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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)

10,375 questions in 429 reviews · Oral Health

current versions
No 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.

QuestionEffectEvidenceStatus / GRADE
Maternal smoking during pregnancy vs No maternal smoking during pregnancy
Dental caries · Children · Community/population-based (multiple countries), Study region: Europe
Asked by 2 reviewsCorrelation Between Maternal Smoking During Pregnancy and Dental Caries in Children: A Systematic Review and… (2021)
OR 1.55 [1.45, 1.66]3 studiesUngraded
Electronic caries monitor (ECM) device (ECM II / ECM III / ECM IV) 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)
Electrical conductance for the detection of dental caries (2021) · Cochrane
ECM (4 studies, 475 tooth surfaces): specificity ranged from 0.73 to 0.96.4 studiesUngraded
Extraction of the primary (baby) canine (single primary tooth extraction) vs No extraction (non-intervention control)
Incidence of eruption of the PDC into the mouth · 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 2.87 [0.90, 9.23]1 study · 45 participantsVery low
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
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021)
RR 2.93 [1.92, 4.50]10 studies · 4697021 participantsModerate
Self-ligating brackets vs Conventional brackets
Time to alignment (days) · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · alignment
Orthodontic treatment for crowded teeth in children (2021) · Cochrane
MD 89.64 [-45.89, 225.17]2 studies · 148 participantsUngraded
Cervical pull headgear vs Minor interceptive procedures (control)
Upper incisors to maxilla 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 4.5 [1.36, 7.64]1 study · 64 participantsUngraded
Resin infiltration vs Fluoride varnish
Optical/esthetic improvement (DIAGNOdent reading) · Patients (mainly children) with white spot lesions (WSL) · 3 to 6 months
Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or… (2021)
MD 4.76 [0.74, 8.78]3 studies · 212 participantsModerate
Sealing using sealant materials vs Selective carious tissue removal (selective excavation, SE)
Lesion progression · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · Cavitated lesions, primary dentition
Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane
Lesion progression reported narratively: Dias 2018 1/27 sealed vs 1/21 SE at 24 months; Hesse 2014 0/17 sealed vs 0/17 SE at 18 months; not pooled and not GRADE-rated.2 studiesUngraded
Digital bitewing radiography, phosphor plate (PSP) 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 0.41 [0.25, 0.61]11 studiesUngraded
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)
Diagnostic odds ratio (overall test accuracy) · 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
Diagnostic odds ratio (DOR) 15.65 [1.43, 171.15]7 studiesVery low
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling
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
Effect of periodontal treatments on blood pressure (2021) · Cochrane
MD -18.90 [-26.34, -11.46]1 studyUngraded
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), Dentition: Mixed dentition caries
Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021)
OR 1.44 [0.72, 2.85]2 studies · 270 participantsUngraded
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances
Bleeding on probing (BOP) · Adults undergoing orthodontic treatment · 6 to 12 weeks, Adults
Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021)
MD -0.26 [-0.77, 0.26]2 studies · 62 participantsVery low
Extraction of third molars (wisdom teeth) vs No active treatment (control)
Amount of crowding (Little's Irregularity Index, change) at 5 years · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 5 years
Orthodontic treatment for crowded teeth in children (2021) · Cochrane
MD -0.30 [-1.30, 0.70]1 study · 77 participantsVery low
Conventional bitewing radiography (E-speed film) vs Cavity preparation or biopsy (operative validation)
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · 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 0.941 studyUngraded
Light-based detection and/or oral spectroscopy (e.g. ViziLite, VELscope, Microlux DL, Identafi 3000) vs Surgical or punch biopsy with histological assessment
Specificity · Adults (aged 16 years or over) presenting to primary or secondary care with clinically evident suspicious or innocuous…
Diagnostic tests for oral cancer and potentially malignant disorders in patients presenting with clinically… (2021) · Cochrane
Specificity 0.50 [0.32, 0.68]23 studiesVery low
ARP with allograft plus synthetic cell-binding peptide P-15 vs ARP with allograft without P-15
Implant failure rate · 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
Outcome not reported0 studiesNo studies
Quantitative light-induced fluorescence (QLF) vs Histological validation (in vitro) or cavity preparation/biopsy (in vivo)
Diagnostic accuracy for occlusal caries detection (any threshold) · Human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces · in vitro and in vivo
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
no estimate extracted0 studiesNo studies
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: 5 to 7 years
Direct composite resin fillings versus amalgam fillings for permanent posterior teeth (2021) · Cochrane
RR 2.14 [1.67, 2.74]2 studies · 921 participantsLow
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 tactile 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 -0.25 [-0.91, 0.41]1 studyUngraded
Conventional bitewing radiography, D-speed film 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)
DOR 31.0 [3.3, 291.3]1 studyUngraded
Intervention NR
Relative abundance of Veillonella spp. · Sensitivity analysis excluding 2 low-quality studies [12,17]
Meta-Analysis Using NGS Data: The Veillonella Species in Dental Caries. (2021)
MD 2.07 [-2.44, 6.58]4 studiesUngraded
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)
Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane
Sensitivity 0.86 [0.80, 0.90]67 studiesLow
Lower lingual arch vs No active treatment (control)
Size of the lower jaw (mandibular arch length) at 1 year · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 1 year
Orthodontic treatment for crowded teeth in children (2021) · Cochrane
MD 2.61 [1.83, 3.39]1 study · 30 participantsUngraded
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), Primary dentition
Electrical conductance for the detection of dental caries (2021) · Cochrane
Primary dentition (3 studies): specificity ranged from 0 to 0.92.3 studiesUngraded
Laser fluorescence pen (DIAGNOdent 2190/Pen) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces · in vitro
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
DOR 11.83 [2.66, 52.63]2 studiesUngraded
Periodontal treatment (subgingival SRP with or without other periodontal treatment) vs No treatment (no periodontal treatment)
Proportion of participants diagnosed with hypertension at trial completion · 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
No included study reported the proportion of participants diagnosed with hypertension at trial completion.NRNo studies
ARP with allograft plus synthetic cell-binding peptide P-15 vs ARP with allograft without P-15
Changes in bucco-lingual/palatal width 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 -0.87 [-1.61, -0.13]1 study · 18 participantsVery low
Two-band palatal expander with slow expansion vs Two-band palatal expander with rapid expansion
Crossbite correction · 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
Martina 2012: slow 12/12 vs rapid 14/14; NS (all corrected in both groups)1 study · 26 participantsUngraded
Fixed tooth-borne expansion (Hyrax) vs Fixed tooth-tissue-borne expansion (Haas)
Canine expansion (inter-canine distance) · 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
Not measured (SoF 5)0 studiesNo studies
Extraction of lower deciduous canines vs No active treatment (control)
Lower incisors to mandible (inclination, degrees) at 1 year · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 1 year
Orthodontic treatment for crowded teeth in children (2021) · Cochrane
MD 0.08 [-0.55, 0.71]1 study · 83 participantsUngraded
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances
Plaque index (PI) · 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 -0.40 [-0.77, -0.03]1 studyUngraded
Systemic antibiotic prophylaxis (any regimen; topical therapy excluded) administered before and/or after tooth extraction vs Placebo
Postsurgical infectious complications · People undergoing tooth extraction (21 of 23 trials: healthy patients undergoing impacted third molar extraction; 1… · 1st to 14th day
Antibiotics to prevent complications following tooth extractions (2021) · Cochrane
RR 0.34 [0.19, 0.64]12 studies · 1728 participantsLow
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)
Specificity 0.996 [0.96, 1]1 studyUngraded
Mineral trioxide aggregate (MTA) vs Super ethoxybenzoic acid (Super-EBA)
Success rate at 4 years · Patients needing retrograde filling in root canal therapy (orthograde root canal filling or retreatment not possible;… · 4 years
Materials for retrograde filling in root canal therapy (2021) · Cochrane
RR 1.02 [0.93, 1.12]1 studyUngraded
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 tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -1.73 [-3.17, -0.30]9 studies · 591 participantsVery low
Selective carious tissue removal (selective excavation, SE) 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… · 12-60 months, Deep lesions, permanent dentition
Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane
OR 2.25 [1.33, 3.82]3 studies · 371 participantsModerate
Double primary (canine and first molar) tooth extraction vs Single primary (canine) tooth extraction
Costs / cost-effectiveness · 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 cost-effectiveness.0 studiesNo studies
Vital staining (e.g. toluidine blue, tolonium chloride) vs Surgical or punch biopsy with histological assessment
Specificity · Adults (aged 16 years or over) presenting to primary or secondary care with clinically evident suspicious or innocuous…
Diagnostic tests for oral cancer and potentially malignant disorders in patients presenting with clinically… (2021) · Cochrane
Specificity 0.68 [0.58, 0.77]20 studiesVery low
COE with blood/salivary (biomarker) analysis vs Conventional oral examination (COE) alone
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 vs COE with blood/salivary analysis) not populated in this version.0 studiesNo studies
Conventional bitewing radiography, E-speed film vs Direct visual examination after tooth separation or bioptical cavity preparation
Diagnostic accuracy for proximal caries detection (dentin detection level) · Patients with permanent posterior teeth, proximal surfaces assessed clinically (in vivo) · In vivo (clinical); permanent posterior teeth, proximal surfaces, Dentin detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
AUC 0.741 studyUngraded
Sealant vs No sealant
Incidence of new white spot lesions by visual-tactile assessment · Patients receiving comprehensive fixed orthodontic treatment · 3 to 27 months, Fixed orthodontic treatment, Overall
Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021)
RR 0.70 [0.53, 0.93]6 studies · 2314 participantsVery low
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling
Endothelial function (endothelial microparticles) · 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 -565.52 [-806.04, -325.00]1 studyUngraded
Intervention NR
Mean dmft · Nationals in public day cares (El Batawi)
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
MEAN 0.81 studyUngraded
Visual examination (VE) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces · in vitro
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
Specificity 0.83 [0.70, 0.92]3 studiesUngraded
Dental imaging (analog or digital radiographs) vs Visual classification
Difference in specificity · Children or adults asymptomatic or suspected of enamel caries; extracted teeth · Clinical studies and in vitro extracted teeth, Analysis 1: fully within-person comparison
Enamel Caries Detection and Diagnosis: An Analysis of Systematic Reviews. (2021)
Difference in specificity 0.06 [-0.04, 0.19]19 studies · 2849 participantsUngraded
Diode laser, near infrared (700 nm to 850 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -0.68 [-3.57, 2.21]2 studiesUngraded
Micro-invasive treatment (resin infiltration or sealing) vs Non-invasive / control treatment
Radiographic proximal caries lesion progression · Patients with non-cavitated proximal (approximal) caries lesions (primary or permanent dentition) · Longest available follow-up, Caries risk: moderate to high
Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis. (2021)
OR 0.17 [0.10, 0.29]4 studiesUngraded
ARP with alloplast vs ARP with xenograft
Need for additional augmentation prior to implant placement · Adults aged 18 years or older, in good general health (including well-controlled systemic disease), requiring… · 6 to 8 months
Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane
RR 1.09 [0.65, 1.83]2 studies · 37 participantsVery low
Beta-thalassemia major vs Healthy Emirati children
Calculus prevalence · Children with beta-thalassemia major in Dubai · Children with beta-thalassemia major
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 28.91 studyUngraded