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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. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

5,762 questions in 263 reviews · Dental caries

current versions
No studies 321 · 5.6%Ungraded 4,450 · 77.2%Very low 455 · 7.9%Low 297 · 5.2%Moderate 200 · 3.5%High 39 · 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.

QuestionEffectEvidenceStatus / GRADE
LTF rs1126478 AG + GG genotype vs AA genotype
Dental caries susceptibility · Individuals with caries/high caries and caries-free or low-caries controls · Overall (n=4)
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.99 [0.81, 1.23]4 studies · 2662 participantsUngraded
SoproLife (ACTEON; blue fluorescence) vs Reference standard: histology, enhanced visual examination with or without radiographs, or excavation
Diagnostic accuracy (sensitivity and specificity) for detection of early enamel caries (D1 threshold) · Children or adults presenting asymptomatically or suspected of having enamel caries (in vivo/clinical studies);… · Up to 3 months between index test and reference standard (in vivo studies)
Fluorescence devices for the detection of dental caries (2020) · Cochrane
Analysed as a separate index test (coupled forest plot and SROC plot, Figure 24 / Figure 25; Appendix 5); no summary DOR or sensitivity/specificity point reported numerically in the text. 3 datasets, 1027 tooth sites.3 studiesUngraded
AG genotype of LTF rs1126478 vs AA genotype of LTF rs1126478
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Age group: Children
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.00 [0.80, 1.25]4 studiesUngraded
AG + GG genotype (G-allele carriers) of LTF rs1126478 vs AA genotype of LTF rs1126478
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Overall
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.99 [0.81, 1.23]4 studies · 2662 participantsUngraded
Intervention NR
Marginal integrity success rate · Rubber dam isolation: Yes
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.883 [0.782, 0.941]10 studiesUngraded
TT genotype of AMELX rs17878486 vs CC genotype of AMELX rs17878486
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Ethnicity: Mixed
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 3.82 [1.19, 12.21]1 studyUngraded
Intervention NR
Absence of recurrent caries success rate · Material type: Resin-based material + self-etching adhesion
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.924 [0.847, 0.963]8 studiesUngraded
Tooth-coloured direct restorative materials (composite, compomer, giomer, RMGIC, HVGIC, open-sandwich) vs No comparator group (single-arm pooled success rate; materials/techniques contrasted via moderator analyses)
Retention success rate · Children with primary molars requiring proximal (Class II) restorations · 24 months, Dentist experience: Experienced
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.895 [0.828, 0.938]25 studiesUngraded
G allele of LTF rs1126478 vs A allele of LTF rs1126478
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Ethnicity: Caucasian
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.18 [0.66, 2.11]2 studiesUngraded
Intervention NR
Anatomic form success rate · Material type: Resin-based material + total-etching adhesion
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.919 [0.821, 0.966]7 studiesUngraded
CT + TT genotype (T-allele carriers) of AMELX rs6639060 vs CC genotype of AMELX rs6639060
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Age group: Adults
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.14 [0.56, 2.29]1 studyUngraded
CT + TT genotype (T-allele carriers) of AMELX rs17878486 vs CC genotype of AMELX rs17878486
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Ethnicity: Mixed
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 4.03 [1.27, 12.75]1 studyUngraded
AMELX rs946252 T allele vs C allele
Dental caries susceptibility · Ethnicity: Mixed (n=1) individuals with caries/high caries and controls · Ethnicity: Mixed (n=1)
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.99 [0.53, 1.86]1 studyUngraded
GG genotype of LTF rs1126478 vs AA + AG genotype of LTF rs1126478
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Ethnicity: Asian
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.92 [0.77, 1.10]2 studiesUngraded
LTF rs1126478 G allele vs A allele
Dental caries susceptibility · Individuals with caries/high caries and caries-free or low-caries controls · Overall (n=4)
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.98 [0.87, 1.10]4 studies · 2662 participantsUngraded
TT genotype of AMELX rs17878486 vs CC + CT genotype of AMELX rs17878486
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Ethnicity: Asian
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.89 [0.30, 11.85]1 studyUngraded
No additional acid etching (self-etch adhesive alone) after Er,Cr:YSGG preparation vs Prior acid etching before self-etch adhesive after Er,Cr:YSGG preparation
