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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 |
|---|---|---|---|
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 studies | Ungraded |
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 studies | Ungraded |
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 participants | Very 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 participants | Moderate |
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 participants | Ungraded |
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 participants | Ungraded |
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 participants | Moderate |
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 studies | Ungraded |
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 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) 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 studies | Very 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 study | 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), 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 participants | Ungraded |
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 participants | Very 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 participants | Very 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 0.94 | 1 study | Ungraded |
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 studies | Very 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 reported | 0 studies | No 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 extracted | 0 studies | No 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 participants | Low |
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 study | Ungraded |
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 study | Ungraded |
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 studies | 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) Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane | Sensitivity 0.86 [0.80, 0.90] | 67 studies | Low |
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 participants | 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) 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 studies | Ungraded |
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 studies | Ungraded |
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. | NR | No 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 participants | Very 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 participants | Ungraded |
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 studies | No 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 participants | Ungraded |
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 study | Ungraded |
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 participants | Low |
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 study | Ungraded |
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 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 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 participants | Very 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 participants | Moderate |
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 studies | No 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 studies | Very 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 studies | No 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 0.74 | 1 study | Ungraded |
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 participants | Very 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 study | Ungraded |
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 0.8 | 1 study | Ungraded |
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 studies | Ungraded |
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 participants | Ungraded |
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 studies | Ungraded |
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 studies | Ungraded |
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 participants | Very 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 28.9 | 1 study | Ungraded |