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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.
5,762 questions in 263 reviews · Dental caries
current versionsNo 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.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Intervention NR Amalgam: Preference for replacement over repair - Scenario 4: marginal discoloration · Continent: Africa Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 7.37 [3.51, 15.46] | 2 studies | Ungraded |
Western/Northern Europe (UN M49 region) vs Eastern/Southern Europe (UN M49 geographical categorization) Caries experience (mean DMFT) · 12-year-old children across European countries (national/regional epidemiological surveys, 2011-2022) · Cross-sectional (survey data 2011-2022), South Europe Caries status in 12-year-old children, geographical location and socioeconomic conditions across European… (2025) | MEAN 2.61 [1.60, 3.62] | 12 studies | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 3: secondary caries · HDI: High Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 2.54 [1.69, 3.81] | 7 studies | Ungraded |
Obesity or overweight (higher BMI, mostly WHO BMI ≥25/≥30; 2 studies used waist circumference) vs Normal weight (not overweight or obese) Dental caries (study-defined binary; assessed by DMFT, number of dental caries, or dentist diagnosis) · Adults (≥18 years) · By region: East Asia Multimorbidity patterns of dental caries and obesity/overweight among adults: a systematic review and… (2025) | OR 1.02 [0.94, 1.11] | NR | Ungraded |
Hall technique vs Conventional restoration Treatment success (caries lesion arrest or restoration survival) · Children (aged 3-11 y) with cavitated caries lesions in primary teeth · 6 months, 6-month follow-up Comparative success of minimally invasive treatments for cavitated caries in primary teeth: a network… (2025) | OR 3.66 [1.29, 10.40] | 44 studies | Moderate |
Replacement of the defective restoration vs Repair of the defective restoration Composite: Preference for replacement over repair - Scenario 8: disruption of occlusal integrity · Dentists managing a defective direct resin composite restoration (posterior occlusal Class I; standardized vignette of… · Not applicable (single time-point survey, June to October 2023), Overall (all 21 countries pooled) Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 0.37 [0.29, 0.48] | 21 studies · 3680 participants | Ungraded |
Replacement of the defective restoration vs Repair of the defective restoration Amalgam: Preference for replacement over repair - Scenario 1: partial loss or fracture of the restoration · Dentists managing a defective direct amalgam restoration (posterior occlusal Class I; standardized vignette of a… · Not applicable (single time-point survey, June to October 2023), HDI: High Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 5.06 [4.22, 6.06] | 7 studies · 1223 participants | Ungraded |
E-cigarette use (ENDS / vaping) vs Non-smokers Combined salivary proinflammatory markers (IL-1β, IL-6, IL-8, TNF-α) · Humans who use e-cigarettes (mostly adults, often with periodontal disease) assessed for oral proinflammatory markers · Cross-sectional (single time point) for most; a few 6-month prospective, Saliva The effects of electronic smoking on dental caries and proinflammatory markers: a systematic review and… (2025) | Cohen's d 0.21 [-0.36, 0.77] | 4 studies | Ungraded |
Anorexia nervosa (as exposure; diagnosed by DSM-III/III-R/IV/V) vs Healthy individuals without anorexia nervosa (age- and sex-matched controls) Salivary pH · Patients with anorexia nervosa aged >=12 years (mean age ~18.4; entirely female in reported data), general… The influence of anorexia nervosa on oral health and related parameters potentially relevant to orthodontic… (2025) | MD -0.39 [-0.54, -0.24] | 3 studies · 180 participants | Low |
Postbiotic toothpaste vs Fluoride toothpaste Increased salivary IgA · Children aged 6-12 years · Daily for 14 days to 4 weeks Postbiotics and Dental Caries: A Systematic Review. (2025) | Postbiotic toothpaste significantly increased salivary IgA versus fluoride toothpaste (Basir 2022); the review also cites Lin 2022 for postbiotic immune modulation/IgA; no pooled estimate. | 1 study | Ungraded |