Incidence of microleakage · Er,Cr:YSGG laser-prepared cavities restored with self-etch adhesive systems (in vitro) · Enamel margin
Does Er,Cr:YSGG reduce the microleakage of restorations when used for cavity preparation? A systematic… (2020)
RR 3.00 [1.54, 5.83]2 studiesUngraded
TT genotype of AMELX rs17878486 vs CC + CT genotype of AMELX rs17878486
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Control group: Caries-free
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 6.17 [0.41, 92.05]2 studiesUngraded
Intervention NR
Marginal integrity success rate · Material type: Open sandwich restoration
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.940 [0.695, 0.991]1 studyUngraded
Resin-based fissure sealant plus fluoride varnish vs Fluoride varnish alone
Changes from baseline in decayed, missing and filled (DMF) figures at whole-mouth level · Children and adolescents from the general population, younger than 20 years of age at the start of the study · 2 years
Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of… (2020) · Cochrane
Splieth 2001: whole-mouth mean DMFS increased from 0.2 to 0.6 after 1 year and to 1.1 after 2 years; most caries on occlusal surfaces of first permanent molars (50.9%).1 study · 92 participantsUngraded
LTF rs1126477 variant vs Reference allele/genotype
Dental caries · Human subjects with dental caries and caries-free controls · Single study (Wang et al. 2018)
The association between genetic variants in lactotransferrin and dental caries: a meta- and gene-based… (2020)
OR 1.17 [1.06, 1.29]1 study · 910 participantsUngraded
CT genotype of AMELX rs946252 vs CC genotype of AMELX rs946252
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Ethnicity: Mixed
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.95 [0.40, 2.25]1 studyUngraded
AMELX rs17878486 CT + TT genotype vs CC genotype
Dental caries susceptibility · Ethnicity: Asian (n=1) individuals with caries/high caries and controls · Ethnicity: Asian (n=1)
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.89 [0.04, 22.53]1 studyUngraded
Green fluorescence devices (quantitative light-induced fluorescence, QLF; wavelength ~370-405 nm) vs Reference standard: histology, enhanced visual examination with or without radiographs, or excavation
Diagnostic odds ratio (DOR) for detection of early enamel caries (D1 threshold) · Children or adults presenting asymptomatically or suspected of having enamel caries (in vivo/clinical studies);… · Up to 3 months between index test and reference standard (in vivo studies)
Fluorescence devices for the detection of dental caries (2020) · Cochrane
DOR 19.49 [9.01, 42.18]9 studiesUngraded
All fluorescence-based devices (red, blue, and green fluorescence combined) vs Reference standard: histology, enhanced visual examination with or without radiographs, or excavation
Sensitivity at fixed median specificity 0.78 (detection of early enamel caries, D1 threshold) · Children or adults presenting asymptomatically or suspected of having enamel caries (in vivo/clinical studies);… · Up to 3 months between index test and reference standard (in vivo studies)
Fluorescence devices for the detection of dental caries (2020) · Cochrane
Sensitivity 0.70 [0.64, 0.75]79 studiesLow
AG + GG genotype (G-allele carriers) of LTF rs1126478 vs AA genotype of LTF rs1126478
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Ethnicity: Caucasian
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.16 [0.53, 1.97]2 studiesUngraded
AMELX rs17878486 T allele vs C allele
Dental caries susceptibility · Ethnicity: Caucasian (n=2) individuals with caries/high caries and controls · Ethnicity: Caucasian (n=2)
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 2.87 [0.35, 23.23]2 studiesUngraded
Intervention NR
Marginal integrity success rate · Use of cavity conditioner: Yes
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.857 [0.737, 0.928]10 studiesUngraded
ENAM rs3796703 TT genotype vs CC genotype
Dental caries susceptibility · Individuals with caries/high caries and caries-free or low-caries controls · Overall (n=2)
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 5.22 [0.25, 108.96]2 studies · 1152 participantsUngraded
GG genotype of ENAM rs1264848 vs AA genotype of ENAM rs1264848
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Control group: Low caries
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.30 [0.79, 2.14]2 studiesUngraded
Tooth bleaching (combined in-office and home bleaching) vs No bleaching (untreated control)
Patient satisfaction with aesthetic outcome · Orthodontic patients with post-orthodontic white spot lesions (permanent teeth) · 28 days
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
All patients in the bleaching group were satisfied with the outcome; the patients were pleased with the aesthetic outcome of bleaching (Knösel 2007).1 study · 10 participantsUngraded
Intraglandular botulinum neurotoxin (BoNT) injection vs No BoNT (placebo or pre-treatment baseline)
