Cochrane Review Group

Oral Health

430 systematic reviews in Oral Health ask 10,375 questions. 13% have no studies to answer them, 11.8% rest on very low certainty evidence and 3.5% reach moderate or high certainty.

Reviews

430

Questions

10,375

current versions

No studies

13%

Moderate or high

3.5%

No studies 1,344 · 13%Ungraded 6,832 · 65.9%Very low 1,228 · 11.8%Low 613 · 5.9%Moderate 290 · 2.8%High 68 · 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.

Question	Effect	Evidence	Status / 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 extracted	0 studies	No 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 studies	Very 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 studies	Very 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 participants	Very 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 participants	Very 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 vital	12 studies · 1184 participants	Very 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 reported	9 studies · 1000 participants	Very 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 participants	Very 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 extracted	0 studies	No 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 extracted	0 studies	No 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 participants	Very low
Intervention NR Tooth survival · - The effectiveness of partial pulpotomy compared with full pulpotomy in managing deep caries in vital… (2025)	no estimate extracted	0 studies	No studies

Oral Health

Topics

Thinnest evidence

Reviews 430

Does Early Childhood Caries Increase Caries Development among School Children and Adolescents? A Systematic Review and Meta-Analysis.

Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials.

Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis.

Dental caries at enamel and dentine level among European adolescents - a systematic review and meta-analysis.

Association of Early Childhood Caries with Bitter Taste Receptors: A Meta-Analysis of Genome-Wide Association Studies and Transcriptome-Wide Association Study.

Orthodontic treatment for posterior crossbites

Orthodontic treatment for crowded teeth in children

Antibiotics to prevent complications following tooth extractions

Materials for retrograde filling in root canal therapy

Direct composite resin fillings versus amalgam fillings for permanent posterior teeth

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

Effect of periodontal treatments on blood pressure

Laser therapy for dentinal hypersensitivity

Rubber dam isolation for restorative treatment in dental patients

Clinical assessment for the detection of oral cavity cancer and potentially malignant disorders in apparently healthy adults

Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site development

Diagnostic tests for oral cancer and potentially malignant disorders in patients presenting with clinically evident lesions

Interventions for promoting the eruption of palatally displaced permanent canine teeth, without the need for surgical exposure, in children aged 9 to 14 years

Interventions for treating cavitated or dentine carious lesions

Transillumination and optical coherence tomography for the detection and diagnosis of enamel caries

Imaging modalities to inform the detection and diagnosis of early caries

Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries

Electrical conductance for the detection of dental caries

Oral health effects of botulinum toxin treatment for drooling: a systematic review.

Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis.