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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.
75,239 questions in 5,342 reviews
current versionsNo 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.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Experimental adhesive containing ammonium-based methacrylate monomer (MADQUAT) vs Conventional/control orthodontic adhesive (e.g., Transbond XT) or negative control Enamel remineralization / carious lesion development · Human enamel specimens around orthodontic brackets (in vitro) · biofilm cariogenic challenge 5 days, In vitro (laboratory), Overall Remineralization and anti-demineralization effect of orthodontic adhesives on enamel surrounding orthodontic… (2024) | A study using an orthodontic adhesive containing ammonium-based methacrylate showed significant remineralization power compared with control adhesives [37]. | 1 study | Ungraded |
Periodontitis vs No periodontitis (periodontal health or gingivitis) Dental caries (prevalence) · Adults · Population-based and clinical dental study samples; multiple countries (1994-2022), Overall Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024) | OR 1.57 [1.20, 2.07] | 10 studies | Ungraded |
Breastfeeding for <6 months vs Breastfeeding for ≥6 months Dental caries (early childhood caries) · Preschool children (<6 years) · Preschool children in high- and middle-income countries; caries assessed in clinical or field/community settings, Case-control studies Association of Breastfeeding and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2024) | OR 0.53 [0.41, 0.67] | 2 studies · 1201 participants | Ungraded |
Superelastic NiTi arch wire vs Thermoelastic NiTi arch wire Pain day 1 · People receiving orthodontic treatment with fixed appliances (upper and/or lower full arch) · 7 days Initial arch wires used in orthodontic treatment with fixed appliances (2024) · Cochrane | MD 6.96 [1.82, 12.10] | 3 studies · 94 participants | Moderate |
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, Region: American countries Childhood obesity in relation to risk of dental caries: a cumulative and dose-response systematic review and… (2024) | OR 1.28 [0.91, 1.81] | 7 studies | Ungraded |
SDF (given at a particular frequency, concentration, or duration) vs SDF (given at a different frequency, concentration, or duration) Secondary prevention of caries · Children and adults (with or without carious lesions) · 30 months, Primary dentition Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane | MD -0.10 [-0.61, 0.41] | 1 study · 203 participants | Very low |
Overweight/obesity (combined) vs Normal weight (eutrophic) Dental caries prevalence (any dmft), dichotomous · Brazilian children in primary dentition (BMI classified by CDC 2000 growth charts) · Brazil Overweight/obesity and dental caries in Brazilian children and adolescents: a systematic review and… (2024) | OR 0.83 [0.45, 1.54] | 2 studies · 826 participants | Very low |
Intralesional dexamethasone injections vs Placebo injections Burning sensation (VAS 0-100) · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF) · 3 to 6 months Interventions for managing oral submucous fibrosis (2024) · Cochrane | MD -46.00 [-53.44, -38.56] | 1 study · 25 participants | Very low |
Silver diamine fluoride (SDF) vs Placebo or no treatment Aesthetics · Children and adults (with or without carious lesions) · 30 months, Adults Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane | 1 study reported that "only 19 (7%) [older adult participants] raised a complaint about the interventions at the 30-mo [month] examination, and half of them complained of black stain on the treated root surfaces." No… | 1 study · 43 participants | Very low |
Cranberry extract / juice and proanthocyanidin (flavonoid) fractions vs Untreated or vehicle control (some studies vs positive antimicrobial controls, e.g. chlorhexidine/fluoride) Cell death / cytotoxicity induction · 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 extract produced a time- and concentration-dependent reduction in bacterial count, with a 50% reduction after 10 h (Singhal). | 1 study | Ungraded |
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy) Somatisation · People with temporomandibular disorders (TMD) · Short term, Disc displacement with reduction (DDwR) Occlusal interventions for managing temporomandibular disorders (2024) · Cochrane | MD -0.18 [-0.45, 0.09] | 1 study · 60 participants | Ungraded |
