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Search review questions

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.

Limit to evidence status or GRADE (optional)

75,239 questions in 5,342 reviews

current versions
No studies 15,213 · 20.2%Ungraded 10,323 · 13.7%Very low 17,528 · 23.3%Low 17,951 · 23.9%Moderate 11,190 · 14.9%High 3,034 · 4%

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
Highest BMI category (overweight/obese) vs Lowest BMI category (normal weight/underweight)
Dental caries / early childhood caries (ECC) · Children (approx. 4-18 years) · Dental examinations of children; 15 countries across Europe, Asia, the Americas and Oceania, Study design: cohort
Childhood obesity in relation to risk of dental caries: a cumulative and dose-response systematic review and… (2024)
OR 1.27 [1.07, 1.56]3 studiesUngraded
Overweight vs Normal weight (eutrophic)
Untreated dental caries (d component), continuous · Brazilian children/adolescents (BMI classified by WHO 2007 Z-score) · Brazil
Overweight/obesity and dental caries in Brazilian children and adolescents: a systematic review and… (2024)
MD 0.03 [-0.24, 0.30]2 studies · 515 participantsLow
Superelastic NiTi arch wire vs Conventional (stabilised) NiTi arch wire
Alignment rate · People receiving orthodontic treatment with fixed appliances (upper and/or lower full arch) · 5 to 10 weeks
Initial arch wires used in orthodontic treatment with fixed appliances (2024) · Cochrane
Conventional NiTi vs superelastic NiTi (O'Brien 1990; Ong 2011); not pooled due to clinical heterogeneity; little or no difference in alignment rate2 studies · 124 participantsLow
Advice about a healthy diet (including breastfeeding promotion and sugar avoidance) and feeding practices (e.g. relating to bottle-feeding and sleep) for infants and young children vs Standard care
Child oral health behaviours · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,…
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
Two trials (Feldens 2007; Watt 2009) reported infant/child oral health behaviours; not suitable for meta-analysis. Both observed some evidence of benefit favouring the intervention.2 studiesUngraded
Facemask with rapid maxillary expansion (RME) vs Mini maxillary protractor
ANB · Children and adolescents (aged 16 years or younger) with prominent lower front teeth (Class III malocclusion) · End of treatment
Orthodontic treatment for prominent lower front teeth (Class III malocclusion) in children (2024) · Cochrane
MD -0.75 [-1.49, -0.01]1 study · 32 participantsUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC) prevalence (%, dmft>0) · Children younger than 71 months (under 6 years) · Countries with highest life expectancy, Life expectancy: highest (>80 years)
A systematic review and meta-analysis on early-childhood-caries global data. (2024)
Prevalence 28NRUngraded
Advice about a healthy diet (including breastfeeding promotion and sugar avoidance) and feeding practices (e.g. relating to bottle-feeding and sleep) for infants and young children vs Standard care
Adverse events for mother or child · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,…
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
One trial only (Feldens 2007) provided information on adverse events and reported no events.1 studyUngraded
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Muscle pain at rest · People with temporomandibular disorders (TMD) · Short term (mean 4.4 weeks), Myofascial pain TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
MD -0.19 [-1.25, 0.87]1 study · 72 participantsVery low
Tongue depressor stretches (physiotherapy) vs Intralesional steroid plus hyaluronidase injections
Maximal mouth opening (interincisal distance) · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF) · Less than 3 months
Interventions for managing oral submucous fibrosis (2024) · Cochrane
MD 5.38 [-2.24, 13.00]1 study · 20 participantsVery low
Extraction of the mandibular permanent first molar vs None (single-group prevalence)