Unemployment rate vs Not applicable OHRQoL sum score transformed to 0-100 · Community-dwelling adults aged 60 years or older · Baseline for longitudinal studies Association between oral health-related quality of life and structural determinants of health among elderly… (2025) | There was no statistically significant difference in OHRQoL based on unemployment rate. | NR | Ungraded |
Intervention NR Amalgam: Preference for replacement over repair - Scenario 5: open margin · Continent: South America Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 5.15 [3.98, 6.66] | 2 studies | Ungraded |
Higher drinking-water fluoride exposure vs Null / lowest drinking-water fluoride exposure (reference) Hip/femoral bone mineral density (BMD) · Females (all ages) · Long-term / lifetime fluoride exposure, Females, low-to-moderate risk-of-bias studies: up to ~2.3 mg/L vs null The association of fluoride exposure with bone density and fracture risk: a dose-response meta-analysis. (2025) | MD 0.04 [-0.03, 0.12] | NR | Ungraded |
E-cigarette use (ENDS / vaping) vs Non-smokers Untreated dental caries and caries risk · Humans who use e-cigarettes (adolescents to adults) assessed for dental caries · Cross-sectional The effects of electronic smoking on dental caries and proinflammatory markers: a systematic review and… (2025) | Narrative synthesis (not meta-analyzed). E-cigarette users had more untreated caries and higher caries risk than non-smokers in individual studies: Vemulapalli 2021 untreated-caries OR 2.04 (non-smokers as reference);… | 3 studies | Ungraded |
Intervention NR Amalgam: Preference for replacement over repair - Scenario 1: partial loss or fracture of the restoration · Coverage: Covering cost of minimally invasive treatment Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 4.09 [2.77, 6.04] | NR | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 3: secondary caries · HDI: Low Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 2.45 [1.73, 3.48] | 2 studies | Ungraded |
Intervention NR Amalgam: Preference for replacement over repair - Scenario 6: corrosion · Coverage: Not covering Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 1.54 [1.12, 2.12] | NR | Ungraded |
Ion-releasing restorations (IRR): RMGIC, HVGIC, GIC, compomer/PMRC, giomer vs Composite resin (CR), including bulk-fill composite Absence of sensibility (post-operative sensitivity) · Children receiving dental restorations (aged 4-11 years; primary teeth; Class I/II/V cavities) · 1 to 2 years Clinical effectiveness of ion-releasing restorations compared to composite restorations in pediatric dental… (2025) | RR 1.02 [0.95, 1.11] | 3 studies · 197 participants | High |
Replacement of the defective restoration vs Repair of the defective restoration Amalgam: Preference for replacement over repair - Scenario 5: open margin · Dentists managing a defective direct amalgam restoration (posterior occlusal Class I; standardized vignette of a… · Not applicable (single time-point survey, June to October 2023), Overall (all 21 countries pooled) Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 5.14 [4.02, 6.57] | 21 studies · 3680 participants | Ungraded |
Self-assembling/remineralizing peptide (e.g., P11-4, PAA-PASP) vs HEMA/EGDMA-based desensitizer Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Self-Etch + chemical ACAD Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) | MD -0.369 [-6.728, 5.990] | 0 studies | Low |
Genetically predicted DMFS (dental caries) vs Lower genetically predicted DMFS Osteoporosis · European GWAS participants · SVMR Weighted Median From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 1.260 [1.017, 1.560] | 483725 participants | Ungraded |
Genetically predicted DMFS (dental caries) vs Lower genetically predicted DMFS Postmenopausal osteoporosis with pathological fracture · European GWAS participants · SVMR MR-Egger From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 1.355 [0.696, 2.635] | 281786 participants | Ungraded |
Lactobacillus-derived postbiotics vs Not specified Streptococcus mutans growth and biofilm formation · Reference strains of Streptococcus mutans and cariogenic biofilms · 24 h to 7 days Postbiotics and Dental Caries: A Systematic Review. (2025) | no estimate extracted | 12 studies | Ungraded |
Hall technique vs Atraumatic restorative treatment (ART) Treatment success (caries lesion arrest or restoration survival) · Children (aged 3-11 y) with cavitated caries lesions in primary teeth · 12-24 months, 12-24-month follow-up Comparative success of minimally invasive treatments for cavitated caries in primary teeth: a network… (2025) | OR 5.13 [1.18, 22.38] | 21 studies | Moderate |
