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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 |
|---|---|---|---|
Dental caries (presence or experience) vs Adolescents without dental caries Negative oral-health impact on daily performance measured by Child-OIDP · Adolescents aged 10 to 19 years · Cross-sectional (concurrent exposure and outcome); oral impacts recalled over the prior 6 months, Instrument subgroup: Child-OIDP Impact of dental caries on the quality of life of adolescents: A systematic review and meta-analysis. (2025) | PR 1.66 [1.19, 2.31] | 6 studies | Ungraded |
Cavity liner (calcium hydroxide, glass-ionomer cement, resin-modified calcium silicate/TheraCal LC, hydraulic calcium silicate/MTA or Biodentine, flowable composite, or other liner material) vs No cavity liner or a different liner material Restoration longevity · Patients with deep caries lesions in mature or immature permanent (posterior) teeth, with no symptoms or reversible… · >=12 months Efficacy of different cavity liners compared to no cavity lining in managing deep caries in vital permanent… (2025) | No significant difference; high success in all groups | 8 studies · 889 participants | Low |
Low tooth brushing frequency (<2 times/day) vs High tooth brushing frequency (>=2 times/day) Early childhood caries (presence/prevalence/severity by dmft/dmfs) · Healthy children under 6 years of age (6 months to 6 years); preschool children · Leave-one-out sensitivity analysis (Alhabdan 2018 outlier excluded, k=7) Optimal tooth brushing initiation age and frequency for preventing early childhood caries: a systematic… (2025) | OR ~2.0 | 7 studies | Ungraded |
Low edentulism prevalence vs Not applicable OHRQoL sum score transformed to 0-100 · Community-dwelling adults aged 60 years or older · Baseline for longitudinal studies, Low edentulism prevalence Association between oral health-related quality of life and structural determinants of health among elderly… (2025) | There were no statistically significant differences reported in the OHRQoL sum scores based on prevalence of edentulism. | NR | Ungraded |
Genetically predicted DMFS (dental caries) vs Lower genetically predicted DMFS, adjusted for periodontitis Femur fracture · European GWAS participants · MVMR MR-Egger From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 0.820 [0.618, 1.087] | 489106 participants | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 8: disruption of occlusal integrity · HDI: Low Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 0.27 [0.22, 0.34] | 2 studies | Ungraded |
Intervention NR Oral hygiene improvement · Gamified group (reminder sticker book, rewards and visual aids) The Application of Gamification in Children's Oral Health Management: Systematic Review. (2025) | Narrative (P value) Significant improvement in oral hygiene in gamified group (P<.001) | 1 study | Ungraded |
Prolonged breastfeeding for more than 24 months vs Not breastfed at the same age or breastfed for a shorter duration Early childhood caries (ECC) - incidence/risk · Children up to 71 months (early childhood; primary dentition) · Up to 71 months of age (study follow-up 1-9 years), More than 24 months Risk of Early Childhood Dental Caries Associated With Prolonged Breastfeeding: A Systematic Review and… (2025) | RR 2.44 [1.97, 3.02] | 2 studies | Low |
Intervention NR Treatment failure (time-to-failure, 7 years) · Resin infiltration 1.3% vs standard of care 7.8% (Paris 2020, Kaplan-Meier) Microinvasive interventions in the management of proximal caries lesions in primary and permanent teeth-… (2025) | no estimate extracted | 1 study | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 2: loss of dental hard substance adjacent to the restoration · Continent: South America Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 0.91 [0.54, 1.54] | 2 studies | Ungraded |
Glass ionomer (modified glass ionomer varnish) vs Non-invasive measures (standard of care) Radiographic progression of proximal caries lesions · Children with non-cavitated proximal caries lesions in primary teeth (ages 5-8) · 1 year, Glass ionomer vs non-invasive (Fig. 5, subgroup 2.1.3) Microinvasive interventions in the management of proximal caries lesions in primary and permanent teeth-… (2025) | OR 0.58 [0.28, 1.20] | 1 study · 53 participants | Ungraded |
