Evidence map›Paper›PMID 35419985›Full record

Trial reportClinical and experimental dental research2022

Aragonite toothpaste for management of dental calculus: A double-blinded randomized controlled clinical trial.

Ashwaq A Al-Hashedi, Nadia Dubreuil, Timothy Schwinghamer, Subad Dorzhiyeva, Lamyia Anweigi, Elham Emami, Faleh Tamimi

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental dental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Observational
  4. Reactivity of aragonite with dicalcium phosphate facilitates removal of dental calculus.Journal of materials science. Materials in medicine · 2025
    Article
  5. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Ashwaq A Al-HashediFaculty of Dentistry, McGill University, Montreal, Quebec, Canada.ORCID 0000-0002-4470-9885
Nadia DubreuilCégep Garneau, Quebec City, Quebec, Canada.
Timothy SchwinghamerAgriculture and Agri-Food Canada, Lethbridge, Alberta, Canada.
Subad DorzhiyevaCégep Vanier, Montreal, Quebec, Canada.
Lamyia AnweigiCollege of Dental Medicine, QU Health, Qatar University, Doha, Qatar.
Elham EmamiFaculty of Dentistry, McGill University, Montreal, Quebec, Canada.
Faleh TamimiCollege of Dental Medicine, QU Health, Qatar University, Doha, Qatar.ORCID 0000-0002-4618-8374

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAragonite from animal origin such as cuttlefish bone powder is an abrasive with hardness properties ideal for calculus removal. The purpose of this randomized controlled trial was to test the efficacy of a cuttlebone-derived aragonite toothpaste in removing dental calculus. MATERIALS AND

methodsEighty-one patients who fulfilled the inclusion criteria were blindly and randomly assigned into two study groups. The intervention treatment group (n = 40) received cuttlebone toothpaste (Dr. D-Tart) and the control group (n = 41) received an off-the-shelf commercial toothpaste (Crest). Evaluations were performed before and after scaling and polishing procedures done at 3 months in order to evaluate the toothpaste's ability to remove calculus and to prevent calculus formation. Calculus, stains, plaque, and gingival indices scores, and patient satisfaction surveys were compared at baseline (first visit), 3, and 9 months, using generalized linear models and Wald's χ

resultsAt the end of the 3-month period, the intervention group showed a 30% reduction in total calculus compared to the baseline score (p = .0006) and 45% less total calculus compared to the control group (p = .0001). Six months after scaling, the mean calculus score for Crest users was 42% higher than that for Dr. D-Tart users (p = .0692). There was a significant improvement in the gingival health of cuttlebone toothpaste users at the observed intervals, and both kinds of toothpaste achieved comparable results in terms of plaque and stains removal.

conclusionsAragonite toothpaste can remove calculus, prevent calculus formation, and improve gingival health. Patients are generally satisfied with the performance of the aragonite toothpaste. CLINICAL SIGNIFICANCE: Animal-derived aragonite toothpaste (Dr. D-Tart) shows promising efficacy in removing calculus, preventing calculus formation, and for the improvement of gingival health. CLINICAL TRIAL ID: A08-M35-16B.

Indexed as

Dental PlaqueGingivitisCalcium CarbonateDental CalculusHumansToothpastesCalcium CarbonateToothpastesaragonitedental calculusoral hygienetoothpaste

Identifiers

PMID35419985
PMCPMC9382037

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.