Topic in Oral Health

Dental caries

Prevention, detection, risk, and management of dental caries (decay), including fluorides, sealants, and restorations.

264 systematic reviews in Dental caries ask 5,762 questions. 5.6% have no studies to answer them, 7.9% rest on very low certainty evidence and 4.2% reach moderate or high certainty.

Reviews
264
Questions
5,762
current versions
No studies
5.6%
Moderate or high
4.2%
No 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.

QuestionEffectEvidenceStatus / GRADE
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 extracted0 studiesNo studies
Calcium vs Control
Immediate (24 h) resin-dentin bond strength (MPa) · permanent human teeth with artificial caries-affected dentin · 24 h, Etch-and-Rinse; chemical ACAD
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025)
MD -0.508 [-8.207, 7.191]3 studiesVery low
Children with dental caries vs Children without dental caries (caries-free)
Mean corpuscular volume (MCV) · Children and adolescents (0-18 years; most included reviews focused on <6 years)
Association Between Iron Deficiency Anemia and Dental Caries in Children: A Systematic Umbrella Meta-Analysis. (2025)
MD -1.96 [-4.02, 0.10]3 studiesVery low
HIV infection with antiretroviral therapy (ART/HAART) vs HIV-negative individuals
Dental caries (presence/absence) · Children and adolescents under 18 years with HIV · Not specified (cross-sectional), Cross-sectional studies
Association between antiretroviral therapy and dental caries in children and adolescents with HIV: a… (2025)
OR 2.04 [1.21, 3.42]6 studies · 2206 participantsVery low
HIV infection with antiretroviral therapy (ART/HAART) vs HIV-negative individuals
Dental caries severity (dmft index, primary dentition) · Children and adolescents under 18 years with HIV · Not specified (cross-sectional), Cross-sectional studies; dmft index
Association between antiretroviral therapy and dental caries in children and adolescents with HIV: a… (2025)
MD 0.92 [-0.09, 1.93]5 studies · 1502 participantsVery low
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
Treatment failure · 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; 96.5% of treated teeth remained vital12 studies · 1184 participantsVery low
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
Postoperative hypersensitivity · Patients with deep caries lesions in mature or immature permanent (posterior) teeth, with no symptoms or reversible… · 7 days to 3 months
Efficacy of different cavity liners compared to no cavity lining in managing deep caries in vital permanent… (2025)
No significant difference; minimal pain reported9 studies · 1000 participantsVery low
Secondary (passive/secondhand) smoking exposure during childhood vs No secondary smoking exposure
Caries prevalence (early childhood caries) · Preschool children aged <=71 months (caries outcome assessed at 3-6 years) · Caries prevalence at 3-6 years, Overall
Secondary Smoking and Early Childhood Caries: A Systematic Review and Meta-Analysis. (2025)
OR 1.77 [1.57, 2.01]11 studies · 14,794 participantsVery low
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
Oral health-related quality of life (OHRQoL) · Patients with deep caries lesions in mature or immature permanent (posterior) teeth, with no symptoms or reversible… · >=6 months
Efficacy of different cavity liners compared to no cavity lining in managing deep caries in vital permanent… (2025)
no estimate extracted0 studiesNo studies
quantitative light-induced fluorescence (QLF) vs reference standard
detection of proximal caries · primary teeth with proximal caries · primary dentition
Diagnostic accuracy of quantitative light-induced fluorescence in detecting caries of various types and… (2025)
no estimate extracted0 studiesNo studies
HIV infection with antiretroviral therapy (ART/HAART) vs HIV-negative individuals
Dental caries severity (DMFT index, permanent dentition) · Children and adolescents under 18 years with HIV · Not specified (cross-sectional), Cross-sectional studies; DMFT index
Association between antiretroviral therapy and dental caries in children and adolescents with HIV: a… (2025)
MD 0.60 [-0.53, 1.72]4 studies · 1390 participantsVery low
Intervention NR
Tooth survival · -
The effectiveness of partial pulpotomy compared with full pulpotomy in managing deep caries in vital… (2025)
no estimate extracted0 studiesNo studies

Reviews 264

Fluoride supplements (tablets, drops, lozenges or chewing gums) for preventing dental caries in children

Tubert‐Jeannin, S, Auclair, C, et al. · Cochrane Database of Systematic Reviews · 2011
Cochranefull textintervention
13 questions

Flossing for the management of periodontal diseases and dental caries in adults

Cochrane Database of Systematic Reviews · 2011
Cochranefull textintervention
13 questions

Interventions for the treatment of oral cavity and oropharyngeal cancer: radiotherapy

Glenny, AM, Furness, S, et al. · Cochrane Database of Systematic Reviews · 2010
Cochranefull textintervention
47 questions

Dental fillings for the treatment of caries in the primary dentition

Cochrane Database of Systematic Reviews · 2009
Cochranefull textintervention
15 questions

Pulp management for caries in adults: maintaining pulp vitality

Cochrane Database of Systematic Reviews · 2007
Cochranefull textintervention
15 questions

Root canal posts for the restoration of root filled teeth

Cochrane Database of Systematic Reviews · 2007
Cochranefull textintervention
6 questions

Potassium containing toothpastes for dentine hypersensitivity

Poulsen, S, Errboe, M, et al. · Cochrane Database of Systematic Reviews · 2006
Cochranefull textintervention
5 questions

One topical fluoride (toothpastes, or mouthrinses, or gels, or varnishes) versus another for preventing dental caries in children and adolescents

Marinho, VCC, Higgins, JPT, et al. · Cochrane Database of Systematic Reviews · 2004
Cochranefull textintervention
13 questions

Combinations of topical fluoride (toothpastes, mouthrinses, gels, varnishes) versus single topical fluoride for preventing dental caries in children and adolescents

Marinho, VCC, Higgins, JPT, et al. · Cochrane Database of Systematic Reviews · 2004
Cochranefull textintervention
18 questions

Ozone therapy for the treatment of dental caries

Cochrane Database of Systematic Reviews · 2004
Cochranefull textintervention
7 questions

Direct versus indirect veneer restorations for intrinsic dental stains

Cochrane Database of Systematic Reviews · 2004
Cochranefull textintervention
9 questions

Fluoride toothpastes for preventing dental caries in children and adolescents

Marinho, VCC, Higgins, J, et al. · Cochrane Database of Systematic Reviews · 2003
Cochranefull textintervention
7 questions

Topical fluoride (toothpastes, mouthrinses, gels or varnishes) for preventing dental caries in children and adolescents

Marinho, VCC, Higgins, JPT, et al. · Cochrane Database of Systematic Reviews · 2003
Cochranefull textintervention
23 questions

Ceramic inlays for restoring posterior teeth

Cochrane Database of Systematic Reviews · 2003
Cochranefull textintervention
6 questions