Intervention NR Amalgam: Preference for replacement over repair - Scenario 2: loss of dental hard substance adjacent to the restoration · HDI: Medium Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 2.42 [0.37, 15.80] | 2 studies | Ungraded |
Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability Lumbar spine and pelvis fracture · European GWAS participants · SVMR Weighted Median From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 1.058 [0.966, 1.158] | 490700 participants | Ungraded |
E-cigarette use (ENDS / vaping) vs Non-smokers Interleukin-8 (IL-8) · 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 -0.43 [-1.02, 0.14] | 6 studies | Ungraded |
E-cigarette use (ENDS / vaping) vs Non-smokers Dental caries experience (DMFT/DMFS index) · Humans who use e-cigarettes (adolescents to adults) assessed for dental caries · Cross-sectional to 6 months 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 |
Breastfeeding for more than 12 months vs Not breastfed at the same age Prevalence of early childhood caries · Children up to 71 months · More than 12 months Risk of Early Childhood Dental Caries Associated With Prolonged Breastfeeding: A Systematic Review and… (2025) | OR 1.86 [1.48, 2.35] | 13 studies | Low |
Lower unemployment rate vs Higher unemployment rate (low <=5% / medium >5-10% / high >10%) Caries experience (mean DMFT) · 12-year-old children across European countries (national/regional epidemiological surveys, 2011-2022) · Cross-sectional (survey data 2011-2022), Low unemployment (<=5%) Caries status in 12-year-old children, geographical location and socioeconomic conditions across European… (2025) | MEAN 1.23 | NR | Ungraded |
Genetically predicted DMFS (dental caries) vs Lower genetically predicted DMFS, adjusted for periodontitis Forearm fracture · European GWAS participants · MVMR MR-Egger From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 0.901 [0.751, 1.081] | 490889 participants | Ungraded |
Mesoporous silica (SiO2) 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), Self-Etch + chemical ACAD Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) | MD 1.441 [-5.099, 7.980] | 0 studies | Moderate |
Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability Osteoporosis · European GWAS participants · SVMR MR-Egger From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 1.001 [0.918, 1.093] | 483725 participants | Ungraded |
Simple childhood caries prediction models with at least two predictors vs No competing model Dental caries discrimination (area under the curve) · Children and adolescents (≤18 years) · Validation assessment; prediction horizon not reported Risk prediction models for dental caries in children and adolescents: a systematic review and meta-analysis. (2025) | AUC 0.766 [0.761, 0.771] | 1 study | Ungraded |
HIV-infected children on antiretroviral therapy (HI) vs HIV-exposed but uninfected children (HEU) Dental caries (presence/absence) · Children and adolescents under 18 years with HIV · Prospective follow-up, Cohort studies Association between antiretroviral therapy and dental caries in children and adolescents with HIV: a… (2025) | OR 2.88 [1.71, 4.84] | NR | Ungraded |
Ion-releasing restorations (IRR): RMGIC, HVGIC, GIC, compomer/PMRC, giomer vs Composite resin (CR), including bulk-fill composite Occlusion · Children receiving dental restorations (aged 4-11 years; primary teeth; Class I/II/V cavities) · 2 years Clinical effectiveness of ion-releasing restorations compared to composite restorations in pediatric dental… (2025) | no estimate extracted | 1 study | Ungraded |
Quantitative light-induced fluorescence (QLF) vs Reference standard (ICDAS II visual examination, ADA classification, bitewing radiography) Occlusal caries detection: specificity · Patients (in vivo); permanent and primary teeth, occlusal surfaces · Permanent dentition Diagnostic accuracy of quantitative light-induced fluorescence in detecting caries of various types and… (2025) | Specificity 0.80 | 3 studies | Ungraded |
Intervention NR Amalgam: Preference for replacement over repair - Scenario 2: loss of dental hard substance adjacent to the restoration · HDI: Low Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 5.34 [1.88, 15.19] | 2 studies | Ungraded |
Veillonella spp. abundance Future caries · Children without a previous history of caries A systematic review of Streptococcus Mutans and Veillonellae species interactions in dental caries… (2025) | Among children without a previous history of caries, Veillonella spp., but not S. mutans or other acid-producing species, predicted future caries. | 1 study · NA (subgroup without prior caries history; n not reported) participants | Ungraded |
