |
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 · Short term (follow-up 2-3 months), People diagnosed with periodontitis Effect of periodontal treatments on blood pressure (2021) · Cochrane | MD -0.15 [-2.47, 2.17] | 2 studies · 294 participants | Low |
Periodontal treatment (subgingival SRP with or without other periodontal treatment) vs No treatment (no periodontal treatment) Pocket probing depth (PPD) · 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 -1.94 [-2.35, -1.53] | 1 study · 48 participants | Ungraded |
Any of the interventions (CR, SE, SW, sealing with sealant materials, Hall Technique, or NRCC) vs Each other, placebo, or no treatment Safety issues (adverse events) · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane | None of the studies reported adverse effects. | 0 studies | No studies |
Edentulous (0 remaining teeth) vs 1-32 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, Multivariable-adjusted Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021) | HR 1.21 [1.07, 1.36] | 5 studies · 101938 participants | Moderate |
Cerebral palsy vs Healthy age- and sex-matched controls Dental caries prevalence · Children with cerebral palsy in Dubai · Overall Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | Prevalence 53 | 1 study | Ungraded |
COE with light-based detection (e.g. ViziLite Plus, Microlux/DL, VELscope, Identafi 3000) vs COE with vital rinsing (toluidine blue/tolonium chloride) 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 | No eligible studies; planned comparative analysis (COE with vital rinse vs COE with light-based detection) not populated in this version. | 0 studies | No studies |
Male sex vs Female sex Gingivitis · School children aged 3-12 years in Sharjah clinic · Overall Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | OR 0.47 [0.24, 0.93] | 1 study · 405 participants | Ungraded |