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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
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) · Overall
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.45 [0.75, 2.81]3 studies · 298 participantsUngraded
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) · Age group: Children
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 2.65 [0.49, 14.35]3 studiesUngraded
T allele of AMELX rs946252 vs C allele 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: Caries-free
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.95 [0.35, 2.55]2 studiesUngraded
TT genotype of ENAM rs3796703 vs CC + CT genotype of ENAM rs3796703
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 2.90 [0.92, 9.12]2 studiesUngraded
Intervention NR
Absence of recurrent caries success rate · Dentist experience: Experienced
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.908 [0.861, 0.941]28 studiesUngraded
T allele of AMELX rs17878486 vs C allele 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) · Age group: Adults
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.38 [0.25, 7.75]1 studyUngraded
Intervention NR
Absence of recurrent caries success rate · Use of cavity conditioner: No
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.965 [0.787, 0.995]2 studiesUngraded
CT + TT genotype (T-allele carriers) of ENAM rs3796703 vs CC genotype of ENAM rs3796703
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 0.90 [0.23, 3.63]2 studiesUngraded
Radiographic examination (bitewing radiographs) vs Reference standard: histology
Sensitivity · Extracted teeth of adults with restored approximal surfaces (in vitro studies; secondary root caries; Switzerland)
Tests to detect and inform the diagnosis of root caries (2020) · Cochrane
2 in vitro studies (59 root surfaces) using extracted, restored teeth and a histological reference standard investigated the accuracy of radiographs. Reported estimates of sensitivity ranged from 0.40 to 0.63 and…2 studiesVery low
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) · Control group: Caries-free
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.00 [0.80, 1.25]4 studiesUngraded
TT genotype of ENAM rs3796703 vs CC genotype of ENAM rs3796703
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 5.22 [0.25, 108.96]2 studiesUngraded
Combined index test: visual examination + radiograph + DIAGNOdent (Alomari 2015) vs Reference standard: histology
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
Specificity 0.65 [0.38, 0.86]1 studyUngraded
rs1126478, recessive model (GG genotype) vs GA or AA genotype
Dental caries · Human subjects with dental caries and caries-free controls · Recessive model (GG vs. GA + AA)
The association between genetic variants in lactotransferrin and dental caries: a meta- and gene-based… (2020)
OR 1.55 [0.44, 5.38]4 studies · 1802 participantsUngraded
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, Study design: Nonrandomized controlled trial
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.899 [0.768, 0.961]9 studiesUngraded
Radiographic examination (bitewing radiographs) vs Reference standard: histology
Specificity · Extracted teeth of adults with restored approximal surfaces (in vitro studies; secondary root caries; Switzerland)
Tests to detect and inform the diagnosis of root caries (2020) · Cochrane
2 in vitro studies (59 root surfaces) using extracted, restored teeth and a histological reference standard investigated the accuracy of radiographs. Reported estimates of sensitivity ranged from 0.40 to 0.63 and…2 studiesVery low
Intervention NR
Anatomic form success rate · Reporting bias: Yes
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.964 [0.828, 0.994]3 studiesUngraded
Vegetarian diet (any diet excluding all meat, poultry and fish) vs Nonvegetarian diet
Dental caries measures other than pooled DMFT (DMFS, decayed/filled surfaces and teeth, root caries, nonvisible lesions, white spots) · General population (children and adults) assessed for dental hard-tissue health
Vegetarian diet and its possible influence on dental health: A systematic literature review. (2020)
Eleven studies reported dental caries using 11 definitions; four (DMFT) were meta-analysed (see O2). Narrative findings were inconsistent: DMFS results were mixed; decayed surfaces and decayed teeth and percentages of…NRUngraded
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: Low caries
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 3.42 [1.04, 11.28]2 studiesUngraded
AMELX rs946252 CT genotype vs CC genotype
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 2.80 [0.93, 8.43]2 studiesUngraded
Low birth weight (<2500 g) vs Normal birth weight (2500 g or more)
Early childhood caries (ECC) · Children aged 6 years or younger (preschool children) · Overall (crude OR)
Relationship between preterm, low birth weight and early childhood caries: a meta-analysis of the… (2020)
OR 1.12 [0.94, 1.33]15 studiesUngraded
GG 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) · Control group: Caries-free
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.03 [0.80, 1.33]4 studiesUngraded
ENAM rs3796703 CT + TT genotype vs CC genotype
Dental caries susceptibility · Ethnicity: Asian (n=2) individuals with caries/high caries and controls · Ethnicity: Asian (n=2)
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.90 [0.23, 3.63]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) · Ethnicity: Caucasian
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.42 [0.54, 3.76]2 studiesUngraded
G allele of ENAM rs1264848 vs A allele 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) · Age group: Children
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.82 [0.57, 1.18]4 studiesUngraded
Bleaching plus fluoride, calcium, or CPP-ACP vs Bleaching without a remineralising additive
Mineral loss, lesion depth, or enamel microhardness · Extracted human teeth with artificial white spot lesions · Varied or not stated