Replacement of the defective restoration vs Repair of the defective restoration Amalgam: Preference for replacement over repair - Scenario 8: disruption of occlusal integrity · 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 1.70 [1.37, 2.10] | 21 studies · 3680 participants | Ungraded |
High edentulism prevalence vs Not applicable OHRQoL sum score transformed to 0-100 · Community-dwelling adults aged 60 years or older · Baseline for longitudinal studies, High edentulism prevalence Association between oral health-related quality of life and structural determinants of health among elderly… (2025) | There were no statistically significant differences reported in the OHRQoL sum scores based on prevalence of edentulism. | NR | Ungraded |
Genetically predicted periodontitis vs Lower genetically predicted periodontitis liability Osteoporosis with pathological fracture · European GWAS participants · SVMR Weighted Median From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 0.985 [0.846, 1.146] | 376746 participants | Ungraded |
Partial pulpotomy vs Full (complete) pulpotomy Patient- and clinical-reported outcomes (tooth survival, clinical/radiographic success, pain) · Asymptomatic permanent teeth with deep caries (no symptoms) The effectiveness of partial pulpotomy compared with full pulpotomy in managing deep caries in vital… (2025) | no estimate extracted | 0 studies | No studies |
Dental treatments, care, and services (the decision context) vs None (no comparator defined) Willingness-to-pay (WTP) for dental treatment · (Potential) patients with freedom of choice regarding dental treatments, including parents and caregivers deciding for… Decision-making regarding dental treatments - What factors matter from patients' perspective? A systematic… (2025) | N=37 articles analyzed patients' willingness-to-pay (3 RCTs, 6 non-RCTs, 26 cross-sectional, 2 mixed-methods); most examined WTP for a specific treatment (N=29). WTP is higher for aesthetic than functional treatments… | 37 studies | Ungraded |
Intervention NR Amalgam: Preference for replacement over repair - Scenario 4: marginal discoloration · Coverage: Covering cost of minimally invasive treatment Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 6.25 [4.50, 8.66] | NR | Ungraded |
Gamified oral health interventions (mobile apps, serious games, augmented reality, game-based education) vs Conventional or traditional oral health education, or non-gamified interventions (comparator varied; several studies were single-arm/uncontrolled) Engagement / adherence to oral hygiene routines · Children and adolescents aged <=18 years · Post-intervention (predominantly short-term; long-term follow-up in a minority of studies) The Application of Gamification in Children's Oral Health Management: Systematic Review. (2025) | The regular use rate was significantly higher (72.4%) in the gamified mobile health app group than in the nongamified intervention group (48.3%) [Zolfaghari 2021]; quiz-based challenges in mobile apps encouraged higher… | NR | Ungraded |
Electronic cigarette use vs Non-smokers TNF-α level · People who use electronic cigarettes · Saliva The effects of electronic smoking on dental caries and proinflammatory markers: a systematic review and… (2025) | Cohen's d 0.23 [-0.62, 1.09] | 5 studies | Ungraded |
Higher drinking-water fluoride exposure vs Null / lowest drinking-water fluoride exposure (reference) Risk of fractures (any site) · General population (both sexes, all ages) · Long-term / lifetime fluoride exposure, Drinking-water fluoride 1.2 mg/L vs null The association of fluoride exposure with bone density and fracture risk: a dose-response meta-analysis. (2025) | RR 1.00 [0.80, 1.24] | 4 studies | Ungraded |
Dental treatments, care, and services (the decision context) vs None (no comparator defined) Factors of choice influencing dental treatment decisions (overall) · (Potential) patients with freedom of choice regarding dental treatments, including parents and caregivers deciding for… Decision-making regarding dental treatments - What factors matter from patients' perspective? A systematic… (2025) | n=101 factors of choice identified across 233 articles, grouped into three categories: (I) Dentist & dental institution (n=44 factors), (II) Patient (n=37), (III) Treatment (n=20); no effect sizes were pooled… | 233 studies | Ungraded |
