Topic in Oral Health
Dental public health and special care
Population programs, oral health education, care homes, and patients with special needs.
13 systematic reviews in Dental public health and special care ask 288 questions. 25.3% have no studies to answer them, 31.3% rest on very low certainty evidence and 2.1% reach moderate or high certainty.
Reviews
13
Questions
288
current versions
No studies
25.3%
Moderate or high
2.1%
No studies 73 · 25.3%Ungraded 90 · 31.3%Very low 90 · 31.3%Low 29 · 10.1%Moderate 6 · 2.1%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.
Thinnest evidence
All no studies and very low questions| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Povidone iodine vs Ozonated water Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · operator level; aerobic cultures Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD 3.5 [-17.1, 24.1] | 1 study · 40 participants | Very low |
Chlorhexidine (CHX) vs Cetylpyridinium chloride (CPC) Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · cold CHX vs cold CPC; assistant level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD 8.8 [2.7, 14.9] | 1 study · 20 participants | Very low |
Cetylpyridinium chloride (CPC) vs No rinsing Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · CPC + domiphen bromide + quaternary ammonium vs no rinsing; combined Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -0.75 [-1.32, -0.18] | 2 studies · 200 participants | Very low |
Chlorhexidine (CHX) vs Povidone iodine Reduction in level of contamination by particles <=5 um (droplet nuclei) at >=2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · droplet nuclei; anaerobic cultures (9 feet behind patient) Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -0.8 [-11.65, 10.05] | 1 study · 40 participants | Very low |
Chlorhexidine (CHX) vs Water (distilled) Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · combined patient and operator level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -632.94 [-1267.33, 1.45] | 3 studies · 80 participants | Very low |
Tempered cetylpyridinium chloride vs Cold cetylpyridinium chloride Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · operator level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -9.3 [-16.17, -2.43] | 1 study · 20 participants | Very low |
Chlorhexidine (CHX) vs Cetylpyridinium chloride (CPC) Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · cold CHX vs tempered CPC; assistant level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD 17.4 [11.3, 23.5] | 1 study · 20 participants | Very low |
Oral care vs No oral care Outcome NR · Residents of nursing homes and other long-term care facilities Oral care measures for preventing nursing home‐acquired pneumonia (2022) · Cochrane | No studies evaluated oral care versus no oral care. | 0 studies | No studies |
Chlorhexidine (CHX) vs Cetylpyridinium chloride (CPC) Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · tempered CHX vs cold CPC; operator level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -11.5 [-18.37, -4.63] | 1 study · 20 participants | Very low |
Boric acid vs Water Reduction in level of contamination by particles >5 um (droplets) at <2 m from patient's oral cavity · Dental patients undergoing aerosol-generating procedures (AGPs) and the dental healthcare providers treating them · operator level Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | MD -29.3 [-32.65, -25.95] | 1 study · 60 participants | Very low |
Any preprocedural mouth rinse vs Placebo, no rinsing or control Adverse events such as transient discolouration, altered taste, allergic reaction, hypersensitivity · Dental patients undergoing aerosol-generating procedures (AGPs) Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | SoF tables state 'Not reported'; no included study reported adverse events. | 0 studies | No studies |
Any preprocedural mouth rinse vs Placebo, no rinsing or control Incidence of infection of dental healthcare providers · Dental patients undergoing aerosol-generating procedures (AGPs) Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental… (2022) · Cochrane | Primary outcome. Not measured by any of the 17 included studies (SoF tables state 'Not reported'); remained a total evidence gap from the protocol. | 0 studies | No studies |
Reviews 13
Antibiotic prophylaxis for preventing bacterial endocarditis following dental procedures
Cochranefull textintervention
5 questions
Oral care measures for preventing nursing home‐acquired pneumonia
Cochranefull textintervention
9 questions
Preprocedural mouth rinses for preventing transmission of infectious diseases through aerosols in dental healthcare providers
Cochranefull textintervention
56 questions
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia
Cochranefull textintervention
56 questions
Use of antimicrobial mouthwashes (gargling) and nasal sprays by healthcare workers to protect them when treating patients with suspected or confirmed COVID‐19 infection
Cochranefull textintervention
5 questions
Antimicrobial mouthwashes (gargling) and nasal sprays administered to patients with suspected or confirmed COVID‐19 infection to improve patient outcomes and to protect healthcare workers treating them
Cochranefull textintervention
7 questions
Antimicrobial mouthwashes (gargling) and nasal sprays to protect healthcare workers when undertaking aerosol‐generating procedures (AGPs) on patients without suspected or confirmed COVID‐19 infection
Cochranefull textintervention
6 questions
Interventions to reduce contaminated aerosols produced during dental procedures for preventing infectious diseases
Cochranefull textintervention
39 questions
Oral hygiene interventions for people with intellectual disabilities
Cochranefull textintervention
31 questions
One‐to‐one oral hygiene advice provided in a dental setting for oral health
Cochranefull textintervention
26 questions
Oral health education (advice and training) for people with serious mental illness
Cochranefull textintervention
26 questions
Oral health educational interventions for nursing home staff and residents
Cochranefull textintervention
16 questions
Domestic violence screening and intervention programmes for adults with dental or facial injury
Cochranefull textintervention
6 questions