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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.

Limit to evidence status or GRADE (optional)

141 questions in 6 reviews · Esthetic dentistry

current versions
No studies 16 · 11.3%Ungraded 64 · 45.4%Very low 54 · 38.3%Low 7 · 5%Moderate 0 · 0%High 0 · 0%

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
In-office laser therapy (all types combined) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Long term (more than 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -2.60 [-4.47, -0.73]5 studies · 564 participantsVery low
Er,Cr:YSGG laser (erbium,chromium:yttrium-scandium-gallium-garnet) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Short term (0 to 24 hours)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -4.61 [-4.83, -4.39]3 studiesUngraded
Nd:YAG laser (neodymium-doped:yttrium-aluminum-garnet) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Long term (more than 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD 0.18 [-0.84, 1.20]1 studyUngraded
In-office laser therapy (all types combined) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Short term (0 to 24 hours)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -2.24 [-3.55, -0.93]13 studies · 978 participantsLow
In-office laser therapy (all types combined) vs Placebo (placebo laser or placebo agent) or no treatment
Adverse events · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Air blast stimuli studies (SoF 1)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
No adverse event was noted in the experimental and control groups11 studies · 954 participantsLow
In-office laser therapy (all types combined) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -2.46 [-3.57, -1.35]11 studies · 1007 participantsVery low
Diode laser, visible red (630 nm to 700 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -2.95 [-5.14, -0.75]4 studiesUngraded
Diode laser, near infrared (700 nm to 850 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -3.22 [-4.88, -1.56]4 studiesUngraded
Diode laser, near infrared (850 nm to 980 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Short term (0 to 24 hours)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -1.90 [-2.49, -1.31]1 studyUngraded
Diode laser, near infrared (850 nm to 980 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -1.83 [-2.36, -1.30]1 studyUngraded
In-office laser therapy (all types combined) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Long term (more than 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -3.52 [-10.37, 3.33]2 studies · 184 participantsVery low
Nd:YAG laser (neodymium-doped:yttrium-aluminum-garnet) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Short term (0 to 24 hours)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -0.25 [-0.91, 0.41]1 studyUngraded
In-office laser therapy (all types combined) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -1.73 [-3.17, -0.30]9 studies · 591 participantsVery low
Diode laser, near infrared (700 nm to 850 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -0.68 [-3.57, 2.21]2 studiesUngraded
Nd:YAG laser (neodymium-doped:yttrium-aluminum-garnet) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -1.06 [-2.15, 0.03]2 studiesUngraded
Nd:YAG laser (neodymium-doped:yttrium-aluminum-garnet) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Short term (0 to 24 hours)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD 0.22 [-0.55, 0.99]2 studiesUngraded
Er:YAG laser (erbium-doped:yttrium-aluminum-garnet) vs Placebo (placebo laser or placebo agent) or no treatment
Outcome NR · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
We did not find any eligible study to evaluate erbium:yttrium-aluminum-garnet (Er:YAG) or carbon dioxide (CO2) laser compared with placebo/no treatment.0 studiesNo studies
Diode laser, near infrared (700 nm to 850 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Short term (0 to 24 hours)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -2.62 [-5.61, 0.38]4 studiesUngraded
Er,Cr:YSGG laser (erbium,chromium:yttrium-scandium-gallium-garnet) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Long term (more than 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -5.19 [-5.50, -4.89]2 studiesUngraded
Diode laser, visible red (630 nm to 700 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Short term (0 to 24 hours)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -1.95 [-3.14, -0.76]4 studiesUngraded
Diode laser, visible red (630 nm to 700 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Long term (more than 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD 0.81 [-0.78, 2.40]1 studyUngraded
Diode laser, near infrared (850 nm to 980 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -2.30 [-2.86, -1.74]1 studyUngraded
CO2 laser (carbon dioxide) vs Placebo (placebo laser or placebo agent) or no treatment
Outcome NR · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
We did not find any eligible study to evaluate erbium:yttrium-aluminum-garnet (Er:YAG) or carbon dioxide (CO2) laser compared with placebo/no treatment.0 studiesNo studies
Diode laser, near infrared (700 nm to 850 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Short term (0 to 24 hours)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD 0.27 [-0.60, 1.14]2 studiesUngraded
In-office laser therapy (all types combined) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Short term (0 to 24 hours)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -0.67 [-1.31, -0.03]8 studies · 506 participantsLow
Er,Cr:YSGG laser (erbium,chromium:yttrium-scandium-gallium-garnet) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD 0.38 [-0.13, 0.89]1 studyUngraded
Diode laser, near infrared (700 nm to 850 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Long term (more than 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -3.83 [-6.90, -0.77]2 studiesUngraded
In-office laser therapy (all types combined) vs Placebo (placebo laser or placebo agent) or no treatment
Patient-reported quality of life · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
Outcome not measured in any of the included studies0 studiesNo studies
Diode laser, near infrared (850 nm to 980 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Short term (0 to 24 hours)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -2.17 [-2.80, -1.54]1 studyUngraded
Nd:YAG laser (neodymium-doped:yttrium-aluminum-garnet) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD 0.42 [-0.97, 1.82]2 studiesUngraded
In-office laser therapy (all types combined) vs Placebo (placebo laser or placebo agent) or no treatment
