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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)

75,239 questions in 5,342 reviews

current versions
No 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.

QuestionEffectEvidenceStatus / 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 studyUngraded
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 studiesUngraded
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 participantsUngraded
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 participantsModerate
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 studiesUngraded
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 participantsVery 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 participantsVery 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 participantsVery 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 participantsVery 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 studyUngraded
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 participantsUngraded
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 participantsUngraded
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 participantsUngraded
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 participantsLow
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 comparison0 studiesNo 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 participantsVery 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 outcome0 studiesNo 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 studiesUngraded
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 studiesUngraded
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 participantsUngraded
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 participantsUngraded
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]NRUngraded
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 participantsVery 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]NRUngraded
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 participantsUngraded
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 participantsModerate
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 extracted4 studiesUngraded
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 studiesUngraded
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]NRUngraded
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]NRUngraded
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 participantsVery 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]NRUngraded
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 studiesUngraded
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 studiesUngraded
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 reported0 studiesNo 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]NRUngraded
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 comparison0 studiesNo 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 participantsVery 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 participantsUngraded
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 studyUngraded
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 participantsUngraded
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 participantsUngraded
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 participantsUngraded
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 participantsUngraded
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 type0 studiesNo 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 participantsUngraded
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…NRUngraded
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 participantsLow
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 studiesUngraded
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 participantsUngraded