Children with early childhood caries (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 -13.96 [-19.88, -8.03] | 9 studies · 3444 participants | Ungraded |
Gene sequencing (GS) applied to diagnose/manage oral conditions (predominantly 16S rRNA next-generation sequencing of the oral microbiome; also genome-wide/whole-genome sequencing) vs Negligible ('abysmal') effect of gene sequencing; no separate comparator arm (within-sample event contrast in the forest plots) Reduction in occurrence of oral conditions · Human patients (any age) with oral-cavity related disorders (e.g. dental caries, periodontitis, gingivitis,… · Various countries; clinical trials of the oral microbiome/genetics, Overall Gene sequencing applications to combat oral-cavity related disorders: a systematic review with meta-analysis. (2024) | RD -0.29 [-0.32, -0.26] | 8 studies · 2211 participants | Ungraded |
Pentoxifylline vs Placebo or no active treatment 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 1.80 [1.02, 2.58] | 1 study · 106 participants | Low |
Silver diamine fluoride (SDF) vs Restoration (restorative treatment) Primary caries prevention · 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 comparison | 0 studies | No studies |
Silver diamine fluoride (SDF) vs Placebo or no treatment Adverse effects · Children and adults (with or without carious lesions) · 48 hours to 30 months, Children Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane | 1 study reported 3 adverse effects in the first 48 hours. Of these, 1 effect in SDF group was possibly related to treatment (spot on corner of lip that looked like a burn), and 2 effects in placebo group were possibly… | 3 studies · 983 participants | Very low |
Silver diamine fluoride (SDF) vs Placebo or no treatment 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 measured this outcome | 0 studies | No studies |
Er:YAG laser irradiation of enamel after demineralisation vs No anticaries intervention (untreated enamel) Enamel surface microhardness · Human tooth enamel specimens with early demineralised lesions (in vitro) · Laser applied after demineralisation (no further acid challenge), In vitro (laboratory), demineralised enamel Effect of Er:YAG Laser Irradiation on Preventing Enamel Caries: A Systematic Review and Meta-Analysis. (2024) | SMD 0.66 [-1.12, 2.44] | 2 studies | Ungraded |
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, Sample size: <900 Childhood obesity in relation to risk of dental caries: a cumulative and dose-response systematic review and… (2024) | OR 1.25 [0.77, 2.02] | 8 studies | Ungraded |
Hybrid Hyrax (RME) with miniscrews and Class III elastics vs Conventional Hyrax (RME) with miniscrews and Class III elastics 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 0.28 [-1.08, 1.64] | 1 study · 35 participants | Ungraded |
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 clinical attachment level (CAL) · Adults (> 18 years) with recurrent periodontitis, receiving supportive (maintenance) periodontal care · 3 months (change from baseline) Adjunctive antimicrobial photodynamic therapy for treating periodontal and peri‐implant diseases (2024) · Cochrane | MD 0.07 [-0.21, 0.36] | 5 studies · 204 participants | Ungraded |
TT+CC (homozygous) genotypes vs TC (heterozygous) genotype Dental caries · Children (<18 years) with vs without dental caries · Over-dominant model (TT+CC vs TC), Children under 18 years; case-control and cross-sectional studies (China, Czech Republic, Turkey, Brazil, India), Mixed dentition Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024) | OR 0.85 [0.50, 1.45] | NR | Ungraded |
Intralesional triamcinolone vs Intralesional triamcinolone plus salvianolic acid B Burning sensation (VAS 0-100) · People of any age with a confirmed diagnosis, by clinical examination and biopsy, of oral submucous fibrosis (OSF) · 3 to 6 months Interventions for managing oral submucous fibrosis (2024) · Cochrane | MD -16.30 [-28.15, -4.45] | 1 study · 28 participants | Very low |
Pulpotomy (full or partial) vs None (single-arm success proportion) Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Mature teeth Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) | Proportion 0.838 [0.759, 0.904] | NR | Ungraded |
Prophylaxis (teeth cleaning) and CHX or iodine-NaF solution application in the dentition of women (mothers) vs Placebo Mother caries (DMFT increment) · For interventions, pregnant women and mothers of infants in the first year of life; for outcomes, children up to 6… Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane | MD -0.30 [-1.86, 1.26] | 1 study · 66 participants | Ungraded |