Adverse events · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Tactile stimuli studies (SoF 2)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
No adverse event was noted in the experimental and control groups5 studies · 386 participantsLow
Diode laser, visible red (630 nm to 700 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Long term (more than 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -4.67 [-5.38, -3.96]2 studiesUngraded
Diode laser, visible red (630 nm to 700 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through tactile stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Short term (0 to 24 hours)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -0.81 [-1.16, -0.45]4 studiesUngraded
Diode laser, visible red (630 nm to 700 nm) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -1.45 [-4.35, 1.44]4 studiesUngraded
Er,Cr:YSGG laser (erbium,chromium:yttrium-scandium-gallium-garnet) vs Placebo (placebo laser or placebo agent) or no treatment
Changes in intensity of pain (VAS 0 to 10) tested through air blast stimuli · Patients aged above 12 years with self-reported tooth hypersensitivity confirmed on clinical evaluation · Medium term (24 hours to 2 months)
Laser therapy for dentinal hypersensitivity (2021) · Cochrane
MD -4.90 [-5.21, -4.59]2 studiesUngraded
Bleaching gel with added remineralising agent (fluoride, calcium, or CPP-ACP) vs Bleaching alone (no remineralising agent)
Whitening (bleaching) efficacy · Demineralised / white-spot-lesion enamel (in vitro specimens)
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
Low-quality in vitro data indicated that the presence of fluoride or any other remineralising agent did not impair the whitening effect.3 studiesUngraded
Tooth bleaching (carbamide or hydrogen peroxide; home and/or in-office) vs No bleaching (untreated control)
Colour change / camouflage of white spot lesions (reduction of colour disparity between carious and sound enamel) · Permanent teeth with post-orthodontic white spot lesions (orthodontic patients and in vitro enamel specimens)
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
The results showed that bleaching of WSL can diminish colour disparities between carious and non-affected areas, but the certainty of the evidence was very low.3 studiesUngraded
Laser/light-activated bleaching vs Conventional (non-laser) bleaching with hydrogen or carbamide peroxide
Enamel microhardness / caries susceptibility · Permanent teeth enamel (in vitro specimens)
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
In two studies having high risk of bias, laser-activated bleaching did not seem to affect enamel microhardness or caries risk when compared to conventional bleaching with hydrogen or carbamide peroxide.2 studiesUngraded
Tooth bleaching (carbamide or hydrogen peroxide; home or in-office) vs No bleaching (untreated or pH-cycling control)
Enamel demineralisation and susceptibility to caries or acid erosion (microhardness, mineral loss) · Permanent teeth / enamel specimens (in vitro)
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
Four studies at high risk of bias and one study at moderate risk reached the overall conclusion that neither home- nor in-office bleaching of permanent teeth was associated with an increased susceptibility to…5 studiesUngraded
Home or in-office bleaching vs No bleaching
Caries susceptibility, enamel demineralisation, erosion, or microhardness · Permanent teeth or extracted human teeth with artificial lesions · Varied or not stated
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
no estimate extracted5 studiesUngraded
Tooth bleaching (combined in-office and home bleaching) vs No bleaching (untreated control)
Patient satisfaction with aesthetic outcome · Orthodontic patients with post-orthodontic white spot lesions (permanent teeth) · 28 days
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
All patients in the bleaching group were satisfied with the outcome; the patients were pleased with the aesthetic outcome of bleaching (Knösel 2007).1 study · 10 participantsUngraded
Bleaching vs No bleaching or alternative control
Colour disparity between carious and non-affected enamel · Permanent teeth with post-orthodontic or artificial white spot lesions · Varied; 28 days in the RCT
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
no estimate extracted3 studiesUngraded
Bleaching plus fluoride, calcium, or CPP-ACP vs Bleaching without a remineralising additive
Mineral loss, lesion depth, or enamel microhardness · Extracted human teeth with artificial white spot lesions · Varied or not stated
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
no estimate extracted4 studiesUngraded
Bleaching gel with added remineralising agent (fluoride, calcium, or CPP-ACP) vs Bleaching alone (no remineralising agent)
Enamel mineral loss / remineralisation · Demineralised / white-spot-lesion enamel (in vitro specimens)
Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review. (2020)
Inconclusive: F/Ca/CPP-ACP additives reduced mineral loss on SOUND enamel (refs 8,10,16) but not verified for artificial caries lesions (ref 35)4 studiesUngraded
6% HP strip vs 10% CP gel in tray
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 2 weeks
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD -0.42 [-0.92, 0.09]4 studies · 149 participantsVery low
HP paint-on gel vs HP paint-on gel
Adverse effects · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline…
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
Tooth sensitivity in both groups with no evidence of a difference (Ziebolz 2008)1 studyUngraded
HP gel in tray vs Placebo
Adverse effects · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline…
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
Not reportedNRNo studies
5.3% HP strip vs 5% HP gel in tray
Patient comfort / acceptability · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline…
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD 1.27 [0.13, 2.41]1 study · 28 participantsVery low
10% CP gel in tray vs Placebo
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 2 weeks, dark baseline shade
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD 10 [9.44, 10.56]1 studyVery low
5.6% SHMP chewing gum vs Placebo
Tooth whitening - assessed by the dentist · Adults (>=18 years) undergoing home-based bleaching (including tetracycline- and smoking-stained teeth, any baseline… · 3 days
Home‐based chemically‐induced whitening (bleaching) of teeth in adults (2018) · Cochrane
MD 2.60 [1.45, 3.75]1 study · 20 participantsVery low