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

Remineralization and anti-demineralization effect of orthodontic adhesives on enamel surrounding orthodontic brackets: a systematic review of in vitro studies.

Hamdi Kareem, Elsebaai Ahmed, et al. · BMC oral health · 2024
Non-Cochranefull textintervention25 included studies
12 questions

The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and meta-analysis.

Alqalaleef Saeed S, Alnakhli Rabab A, et al. · Frontiers in oral health · 2024
Non-Cochranefull textintervention20 included studies
16 questions

RETRACTED: Investigating the association between Candida albicans and early childhood dental caries: A comprehensive systematic review and meta-analysis.

Khachatryan Lusine G, Allahbakhsi Fatemeh, et al. · PloS one · 2024
Non-Cochranefull textaetiology24 included studies
16 questions

A systematic review and meta-analysis of the association between sugar intake and dental caries in Nigeria.

Akinsolu Folahanmi Tomiwa, Gbaja-Biamila Titilola Abike, et al. · BMC oral health · 2024
Non-Cochranefull textaetiology15 included studies
3 questions

Disabilities and Disparities in Oral Health-Related Quality of Life: A Systematic Review and Meta-Analysis in Saudi Arabia.

Asiri Faris Yahya I, Tennant Marc, et al. · Medicina (Kaunas, Lithuania) · 2024
Non-Cochranefull textaetiology10 included studies
4 questions

A systematic review of Streptococcus Mutans and Veillonellae species interactions in dental caries progression: Positive or Negative impact?

Hasan Faizul, Setia Budi Hendrik, et al. · F1000Research · 2024
Non-Cochranefull textaetiology7 included studies
16 questions

Antimicrobial effect of silver diamine fluoride (SDF) in arresting dentine caries of permanent teeth: A Systematic review.

Alowid Albandri Mohammed, Hebbal Mamata, et al. · F1000Research · 2024
Non-Cochranefull textintervention9 included studies
0 questions

Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment

Worthington, HV, Bulsara, VM, et al. · Cochrane Database of Systematic Reviews · 2023
Cochranefull textintervention
45 questions

Associations of the activity and concentration of carbonic anhydrase VI with susceptibility to dental caries: A systematic review and meta-analysis.

Al-Mahdi Rania, Al-Sharani Hesham, et al. · Clinical and experimental dental research · 2023
Non-Cochranefull textaetiology10 included studies
4 questions

A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent teeth.

Mungur Alvin, Chen Haoran, et al. · Clinical and experimental dental research · 2023
Non-Cochranefull textintervention13 included studies
37 questions

Malocclusions and quality of life among adolescents: a systematic review and meta-analysis.

Göranson Emma, Sonesson Mikael, et al. · European journal of orthodontics · 2023
Non-Cochranefull textaetiology14 included studies
2 questions

Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations: a systematic review and meta-analysis.

Al-Manei Kholod Khalil, Alzaidi Shuruq, et al. · BMC oral health · 2023
Non-Cochranefull textprognostic68 included studies
57 questions

The efficacy of mouthwashes on oral microorganisms and gingivitis in patients undergoing orthodontic treatment: a systematic review and meta-analysis.

Ren Xiaolin, Zhang Yuhan, et al. · BMC oral health · 2023
Non-Cochranefull textintervention47 included studies
23 questions

Prevention of white spot lesions with fluoride varnish during orthodontic treatment with fixed appliances: a systematic review.

Sonesson Mikael, Twetman Svante · European journal of orthodontics · 2023
Non-Cochranefull textintervention12 included studies
2 questions

Comparison of therapies of white spot lesions: a systematic review and network meta-analysis.

Xie Zunxuan, Yu Lei, et al. · BMC oral health · 2023
Non-Cochranefull textintervention81 included studies
22 questions

Clinical efficacy of bioactive restorative materials in controlling secondary caries: a systematic review and network meta-analysis.

Pinto Noeleni Souza, Jorge Gabriela Rebouças, et al. · BMC oral health · 2023
Non-Cochranefull textintervention63 included studies
18 questions

The effect of gum chewing on xerostomia and salivary flow rate in elderly and medically compromised subjects: a systematic review and meta-analysis.

Dodds Michael W J, Haddou Mohamed Ben, et al. · BMC oral health · 2023
Non-Cochranefull textintervention26 included studies
6 questions

Shear bond strength of metallic brackets bonded to enamel pretreated with CPP-ACP: a systematic review and meta-analysis of in vitro studies.

Yacout Yomna M, Nabawy Yomna A, et al. · BMC oral health · 2023
Non-Cochranefull textintervention15 included studies
3 questions

Strategies to integrate oral health into primary care: a systematic review.

Christian Bradley, George Ajesh, et al. · BMJ open · 2023
Non-Cochranefull textintervention75 included studies
8 questions

Oral-health-related quality of life in adolescents: umbrella review.

Chimbinha Ítalo Gustavo Martins, Ferreira Brenda Nayara Carlos, et al. · BMC public health · 2023
Non-Cochranefull textaetiology22 included studies
42 questions

White spot lesions, plaque accumulation and salivary caries-associated bacteria in clear aligners compared to fixed orthodontic treatment. A systematic review and meta- analysis.

Raghavan Shailaja, Abu Alhaija Elham S, et al. · BMC oral health · 2023
Non-Cochranefull textintervention14 included studies
9 questions

Impact of oral conditions on oral health-related quality of life among Indians- a systematic review and Meta-analysis.

James Anju, Janakiram Chandrashekar, et al. · Health and quality of life outcomes · 2023
Non-Cochranefull textaetiology41 included studies
32 questions

Is Mutans Streptococci count a risk predictor of Early Childhood Caries? A systematic review and meta-analysis.

Manchanda Sheetal, Sardana Divesh, et al. · BMC oral health · 2023
Non-Cochranefull textprognostic23 included studies
12 questions

Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious teeth: A systematic review and meta-analysis.

Fasoulas Athanasios, Keratiotis Georgios, et al. · Clinical and experimental dental research · 2023
Non-Cochranefull textintervention21 included studies
19 questions

The effectiveness and safety of botulinum toxin injections for the treatment of sialorrhea with Parkinson's disease: a systematic review and meta-analysis.

Yang Chun-Lan, Huang Jia-Peng, et al. · BMC pharmacology & toxicology · 2023
Non-Cochranefull textintervention8 included studies
6 questions