Fluoride toothpaste 550 ppm (lower concentration) vs Fluoride toothpaste 1000 ppm (higher concentration) 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 | RR 0.75 [0.57, 0.99] | 1 study · 959 participants | Moderate |
Cranberry extract or cranberry flavonoid fractions vs No extract or vehicle control; other antimicrobial agents Biofilm morphology or biomass · 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 extracted | 4 studies | Ungraded |
Periodontitis vs No periodontitis (periodontal health or gingivitis) Dental caries (prevalence) · Adults · Population-based and clinical dental study samples; multiple countries (1994-2022), Male Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024) | OR 1.48 [1.26, 1.74] | 2 studies | Ungraded |
Intervention NR Prenatal vitamin D deficiency prevalence · Meta-regression adjusted estimate Association between prenatal vitamin D deficiency with dental caries in infants and children: a systematic… (2024) | Proportion 0.38 [0.30, 0.46] | NR | Ungraded |
History of toothache vs No history of toothache Dental caries · Primary school children in Ethiopia · Schools; Ethiopia (Addis Ababa, Bahir Dar, Finote Selam, Harer, Debre Birhan, North Showa) Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic… (2024) | OR 2.99 [2.679, 3.314] | NR | Ungraded |
Silver diamine fluoride (SDF) vs Placebo or no treatment Primary caries prevention · Children and adults (with or without carious lesions) · 36 months, Permanent dentition (coronal) Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane | MD -0.69 [-0.97, -0.41] | 1 study · 373 participants | Very low |
Pulpotomy (full or partial) vs None (single-arm success proportion) Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Immature teeth Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) | Proportion 0.872 [0.803, 0.929] | NR | Ungraded |
Periodontitis vs No periodontitis (periodontal health or gingivitis) Dental caries (prevalence) · Adults · Population-based and clinical dental study samples; multiple countries (1994-2022), Severe periodontitis Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024) | OR 2.14 [1.74, 2.64] | 7 studies | Ungraded |
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) · Middle East, Region: Middle East A systematic review and meta-analysis on early-childhood-caries global data. (2024) | Prevalence 72 [58, 85] | 7 studies | Ungraded |
Thermoelastic copper NiTi (CuNiTi) arch wire vs Conventional NiTi arch wire Root resorption · People receiving orthodontic treatment with fixed appliances (upper and/or lower full arch) Initial arch wires used in orthodontic treatment with fixed appliances (2024) · Cochrane | Root resorption: not reported | 0 studies | No studies |
TT genotype vs TC+CC genotypes Dental caries · Children (<18 years) with vs without dental caries · Recessive model (TT vs TC+CC), Children under 18 years; case-control and cross-sectional studies (China, Czech Republic, Turkey, Brazil, India), Asian ethnicity Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024) | OR 1.16 [0.85, 1.60] | NR | Ungraded |
Silver diamine fluoride (SDF) vs Silver nitrate plus fluoride 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 comparison | 0 studies | No studies |
Silver diamine fluoride (SDF) vs Placebo or no treatment Secondary prevention of caries · Children and adults (with or without carious lesions) · 18 months, Primary dentition Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane | OR 1.08 [0.52, 2.23] | 1 study · 128 participants | Very low |
C allele vs A allele Dental caries · Children (<18 years) with vs without dental caries · Allelic model (C vs A), Children under 18 years; case-control and cross-sectional studies (China, Czech Republic, Turkey, Brazil, India) Association of vitamin D receptor gene polymorphisms with caries risk in children: a systematic review and… (2024) | OR 0.89 [0.70, 1.14] | 3 studies · 1327 participants | Ungraded |
Intervention NR Decayed, missing, filled surfaces (DMFS) · Periodontal disease severity (CDC-AAP); single study (Robert 2019); adjusted Association between periodontitis and dental caries: a systematic review and meta-analysis. (2024) | OR 1.03 [1.01, 1.05] | 1 study | Ungraded |
