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

Oral manifestations of patients with systemic sclerosis: a meta-analysis for case-controlled studies.

Zhang Suhan, Zhu Junfei, et al. · BMC oral health · 2021
Non-Cochranefull textaetiology12 included studies
13 questions

Is the mode of childbirth delivery linked to the prevalence of early childhood caries? A systematic review and meta-analysis.

Boustedt K, Dahlgren J, et al. · European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021
Non-Cochranefull textaetiology12 included studies
1 questions

Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and Meta-Analysis.

Teshome Amare, Muche Abebe, et al. · Frontiers in public health · 2021
Non-Cochranefull textprevalence88 included studies
27 questions

Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of Survival Data.

Beukers Nicky G F M, Su Naichuan, et al. · Frontiers in cardiovascular medicine · 2021
Non-Cochranefull textaetiology140 included studies
29 questions

Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or fluorosis - a systematic review and meta-analysis.

Bourouni S, Dritsas K, et al. · Clinical oral investigations · 2021
Non-Cochranefull textintervention11 included studies
11 questions

Systematic review and meta-analysis of diagnostic methods for occlusal surface caries.

Kapor Svetlana, Rankovic Mila Janjic, et al. · Clinical oral investigations · 2021
Non-Cochranefull textDTA73 included studies
85 questions

Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel demineralization: a systematic review and meta-analysis.

Kamber R, Meyer-Lueckel H, et al. · Scientific reports · 2021
Non-Cochranefull textintervention24 included studies
19 questions

External control of fluoridation in the public water supplies of Brazilian cities as a strategy against caries: a systematic review and meta-analysis.

Rosário Bárbara Souza Martins, Rosário Henrique Damian, et al. · BMC oral health · 2021
Non-Cochranefull textprevalence20 included studies
15 questions

Systematic review and meta-analysis of diagnostic studies of proximal surface caries.

Janjic Rankovic Mila, Kapor Svetlana, et al. · Clinical oral investigations · 2021
Non-Cochranefull textDTA36 included studies
93 questions

Prevalence of dental caries in Pakistan: a systematic review and meta-analysis.

Siddiqui Ammar Ahmed, Alshammary Freah, et al. · BMC oral health · 2021
Non-Cochranefull textprevalence40 included studies
11 questions

Iron deficiency and early childhood caries: a systematic review and meta-analysis.

Ji Shuai-Qi, Han Rui, et al. · Chinese medical journal · 2021
Non-Cochranefull textaetiology11 included studies
6 questions

Oral Health Status in Patients with Inflammatory Bowel Diseases: A Systematic Review.

Nijakowski Kacper, Gruszczyński Dawid, et al. · International journal of environmental research and public health · 2021
Non-Cochranefull textaetiology16 included studies
4 questions

Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and Meta-Analysis.

Oikonomou Elissaios, Foros Petros, et al. · Oral health & preventive dentistry · 2021
Non-Cochranefull textintervention21 included studies
20 questions

Correlation Between Maternal Smoking During Pregnancy and Dental Caries in Children: A Systematic Review and Meta-Analysis.

Zhong Yongjin, Tang Quan, et al. · Frontiers in oral health · 2021
Non-Cochranefull textaetiology11 included studies
21 questions

Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade.

Al Anouti Fatme, Abboud Myriam, et al. · Frontiers in oral health · 2021
Non-Cochranefull textprevalence42 included studies
114 questions

Meta-Analysis Using NGS Data: The Veillonella Species in Dental Caries.

Dame-Teixeira Naile, de Lima Ana Karolina Almeida, et al. · Frontiers in oral health · 2021
Non-Cochranefull textaetiology38 included studies
4 questions

Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of children and adolescents

Kashbour, W, Gupta, P, et al. · Cochrane Database of Systematic Reviews · 2020
Cochranefull textintervention
17 questions

Tests to detect and inform the diagnosis of root caries

Fee, PA, Macey, R, et al. · Cochrane Database of Systematic Reviews · 2020
Cochranefull textDTA
10 questions

Fluorescence devices for the detection of dental caries

Macey, R, Walsh, T, et al. · Cochrane Database of Systematic Reviews · 2020
Cochranefull textDTA
28 questions

Vegetarian diet and its possible influence on dental health: A systematic literature review.

Smits Kirsten P J, Listl Stefan, et al. · Community dentistry and oral epidemiology · 2020
Non-Cochranefull textaetiology19 included studies
9 questions

Dental caries and periodontal disease among people who use drugs: a systematic review and meta-analysis.

Yazdanian Mohsen, Armoon Bahram, et al. · BMC oral health · 2020
Non-Cochranefull textaetiology10 included studies
2 questions

Is Bleaching Effective in Managing Post-orthodontic White-spot Lesions? A Systematic Review.

Gizani Sotiria, Kloukos Dimitrios, et al. · Oral health & preventive dentistry · 2020
Non-Cochranefull textintervention15 included studies
9 questions

Comparison between Fissure Sealant and Fluoride Varnish on Caries Prevention for First Permanent Molars: a Systematic Review and Meta-analysis.

Li Feifei, Jiang Peipei, et al. · Scientific reports · 2020
Non-Cochranefull textintervention7 included studies
8 questions

Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis.

Ortiz-Ruiz Antonio J, Pérez-Guzmán Nuria, et al. · Scientific reports · 2020
Non-Cochranefull textintervention17 included studies
105 questions

Association of LTF, ENAM, and AMELX polymorphisms with dental caries susceptibility: a meta-analysis.

Sharifi Roohollah, Jahedi Sajjad, et al. · BMC oral health · 2020
Non-Cochranefull textaetiology16 included studies
252 questions