Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

12 questions · 12 findings · 2 reviews · Oral medicine and oral cancer

No studies found 0 · 0%GRADE not reported 11 · 91.7%Very low 0 · 0%Low 1 · 8.3%Moderate 0 · 0%High 0 · 0%

Oral cancer patients (cases) vs Healthy controls

Periodontal parameters (all measures pooled) in OC cases vs controls · Adults in case-control studies (oral cancer patients vs healthy controls)

Pooling all periodontal measures, oral cancer patients had worse periodontal status than controls (SMD 0.95, 95% CI 0.41-1.49; very high heterogeneity, I2=96.8%); ungraded. Note this pools clinically different measures.

1 finding from 1 review

Oral cancer patients (cases) vs Healthy controls

Probing pocket depth · Adults in case-control studies (oral cancer patients vs healthy controls)

Periodontal pocket depth did not differ significantly between oral cancer patients and controls (SMD 1.64, 95% CI -0.20 to 3.47; very high heterogeneity); ungraded.

1 finding from 1 review

Oral cancer patients (cases) vs Healthy controls

Alveolar bone loss · Adults in case-control studies (oral cancer patients vs healthy controls)

Alveolar bone loss did not differ significantly between oral cancer patients and controls (SMD 0.18, 95% CI -2.34 to 2.69; extreme heterogeneity); ungraded.

1 finding from 1 review

Oral cancer patients (cases) vs Healthy controls

Dental caries · Adults in case-control studies (oral cancer patients vs healthy controls)

The DMFT index was significantly higher in oral cancer patients than controls (SMD 0.65, 95% CI 0.12-1.18); ungraded.

1 finding from 1 review

Oral cancer patients (cases) vs Healthy controls

Mean number of missing teeth in OC cases vs controls · Adults in case-control studies (oral cancer patients vs healthy controls)

The mean number of missing teeth did not differ significantly between oral cancer patients and controls (SMD 0.59, 95% CI -0.04 to 1.22); ungraded.

1 finding from 1 review

Oral cancer patients (cases) vs Healthy controls

Periodontitis (clinical attachment loss) · Adults in case-control studies (oral cancer patients vs healthy controls)

Clinical attachment loss was significantly greater in oral cancer patients than controls (SMD 1.94, 95% CI 0.22-3.66), though heterogeneity was very high (I2=96.7%); ungraded.

1 finding from 1 review

Periodontitis vs Individuals without periodontal disease (by LOA)

Malignant transformation (oral cancer development) · Adults in case-control studies of oral cancer; people assessed for periodontitis

Periodontitis is associated with roughly a threefold higher odds of oral cancer (pooled OR 2.94, 95% CI 2.13-4.07; low certainty of evidence), though heterogeneity is moderate (I2=52.4%).

1 finding from 1 review

Higher number of lost teeth (per one additional lost tooth) vs One fewer missing tooth

Malignant transformation (oral cancer development) · Adults in case-control studies (oral cancer patients vs healthy controls)

The number of missing teeth (per tooth) was not significantly associated with oral cancer (OR 0.96, 95% CI 0.92-1.01); ungraded.

1 finding from 1 review

Missing teeth / tooth loss vs Fewer or no missing teeth

Malignant transformation (oral cancer development) · Adults in case-control studies (oral cancer patients vs healthy controls)

Pooling across all missing-teeth measures, the overall association with oral cancer was not statistically significant (OR 1.20, 95% CI 0.97-1.48; high heterogeneity, I2=82.8%); ungraded.

1 finding from 1 review

Gum chewing (sugar-free) vs Within-subject before/after comparison of soft gum vs hard gum (no no-gum control)

Oral mucosal moisture · Elderly (>60 years) and medically compromised adults with xerostomia / dry mouth

One small study found that chewing hard (but not soft) gum increased oral mucosal moisture.

1 finding from 1 review