New dental caries development · Patients with drooling (sialorrhea) due to neurological disease · BoNT-B 3500 U vs placebo (Isaacson RCT)
Oral health effects of botulinum toxin treatment for drooling: a systematic review. (2020)
RR 1.4 [0.24, 8.12]1 studyUngraded
AMELX rs6639060 T allele vs C allele
Dental caries susceptibility · Ethnicity: Caucasian (n=1) individuals with caries/high caries and controls · Ethnicity: Caucasian (n=1)
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.08 [0.63, 1.85]1 studyUngraded
AG + GG genotype (G-allele carriers) of ENAM rs1264848 vs AA genotype of ENAM rs1264848
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Control group: Low caries
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.45 [0.92, 2.28]2 studiesUngraded
Intervention NR
Absence of recurrent caries success rate · Study design: Noncontrolled trial
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.942 [0.837, 0.981]4 studiesUngraded
AG + GG genotype (G-allele carriers) of ENAM rs1264848 vs AA genotype of ENAM rs1264848
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Control group: Caries-free
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.74 [0.27, 2.02]3 studiesUngraded
Intervention NR
Anatomic form success rate · Use of cavity conditioner: Yes
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.896 [0.779, 0.955]9 studiesUngraded
rs1126478, additive (per-allele) model vs Reference allele A
Dental caries · Human subjects with dental caries and caries-free controls · Sensitivity analysis excluding the study using adult data (Fine 2013)
The association between genetic variants in lactotransferrin and dental caries: a meta- and gene-based… (2020)
OR 1.47 [0.92, 2.35]3 studies · 1752 participantsUngraded
CT genotype of AMELX rs17878486 vs CC genotype of AMELX rs17878486
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Control group: Caries-free
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.00 [0.12, 8.23]2 studiesUngraded
rs1126478 genotype distribution vs Caries-free control genotype distribution
Dental caries (by severity) · Human subjects stratified by dental caries severity and caries-free controls · Severe caries (DMFT 13 to 20); Wang et al. 2018
The association between genetic variants in lactotransferrin and dental caries: a meta- and gene-based… (2020)
OR 0.78 [0.70, 0.87]1 studyUngraded
TT genotype of AMELX rs17878486 vs CC + CT genotype of AMELX rs17878486
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Overall
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 3.10 [0.85, 11.28]4 studies · 442 participantsUngraded
Intervention NR
Marginal integrity success rate · Use of coat: No
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.916 [0.803, 0.966]7 studiesUngraded
T allele of AMELX rs2106416 vs C allele of AMELX rs2106416
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Age group: Children
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.59 [0.16, 2.11]3 studiesUngraded
Younger children's age (3-5 years) vs Older children (>5 years)
Poor oral health-related quality of life (OHRQoL) · Children aged 3-12 years · Age 4 years
The Association of Oral Health Status, demographic characteristics and socioeconomic determinants with Oral… (2020)
OR 2.13 [1.50, 2.76]2 studiesUngraded
TT genotype of AMELX rs946252 vs CC genotype of AMELX rs946252
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Control group: Low caries
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.03 [0.28, 3.75]1 studyUngraded
TT genotype of AMELX rs6639060 vs CC + CT genotype of AMELX rs6639060
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Overall
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.00 [0.42, 2.39]2 studies · 301 participantsUngraded
rs1126478, allelic model (G allele) vs A allele
Dental caries · Human subjects with dental caries and caries-free controls · Allelic model (G vs. A)
The association between genetic variants in lactotransferrin and dental caries: a meta- and gene-based… (2020)
OR 1.41 [0.48, 4.13]4 studies · 1802 participantsUngraded
rs1126478 genotype distribution vs Caries-free control genotype distribution
Dental caries (by severity) · Human subjects stratified by dental caries severity and caries-free controls · Moderate caries (DMFT 8 to 12); Wang et al. 2018
The association between genetic variants in lactotransferrin and dental caries: a meta- and gene-based… (2020)
OR 0.72 [0.65, 0.80]1 studyUngraded
TT genotype of AMELX rs946252 vs CC + CT genotype of AMELX rs946252
Dental caries susceptibility · Individuals assessed for dental caries (cases with caries/high caries vs. caries-free or low/very-low-caries controls) · Ethnicity: Caucasian
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.73 [0.19, 2.87]2 studiesUngraded
Bleaching vs No bleaching or alternative control
Colour disparity between carious and non-affected enamel · Permanent teeth with post-orthodontic or artificial white spot lesions · Varied; 28 days in the RCT
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
no estimate extracted3 studiesUngraded