Not applicable (single-group prevalence) vs Not applicable (single-group prevalence) Early childhood caries (ECC), prevalence · Children aged 0-5 years in North Africa · Publication-bias adjusted (trim-and-fill) Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025) | Prevalence 62 [58, 81] | NR | Ungraded |
Higher drinking-water fluoride exposure vs Null / lowest drinking-water fluoride exposure (reference) Risk of fragility fractures · Females aged over 50 years · Long-term / lifetime fluoride exposure, Females over 50 years: drinking-water fluoride 0.25 mg/L vs null The association of fluoride exposure with bone density and fracture risk: a dose-response meta-analysis. (2025) | RR 0.98 [0.83, 1.14] | NR | Ungraded |
Early childhood caries vs Caries-free controls Veillonella spp. relative abundance · Young children with early childhood caries and caries-free controls A systematic review of Streptococcus Mutans and Veillonellae species interactions in dental caries… (2025) | Mean relative abundance (%) ECC 3.29 (SD 6.83) vs caries-free 2.13 (SD 2.30) | 1 study · 87 participants | Ungraded |
Quantitative light-induced fluorescence (QLF) vs Reference standard (histology; some ICDAS/radiography) Occlusal caries detection: specificity · Extracted human teeth (in vitro); permanent and primary teeth, occlusal surfaces · Overall (all dentition) Diagnostic accuracy of quantitative light-induced fluorescence in detecting caries of various types and… (2025) | Specificity 0.74 | 5 studies | Ungraded |
Hydroxyapatite (e.g., nano-HAp) vs No biomimetic remineralization (control) Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Self-Etch + chemical ACAD Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) | MD -2.916 [-5.854, 0.023] | 5 studies | Moderate |
Genetically predicted DMFS (dental caries) vs Lower genetically predicted DMFS Femur fracture · European GWAS participants · SVMR Weighted Median From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 1.094 [0.884, 1.354] | 489106 participants | Ungraded |
quantitative light-induced fluorescence (QLF) vs reference standard detection of occlusal caries · human primary or permanent teeth with dental caries lesions · permanent dentition Diagnostic accuracy of quantitative light-induced fluorescence in detecting caries of various types and… (2025) | Specificity 0.80 | 3 studies | Ungraded |
E-cigarette use (electronic nicotine delivery systems / vaping) vs Non-smokers (non-users) Plaque index / oral biofilm accumulation · Adult e-cigarette (ENDS) users (general oral health; predominantly natural dentition) An Umbrella Review of E-Cigarettes' Impact on Oral Microbiota and Biofilm Buildup. (2025) | Narrative synthesis: e-cigarette users exhibited a higher plaque index than non-smokers across included reviews (Shabil, Vamos, Youssef, Thiem, Figueredo, Yang [24,25,27,29,30,31]); the umbrella review reported no… | 6 studies | Ungraded |
Health expenditure per capita vs Higher vs lower per-capita health expenditure categories Oral health-related quality of life (OHRQoL sum score, transformed 0-100) · Community-dwelling elderly persons aged ≥60 years · Across per-capita health expenditure categories Association between oral health-related quality of life and structural determinants of health among elderly… (2025) | No statistically significant difference in OHRQoL based on per-capita health expenditure (Fig. 3a). | NR | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 4: marginal discoloration · Continent: Europe Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 1.66 [1.09, 2.54] | 6 studies | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 2: loss of dental hard substance adjacent to the restoration · HDI: High Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 0.85 [0.72, 1.00] | 7 studies | Ungraded |
Nocturnal (night) feeding vs No nocturnal feeding Early childhood caries (ECC) · Children aged 0-5 years in North Africa Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025) | OR 2.417 [1.340, 4.358] | 1 study | Ungraded |
Electronic cigarette use vs Non-smokers DMFT/DMFS score · People who use electronic cigarettes · Overall The effects of electronic smoking on dental caries and proinflammatory markers: a systematic review and… (2025) | Cohen's d 0.93 [-1.11, 2.98] | 3 studies | Ungraded |