Probiotics (any strain, dose, or presentation), minimum intake duration 0.2 months vs No treatment or placebo (control) Streptococcus viridans count (CFU/mL) · Children and/or adolescents (<18 years) without background systemic disease · 6 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 (Mishra 2014); not pooled Efficacy of Probiotic Consumption on Oral Outcomes in Children and/or Adolescents: A Meta-Analysis. (2024) | MD 0.40 [0.33, 0.47] | 1 study · 60 participants | Ungraded |
Hydrocortisone plus hyaluronidase (intralesional) vs Triamcinolone plus hyaluronidase (intralesional) Maximal mouth opening (interincisal distance) · 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 | Singh 2010 (hydrocortisone+hyaluronidase 50 vs triamcinolone+hyaluronidase 50): mouth opening reported categorically (trismus) rather than as continuous data, precluding quantitative analysis; authors found no… | 1 study · 100 participants | Ungraded |
Genome-wide common variants (additive dosage; GWAS meta-analysis) vs Genome-wide significance threshold (P<5E-8) Periodontal disease - novel loci (meta-analysis) · Adults from Japanese and European cohorts (present study + GLIDE + UK Biobank + BioBank Japan); periodontal disease… · Lifelong (germline genotype), Population-based genetic association study (Japanese + European cohorts), Meta-analysis: present study + GLIDE + UKB + BBJ Genome-wide association meta-analysis identifies two novel loci associated with dental caries. (2024) | Meta-analysis of periodontal disease identified only previously known loci; no novel loci. The chromosome-19 SIGLEC5 locus associated with periodontitis in Europeans was not replicated in Japanese populations (present… | 4 studies · 764572 participants | Ungraded |
Cesarean section delivery vs Vaginal delivery Early childhood caries (ECC) · Children aged <6 years · Community/population-based; 16 countries; studies 1997-2024, Overall (all 24 studies; random-effects) RETRACTED: The association between mode of childbirth delivery and early childhood caries: A comprehensive… (2024) | OR 1.05 [0.86, 1.30] | 24 studies · 71732 participants | Ungraded |
Silver diamine fluoride (SDF) vs Fluoride varnish Secondary prevention of caries · Children and adults (with or without carious lesions) · Permanent dentition (coronal) Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane | No studies reported data in this dentition type | 0 studies | No studies |
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, Region: America/Canada/Brazil/Chile RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A… (2024) | OR 3.98 [1.14, 13.87] | 5 studies · 319 participants | Ungraded |
Slum / urban-disadvantaged setting vs Non-slum urban / general-urban / national population Use of alternative/indigenous mouth-cleaning implements · Adult residents of slums and non-slum urban settings of LMICs · Cross-sectional, Urban slums and non-slum/general-urban settings, LMICs, Rural/slum vs urban Systematic review of oral health in slums and non-slum urban settings of Low and Middle-Income Countries… (2024) | Alternative implements included toothpowder, chewing-stick, neem, charcoal, sand, snuff, salt, miswak, cotton wool and the fingers; native/indigenous tools were used more by rural and slum/disadvantaged residents than… | NR | Ungraded |
Single preoperative dose of systemic antibiotics (clindamycin 600 mg), total chemo-mechanical debridement and root filling vs Matched placebo, total chemo-mechanical debridement and root filling Adverse effects · Adults with symptomatic apical periodontitis (no signs of spreading infection or systemic involvement) · 7 days Systemic antibiotics for symptomatic apical periodontitis and acute apical abscess in adults (2024) · Cochrane | No adverse effects reported in the placebo group; 1 participant reported dizziness in the intervention group. 72 participants (1 study). | 1 study · 72 participants | Low |
Er:YAG laser irradiation of sound enamel before acid challenge vs No anticaries intervention (untreated enamel) Enamel mineral loss · Human tooth enamel specimens, sound/intact (in vitro) · After cariogenic acid challenge / pH cycling, In vitro (laboratory) Effect of Er:YAG Laser Irradiation on Preventing Enamel Caries: A Systematic Review and Meta-Analysis. (2024) | SMD -2.09 [-3.29, -0.88] | 4 studies | Ungraded |
Cleft lip and palate vs No cleft lip and palate Streptococcus mutans mean levels/counts · Children and adolescents aged 0 to 18 years with nonsyndromic cleft lip and palate Characterization of the oral microbiota and the relationship of the oral microbiota with the dental and… (2024) | SMD 1.78 [1.36, 2.19] | 2 studies · 175 participants | Ungraded |