Resin-based sealant (proximal sealing / fluoride-releasing resin sealant) vs Non-invasive measures (fluoride varnish; no intervention) Radiographic progression of proximal caries lesions · Children and adults with non-cavitated proximal (interproximal) caries lesions in primary and/or permanent teeth (ages… · Final follow-up (1 to 3.5 years), Sealant vs non-invasive (Fig. 5, subgroup 2.1.2) Microinvasive interventions in the management of proximal caries lesions in primary and permanent teeth-… (2025) | OR 0.24 [0.10, 0.55] | 2 studies · 111 participants | Ungraded |
Intervention NR Oral health-related quality of life (OHRQoL sum score, transformed 0-100) · Overall (pooled across all studies) Association between oral health-related quality of life and structural determinants of health among elderly… (2025) | MEAN 77.0 | 45 studies | Ungraded |
Dental treatments including dental care and services Pain as a factor of choice · Potential patients in dental care, including parents or caregivers making treatment decisions; excludes patients with… Decision-making regarding dental treatments - What factors matter from patients' perspective? A systematic… (2025) | Number of articles identifying factor 49 | 49 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) Bleeding on probing (BOP) · 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 16.57 [12.89, 20.25] | 2 studies · 326 participants | Low |
E-cigarette use (electronic nicotine delivery systems / vaping) vs Non-smokers (non-users) Oral candidiasis / Candida spp. prevalence · 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 showed a higher prevalence of Candida spp. (e.g., C. albicans) and increased fungal species compared with non-smokers (Ralho, Camoni [32,28]); no pooled estimate reported. | 2 studies | Ungraded |
Genetically predicted dental caries (DMFS index) vs Reference (1-SD lower genetically predicted DMFS) Osteoporosis with pathological fracture · European-ancestry adults · Lifelong genetic liability, MVMR (IVW), adjusted for periodontitis From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 1.279 [0.955, 1.713] | 376746 participants | Ungraded |
Hydroxyapatite (e.g., nano-HAp) vs Calcium-based agent 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 -1.792 [-7.415, 3.831] | 0 studies | Low |
Intervention NR Clinical and radiographic success rate · Full meta-regression: preoperative diagnosis Partial pulpotomy for carious pulp exposure in adult mature permanent teeth: a systematic review and… (2025) | Meta-regression No significant association | NR | Ungraded |
Genetically predicted DMFS (dental caries) vs Lower genetically predicted DMFS Postmenopausal osteoporosis with pathological fracture · European GWAS participants · SVMR Maximum Likelihood From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. (2025) | OR 1.363 [0.955, 1.947] | 281786 participants | Ungraded |
Intervention NR Composite: Preference for replacement over repair - Scenario 6: superficial discoloration · HDI: High Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 0.30 [0.19, 0.46] | 7 studies | Ungraded |
Dental treatments, care, and services (the decision context) vs None (no comparator defined) Out-of-pocket payment / cost as a factor of choice · (Potential) patients with freedom of choice regarding dental treatments, including parents and caregivers deciding for… Decision-making regarding dental treatments - What factors matter from patients' perspective? A systematic… (2025) | 'Out-of-pocket payment' (and synonyms, e.g., 'cost') was the most frequently identified factor: mentioned in N=136 articles with the highest code frequency (n=151); most prevalent factor in 7 of the 8 countries with… | 136 studies | Ungraded |
Flavonoids (e.g., quercetin, proanthocyanidin) 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 + biological ACAD Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) | MD 4.241 [-2.652, 11.135] | 0 studies | Moderate |
Intervention NR Composite: Preference for replacement over repair - Scenario 7: non-stable (mobile) restoration · HDI: Medium Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 7.07 [5.33, 9.38] | 2 studies | Ungraded |
Intervention NR Amalgam: Preference for replacement over repair - Scenario 3: secondary caries · Coverage: Covering cost of minimally invasive treatment Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… (2025) | RR 7.47 [5.63, 9.93] | NR | Ungraded |