Rotation of the mandibular second permanent molar · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), University clinics and hospitals in 8 countries (children/adolescents <18 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
Prevalence 76.9 [15.5, 98.4]2 studies · 108 participantsUngraded
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)
Early childhood caries (ECC) prevalence (%, dmft>0) · Children younger than 71 months (under 6 years) · GNI $5000-$9999, GNI $5000-$9999
A systematic review and meta-analysis on early-childhood-caries global data. (2024)
Prevalence 53 [41, 65]14 studiesUngraded
Prophylaxis (teeth cleaning) and CHX or iodine-NaF solution application in the dentition of women (mothers) vs Placebo
Caries presence in primary teeth · For interventions, pregnant women and mothers of infants in the first year of life; for outcomes, children up to 6… · Children assessed at 2-3 yrs
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
RR 0.97 [0.80, 1.19]3 studies · 479 participantsVery low
Platelet-rich fibrin (PRF) vs Calcium hydroxide (CH)
Overall success (composite of clinical and radiographic success) · Mature permanent teeth with irreversible pulpitis and carious pulp exposure (treated with full pulpotomy) · >=12 months
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024)
OR 1.67 [0.59, 4.72]2 studies · 70 participantsUngraded
Silver diamine fluoride (SDF) vs Chlorhexidine varnish
Aesthetics · Children and adults (with or without carious lesions)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported data for this outcome in this comparison0 studiesNo studies
Cesarean section delivery vs Vaginal delivery
Early childhood caries (ECC) · Children aged <6 years · Community/population-based; multiple countries, Sample size: ≥300
RETRACTED: The association between mode of childbirth delivery and early childhood caries: A comprehensive… (2024)
OR 1.05 [0.86, 1.28]11 studiesUngraded
Package of oral health education/promotion including oral hygiene advice for pregnant women, mothers, infants and young children, plus dietary and feeding practice advice for infants and young children vs Standard care
dmft index score · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes,… · Children assessed at 6 yrs
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
MD -0.30 [-0.96, 0.36]1 study · 187 participantsLow
Probiotics (any strain, dose, or presentation), minimum intake duration 0.2 months vs No treatment or placebo (control)
Streptococcus mutans count (CFU/mL) · Children and/or adolescents (<18 years) without background systemic disease · follow-up: mean 4.4 months, Healthy children and/or adolescents (<18 years) without systemic disease; RCTs from multiple countries (India, Thailand, Spain, Australia, New Zealand, Sweden, Poland, Colombia, Saudi Arabia); mostly school/community and clinic settings, Overall (all presentations pooled)
Efficacy of Probiotic Consumption on Oral Outcomes in Children and/or Adolescents: A Meta-Analysis. (2024)
MD -0.40 [-0.57, -0.24]11 studies · 1321 participantsModerate
Grape seed extract (GSE) and its proanthocyanidin fractions vs Untreated or vehicle control (some studies vs positive antimicrobial controls, e.g. chlorhexidine/fluoride)
Bacterial growth inhibition (MIC/MBC) · Streptococcus mutans (in vitro cultures and biofilms) · in vitro (laboratory)
Effect of flavonoids from grape seed and cranberry extracts on the microbiological activity of Streptococcus… (2024)
GSE inhibited S. mutans growth across ~0.5-250 mg/mL (Abstract): inhibition at 250-500 mg/mL (Swadas), 4 mg/mL (Zhao), MIC 1000 ug/mL and MBC 4000 ug/mL (Furiga), MIC 0.5 mg/mL (Smullen), and MIC 19.07 mg/mL for…5 studiesUngraded
T allele vs C allele
Dental caries · Children (<18 years) with vs without dental caries · Allelic model (T vs C), Children under 18 years; case-control and cross-sectional studies (China, Czech Republic, Turkey, Brazil, India), Primary dentition
Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024)
OR 1.45 [0.96, 2.18]NRUngraded
Second molar at Demirjian stage E at extraction vs Second molar at Demirjian stage F-H at extraction