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
no estimate extracted4 studiesUngraded
Intervention NR
Absence of recurrent caries success rate · Financial source: Private or mixed
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.851 [0.679, 0.939]5 studiesUngraded
AG genotype of ENAM rs3796704 vs AA genotype of ENAM rs3796704
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 0.14 [0.01, 1.46]1 studyUngraded
AG genotype of ENAM rs3796704 vs AA genotype of ENAM rs3796704
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 0.14 [0.01, 1.46]2 studiesUngraded
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) · Age group: Adults
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 0.89 [0.04, 22.53]1 studyUngraded
Intervention NR
Dental caries in primary teeth · Children (primary dentition) worldwide · Africa
Dental caries in primary and permanent teeth in children's worldwide, 1995 to 2019: a systematic review and… (2020)
Prevalence 0.531 [0.443, 0.617]5 studies · 3004 participantsUngraded
Resin-based fissure sealant (visible-light-polymerized) vs Fluoride varnish
Incidence of dentinal carious lesion on treated occlusal surfaces of molars or premolars (yes/no) · Children and adolescents from the general population, younger than 20 years of age at the start of the study · 9 years
Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of… (2020) · Cochrane
RR 0.48 [0.29, 0.79]1 study · 75 participantsVery low
AG 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 1.57 [0.97, 2.53]2 studiesUngraded
Intervention NR
Absence of recurrent caries success rate · Rubber dam isolation: No
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.899 [0.829, 0.942]16 studiesUngraded
CT genotype 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) · Ethnicity: Caucasian
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.27 [0.49, 3.30]1 studyUngraded
Fluoride varnish applied biannually vs Fissure sealant (resin-based or glass ionomer)
Increment of occlusal DMFS (decayed, missing, filled surfaces) of FPMs · Generally healthy children aged 6 to 9 years with at least one fully erupted first permanent molar with deep fissures… · 2 to 3 years
Comparison between Fissure Sealant and Fluoride Varnish on Caries Prevention for First Permanent Molars: a… (2020)
MD 0.13 [-0.09, 0.34]3 studies · 1787 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) · Control group: Caries-free
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 2.80 [0.93, 8.43]2 studiesUngraded
Intervention NR
Dental caries in primary teeth · Children (primary dentition) worldwide · Asia
Dental caries in primary and permanent teeth in children's worldwide, 1995 to 2019: a systematic review and… (2020)
Prevalence 0.526 [0.467, 0.585]50 studies · 54680 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 or severe caries combined; Volckova et al. 2014
The association between genetic variants in lactotransferrin and dental caries: a meta- and gene-based… (2020)
OR 1.88 [1.50, 2.37]1 studyUngraded
Low maternal education (<=6 years of schooling) vs Higher maternal education (>6 years)
Poor oral health-related quality of life (OHRQoL) · Children aged 3-12 years
The Association of Oral Health Status, demographic characteristics and socioeconomic determinants with Oral… (2020)
OR 1.12 [1.00, 1.23]4 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, Rubber dam isolation: No
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.847 [0.726, 0.920]14 studiesUngraded
rs1126478, dominant model (GG or GA genotype) vs AA genotype
Dental caries · Human subjects with dental caries and caries-free controls · Dominant model (GG + GA vs. AA)
The association between genetic variants in lactotransferrin and dental caries: a meta- and gene-based… (2020)
OR 1.32 [0.43, 4.03]4 studies · 1802 participantsUngraded
Fluoride varnish applied biannually vs Fissure sealant (resin-based or glass ionomer)
Caries incidence of occlusal surfaces of first permanent molars · Generally healthy children aged 6 to 9 years with at least one fully erupted first permanent molar with deep fissures… · 2 to 3 years
Comparison between Fissure Sealant and Fluoride Varnish on Caries Prevention for First Permanent Molars: a… (2020)
RR 1.33 [0.83, 2.11]4 studies · 6551 participantsUngraded
ENAM rs3796703 T allele vs C allele
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 0.92 [0.24, 3.58]2 studies · 1152 participantsUngraded
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)
Marginal integrity success rate · Children with primary molars requiring proximal (Class II) restorations · 24 months
Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. (2020)
Proportion 0.898 [0.852, 0.931]27 studiesUngraded
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) · Control group: Low caries
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.04 [0.29, 3.75]1 studyUngraded
Resin-modified glass ionomer fissure sealant plus oral health education vs Fluoride varnish plus oral health education
Change in DMF increment on occlusal surfaces of first permanent molars · Children and adolescents from the general population, younger than 20 years of age at the start of the study · 24 months, low caries risk
Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of… (2020) · Cochrane
MD 0.07 [-0.03, 0.17]1 studyUngraded
GG genotype of ENAM rs1264848 vs AA + AG 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 0.66 [0.15, 2.95]3 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) · Overall
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 3.59 [0.55, 23.32]4 studies · 442 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: Mixed
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.39 [0.69, 2.80]1 studyUngraded
LTF rs1126478 AG genotype vs AA genotype
Dental caries susceptibility · Age group: Children (n=4) individuals with caries/high caries and controls · Age group: Children (n=4)
Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis. (2020)
OR 1.00 [0.80, 1.25]4 studiesUngraded