Higher per-capita expenditure on dental health care vs Lower per-capita expenditure on dental health care (USD bands: $0-50 / $51-100 / >$100) Caries experience (mean DMFT) · 12-year-old children across European countries (national/regional epidemiological surveys, 2011-2022) · Cross-sectional (survey data 2011-2022), >$100 per capita Caries status in 12-year-old children, geographical location and socioeconomic conditions across European… (2025) | MEAN 0.96 [0.64, 1.28] | 12 studies | Ungraded |
Intervention NR Early childhood caries (ECC), prevalence · Study design: school-based Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis. (2025) | Prevalence 55 [44, 67] | 9 studies | Ungraded |
Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability Lumbar spine bone mineral density · European GWAS participants · SVMR IVW From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | BETA 0.055 [0.008, 0.102] | 28498 participants | Ungraded |
Intervention NR Log diagnostic odds ratio · Imaging modality: Periapical radiographs Examining the diagnostic accuracy of artificial intelligence for detecting dental caries across a range of… (2025) | Log DOR 4.72 [3.16, 6.27] | 12 studies | Ungraded |
Replacement of the defective restoration vs Repair of the defective restoration Composite: Preference for replacement over repair - Scenario 3: secondary caries · Dentists managing a defective direct resin composite restoration (posterior occlusal Class I; standardized vignette of… · Not applicable (single time-point survey, June to October 2023), Continent: South America Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 1.33 [1.03, 1.71] | 2 studies · 349 participants | Ungraded |
HEMA/EGDMA-based desensitizer vs Calcium phosphate agent (e.g., CPP-ACP, Ca/P-PILP, niobophosphate) Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Self-Etch + chemical ACAD Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) | MD 0.360 [-5.589, 6.309] | 0 studies | Moderate |
School-based supervised toothbrushing (STB) vs No intervention Dental caries increment, DMFS/dmfs (tooth-surface level) · Children in school or kindergarten settings (aged 3-14 years) · 2-3 years follow-up The effectiveness of school-based supervised tooth brushing intervention for preventing dental caries: a… (2025) | SMD -0.22 [-0.42, -0.01] | 3 studies · 1135 participants | Ungraded |
E-cigarette use (ENDS / vaping) vs Non-smokers Interleukin-1 beta (IL-1β) · Humans who use e-cigarettes (mostly adults, often with periodontal disease) assessed for oral proinflammatory markers · Cross-sectional (single time point) for most; a few 6-month prospective, Overall (saliva + GCF) The effects of electronic smoking on dental caries and proinflammatory markers: a systematic review and… (2025) | Cohen's d 0.98 [-0.03, 1.99] | 11 studies | Ungraded |
Intervention NR Clinical and radiographic success rate · Full meta-regression: follow-up duration Partial pulpotomy for carious pulp exposure in adult mature permanent teeth: a systematic review and… (2025) | Meta-regression No significant association | NR | Ungraded |
Inactivated-bacteria tablets vs Not specified Caries prognosis and oral-microbiota diversity structure and function · Patients after dental filling · 14 days Postbiotics and Dental Caries: A Systematic Review. (2025) | no estimate extracted | 1 study | Ungraded |
Hydroxyapatite (e.g., nano-HAp) vs Fluoride agent (e.g., NaF/SDF/KF/CaF2) Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Etch-and-Rinse + chemical ACAD Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) | MD 4.960 [-1.806, 11.727] | 0 studies | Low |
Intervention NR Log diagnostic odds ratio (trim-and-fill adjusted for publication bias) · Overall; trim-and-fill (20 observed + 6 imputed studies) Examining the diagnostic accuracy of artificial intelligence for detecting dental caries across a range of… (2025) | Log DOR 3.913 [3.219, 4.606] | 26 studies | Ungraded |
Replacement of the defective restoration vs Repair of the defective restoration Amalgam: Preference for replacement over repair - Scenario 1: partial loss or fracture of the restoration · Dentists managing a defective direct amalgam restoration (posterior occlusal Class I; standardized vignette of a… · Not applicable (single time-point survey, June to October 2023), HDI: Low Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 3.39 [2.18, 5.27] | 2 studies · 350 participants | Ungraded |