Spontaneous space closure · Children and adolescents after extraction of a mandibular permanent first molar (before eruption of the second molar) · Until eruption of the permanent second molar (median follow-up 4.0 years), University clinics and hospitals in 8 countries (children/adolescents <18 years), Mandible
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 3.81 [1.85, 7.83]3 studies · 94 participantsLow
Adjunctive antimicrobial photodynamic therapy (aPDT) applied after submucosal instrumentation (SI) vs Submucosal instrumentation (SI) alone, or SI plus placebo/sham aPDT
Pocket closure · Adults (> 18 years) with peri-implant mucositis, receiving active treatment
Adjunctive antimicrobial photodynamic therapy for treating periodontal and peri‐implant diseases (2024) · Cochrane
Only one study reported evidence for adjunctive aPDT in people with peri-implant disease (Al Rifaiy 2022). Data were only available for two outcomes (PPD and BOP), both reported only at three months. No studies…NRNo studies
rs10974056 effect allele A (intron variant in GLIS3, chr9:3,889,264) vs Non-effect allele C
Dental caries (meta of mixed phenotypes: present-study self-report + GLIDE clinical DMFS + UKB self-report/dentures) · Adults from Japanese and European cohorts (present-study Japanese direct-to-consumer cohort + GLIDE consortium and UK… · Lifelong (germline genotype), Population-based genetic association study (Japanese direct-to-consumer cohort + European GLIDE/UKB cohorts), Meta-analysis: present study + GLIDE + UKB
Genome-wide association meta-analysis identifies two novel loci associated with dental caries. (2024)
Z-score (meta) -5.4943 studies · 533348 participantsUngraded
Presence of oral Candida albicans vs Absence of oral Candida albicans
Early childhood caries (ECC) · Children aged ≤6 years (early childhood) · Exposure and outcome assessed concurrently (observational); children aged ≤6 years, Children aged ≤6 years; multiple countries (Asia, Europe, Americas); dental/clinical and community settings, Study design: cross-sectional
RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024)
OR 4.30 [2.92, 6.33]20 studies · 2593 participantsUngraded
Adjunctive antimicrobial photodynamic therapy (aPDT) applied after subgingival instrumentation (SI) vs Subgingival instrumentation (SI) alone (hand or power-driven, or both), or SI plus placebo/sham aPDT
Change in probing pocket depth (PPD) · Adults (> 18 years) with recurrent periodontitis, receiving supportive (maintenance) periodontal care · 6 months (change from baseline)
Adjunctive antimicrobial photodynamic therapy for treating periodontal and peri‐implant diseases (2024) · Cochrane
MD -0.04 [-0.19, 0.10]3 studies · 125 participantsVery low
Adjunctive antimicrobial photodynamic therapy (aPDT) applied after subgingival instrumentation (SI) vs Subgingival instrumentation (SI) alone (hand or power-driven, or both), or SI plus placebo/sham aPDT
Patient satisfaction · Adults (> 18 years) with recurrent periodontitis, receiving supportive (maintenance) periodontal care
Adjunctive antimicrobial photodynamic therapy for treating periodontal and peri‐implant diseases (2024) · Cochrane
No studies reported data for this outcome.NRNo studies
Occlusal splint vs Acupuncture
Severity of joint noise · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 5 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Dental crowding present vs Dental spacing present
Spontaneous space closure · Children and adolescents (<18 years) after extraction of a permanent first molar before eruption of the permanent… · Until eruption of the permanent second molar (median follow-up 4.0 years), University clinics and hospitals in 8 countries (children/adolescents <18 years), Overall
Spontaneous space closure after extraction of permanent first molars in children and adolescents: a… (2024)
OR 5.9 [1.3, 27.7]1 studyUngraded
T allele vs C allele
Dental caries · Children (<18 years) with vs without dental caries · Allelic model (T vs C), Children under 18 years; case-control and cross-sectional studies (China, Czech Republic, Turkey, Brazil, India), Real-time quantitative PCR genotyping
Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024)
OR 1.24 [0.96, 1.60]NRUngraded
Antioxidants (lycopene, curcumin, Oxitard) vs Placebo or no active treatment
Difficulty in mouth opening (participant-reported proxy) · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF)
Interventions for managing oral submucous fibrosis (2024) · Cochrane
OR 0.00 [0.00, 0.02]1 study · 100 participantsUngraded
Silver diamine fluoride (SDF) vs Chlorhexidine varnish
Dental pain or sensitivity · Children and adults (with or without carious lesions)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported data for this outcome in this comparison0 studiesNo studies
Started toothbrushing with fluoride toothpaste before 12 months (earlier start) vs Started after 12 months (later start)
Fluorosis (percentage prevalence in permanent teeth) · Children exposed to topical fluoride when under 6 years old; fluorosis assessed in permanent teeth at 6 to 18 years · Fluorosis assessed when most permanent teeth of interest had erupted (6 to 18 years)
Topical fluoride as a cause of dental fluorosis in children (2024) · Cochrane
OR 1.22 [0.98, 1.52]7 studies · 4329 participantsVery low
Children with severe early childhood caries (S-ECC) vs Caries-free children
Serum 25-hydroxyvitamin D level · Preschool children ≤6 years
The Association Between Vitamin D and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
MD -18.64 [-20.06, -17.22]7 studies · 1658 participantsUngraded
Institutionalization (living in an orphanage/institution) vs Parented children living with their families
Dental caries prevalence (DMF/dmf score > 0) · Institutionalized orphan children (roughly 3 to 18 years) · Orphanages/childcare institutions in low- and middle-income countries (India, Iran, China, Yemen, Egypt, Lithuania, Malaysia), Overall (pooled)
Caries in orphan children: prevalence and determinants-a systematic review and meta-analysis. (2024)
RR 1.19 [0.89, 1.59]4 studies · 1420 participantsVery low
Silver diamine fluoride (SDF) vs Atraumatic restorative treatment (ART) with glass ionomer cement (GIC) or glass ionomer material
Caries arrest · Children and adults (with or without carious lesions) · Permanent dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported this outcome in this dentition type0 studiesNo studies
Probiotics (any strain, dose, or presentation), minimum intake duration 0.2 months vs No treatment or placebo (control)
Gingival bleeding index · Children and/or adolescents (<18 years) without background systemic disease · 1.5 months, Healthy children and/or adolescents (<18 years) without systemic disease; RCTs from multiple countries (India, Thailand, Spain, Australia, New Zealand, Sweden, Poland, Colombia, Saudi Arabia); mostly school/community and clinic settings, Single study (Borrell 2021); not pooled
Efficacy of Probiotic Consumption on Oral Outcomes in Children and/or Adolescents: A Meta-Analysis. (2024)
MD 0.10 [0.02, 0.18]1 study · 27 participantsUngraded
Occlusal splint vs Acupuncture
Frequency of joint noise · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 5 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Moderate-severe active dental caries (exposure) vs Caries-free or mild dental caries (control)
Salivary TNF-α level (pg/mL) · Children and young adults (3-25 years) · Observational studies in children and young adults across nine countries (saliva-based cytokine comparison)
Activity and levels of TNF-α, IL-6 and IL-8 in saliva of children and young adults with dental caries: a… (2024)
SMD 14.81 [4.76, 24.86]7 studies · 348 participantsUngraded
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Discomfort · People with temporomandibular disorders (TMD)
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
Listed in Summary of findings 3 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies
Serum 25(OH)D 50–75 nmol/l vs Serum 25(OH)D ≥ 75 nmol/l
Early childhood caries (ECC) · Preschool children ≤6 years, North America · North America
The Association Between Vitamin D and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
