Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

390 questions · 568 findings · 48 reviews · Oral Health

No studies found 109 · 19.2%GRADE not reported 367 · 64.6%Very low 51 · 9%Low 31 · 5.5%Moderate 6 · 1.1%High 4 · 0.7%

Tooth-coloured direct restorative materials (composite, compomer, giomer, RMGIC, HVGIC, open-sandwich) vs No comparator

Retention success rate · Children with primary molars requiring proximal (Class II) restorations

For the Rubber dam isolation: Yes subgroup, the 24-month retention success rate was 0.931 (95% CI 0.834-0.973; ungraded).

28 findings from 1 review
Show 25 more findings

Tooth-coloured direct restorative materials (composite, compomer, giomer, RMGIC, HVGIC, open-sandwich) vs No comparator

Marginal integrity success rate · Children with primary molars requiring proximal (Class II) restorations

After trim-and-fill adjustment the marginal integrity success rate was 0.881 (95% CI 0.832-0.916; ungraded), a negligible change.

2 findings from 1 review

Tooth-coloured direct restorative materials (composite, compomer, giomer, RMGIC, HVGIC, open-sandwich) vs No comparator

Anatomic form success rate · Children with primary molars requiring proximal (Class II) restorations

The pooled 24-month anatomic form success rate was 0.901 (95% CI 0.845-0.938; ungraded).

2 findings from 1 review

Tooth-coloured direct restorative materials (composite, compomer, giomer, RMGIC, HVGIC, open-sandwich) vs No comparator

Absence of recurrent caries success rate · Children with primary molars requiring proximal (Class II) restorations

After trim-and-fill adjustment the absence-of-recurrent-caries success rate was 0.878 (95% CI 0.828-0.915; ungraded), a negligible change.

2 findings from 1 review

Systemic antibiotic (oral penicillin 500 mg) plus analgesic vs Placebo plus analgesic

Total number of ibuprofen tablets · Adults over 18 years presenting with a single tooth with a clinical diagnosis of irreversible pulpitis

Systemic antibiotic (oral penicillin 500 mg) plus analgesic showed no clear difference in total number of ibuprofen tablets compared with placebo plus analgesic (low certainty).

1 finding from 1 review

Silver diamine fluoride (SDF) vs Not applicable (single-arm safety outcome)

Serious adverse events · Children and older adults treated with SDF for carious lesions

No serious adverse events (e.g., allergic reactions or toxicity) were reported for SDF across the reviews (ungraded).

1 finding from 1 review

Silver diamine fluoride (SDF) vs Not applicable (single-arm safety outcome)

Adverse events: black staining of arrested lesions · Children and older adults treated with SDF for carious lesions

Black staining of arrested lesions was the main adverse event of SDF (reported by seven reviews); it was generally acceptable to patients (ungraded).

1 finding from 1 review

Systemic antibiotic (oral penicillin 500 mg) plus analgesic vs Placebo plus analgesic

Patient-reported pain intensity (sum of pain intensity difference (SPID) and sum of pain percussion intensity difference (SPPID)) · Adults over 18 years presenting with a single tooth with a clinical diagnosis of irreversible pulpitis
1 finding from 1 review
  • Antibiotic use for irreversible pulpitis 2019 · Cochrane All outcomes
    7 days
    Corresponding risk (Antibiotics): The in between-group differences (median +/- IQR) in SPID for the penicillin group were 6.0 +/- 10.5, and for placebo 6.0 +/- 9.5. The SPPID for the penicillin group was 3.5 +/- 7.5…
    1 study · 40 participants
    Low

Systemic antibiotic (oral penicillin 500 mg) plus analgesic vs Placebo plus analgesic

Total number of paracetamol (acetaminophen) with codeine (Tylenol) tablets · Adults over 18 years presenting with a single tooth with a clinical diagnosis of irreversible pulpitis

Systemic antibiotic (oral penicillin 500 mg) plus analgesic showed no clear difference in total number of paracetamol (acetaminophen) with codeine (Tylenol)… compared with placebo plus analgesic (low certainty).

1 finding from 1 review

ADMG + CAF vs CAF

Occurrence of adverse effects or postoperative complications · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)
1 finding from 1 review

GTR rm + CAF vs SCTG + CAF

Occurrence of adverse effects or postoperative complications · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)
1 finding from 1 review

GTR rm associated with bone substitutes + CAF vs GTR rm + CAF

Keratinized tissue width change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

GTR rm associated with bone substitutes + CAF showed no clear difference in keratinized tissue width change compared with GTR rm + CAF; GRADE not reported.

1 finding from 1 review

EMP + CAF vs CAF

Keratinized tissue width change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

EMP + CAF led to higher keratinized tissue width change (short and medium term) compared with CAF; GRADE not reported.

2 findings from 1 review

EMP + CAF vs CAF

Change in gingival recession (REC) · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

EMP + CAF led to higher gingival recession depth change (short and medium term) compared with CAF; GRADE not reported.

2 findings from 1 review