OR 2.09 [1.55, 2.82]3 studies · 750 participantsUngraded
Breastfeeding <12 months vs Breastfeeding ≥12 months
Dental caries (ECC) · Preschool children under 6 years of age · First dental examination before age 6 years, Clinical, field, or unclear dental examination settings, Cohort studies; sensitivity analysis excluding studies 35, 42, and 48
Association of Breastfeeding and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024)
RR 0.70 [0.62, 0.80]5 studiesUngraded
Mineral trioxide aggregate (MTA) vs Calcium-enriched mixture (CEM)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024)
OR 0.78 [0.46, 1.34]4 studies · 611 participantsUngraded
Cranberry extract or cranberry flavonoid fractions vs No extract or vehicle control; other antimicrobial agents
Bacterial adhesion or initial colonization · Streptococcus mutans cultures and biofilms · In vitro laboratory studies
Effect of flavonoids from grape seed and cranberry extracts on the microbiological activity of Streptococcus… (2024)
no estimate extracted3 studiesUngraded
Obesity vs Normal weight (eutrophic)
Dental caries experience (DMFT), continuous · Brazilian children/adolescents in permanent dentition (BMI classified by CDC 2000 growth charts) · Brazil
Overweight/obesity and dental caries in Brazilian children and adolescents: a systematic review and… (2024)
MD 0.61 [0.08, 1.15]2 studies · 659 participantsVery low
Antioxidants (lycopene, curcumin, Oxitard) vs Placebo or no active treatment
Difficulty in swallowing (participant-reported proxy) · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF)
Interventions for managing oral submucous fibrosis (2024) · Cochrane
OR 0.24 [0.10, 0.60]2 studies · 220 participantsUngraded
Occlusal splint vs No treatment or placebo (non-occlusal or transparent-foil placebo splint)
Self-reported joint pain when chewing · People with temporomandibular disorders (TMD) · Short term (10 weeks), Mixed TMD
Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane
RR 1.88 [0.94, 3.75]1 study · 60 participantsVery low
Superelastic NiTi arch wire vs Titanium-niobium-tantalum-zirconium (TiNbTaZr) arch wire
Alignment rate · People receiving orthodontic treatment with fixed appliances (upper and/or lower full arch) · 8 to 12 weeks
Initial arch wires used in orthodontic treatment with fixed appliances (2024) · Cochrane
Superelastic NiTi (Sentalloy) vs TiNbTaZr (Gummetal) (Nordstrom 2018); LII change over 8 to 12 weeks; no clear difference (ANOVA P=0.6938)1 study · 28 participantsUngraded
Cranberry extract / juice and proanthocyanidin (flavonoid) fractions vs Untreated or vehicle control (some studies vs positive antimicrobial controls, e.g. chlorhexidine/fluoride)
Bacterial adhesion (inhibition) · Streptococcus mutans (in vitro cultures and biofilms) · in vitro (laboratory)
Effect of flavonoids from grape seed and cranberry extracts on the microbiological activity of Streptococcus… (2024)
Cranberry formulations adhered to and prevented biofilm on saliva-coated hydroxyapatite (Greene); reduced adhesion via inhibited glucan synthesis (Feng); reduced initial S. mutans colonization 40-60% through reduced…3 studiesUngraded
Periodontitis vs No periodontitis
High salivary S. mutans (over 10^4 CFU/ml) · Adults · Salivary/plaque microbiology samples from case-control studies, Overall
Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024)
OR 0.82 [0.44, 1.51]2 studiesUngraded
Chin cup vs Untreated control (no treatment)
Wits appraisal · Children and adolescents (aged 16 years or younger) with prominent lower front teeth (Class III malocclusion) · End of treatment
Orthodontic treatment for prominent lower front teeth (Class III malocclusion) in children (2024) · Cochrane
MD 4.87 [4.53, 5.20]1 study · 50 participantsUngraded
Nanda facemask vs Conventional facemask
ANB · Children and adolescents (aged 16 years or younger) with prominent lower front teeth (Class III malocclusion) · End of treatment
Orthodontic treatment for prominent lower front teeth (Class III malocclusion) in children (2024) · Cochrane
MD 1.29 [0.16, 2.42]1 study · 20 participantsUngraded