Evidence map›Paper›PMID 36005246›Full record

ArticleDentistry journal2022

Can the Concentration of Citric Acid Affect Its Cytotoxicity and Antimicrobial Activity?

Luciano Giardino, Luigi Generali, Paolo Savadori, Mirela Cesar Barros, Leticia Lobo de Melo Simas, Jolanta Pytko-Polończyk, Wojciech Wilkoński, Vasudev Ballal, Flaviana Bombarda de Andrade

Open access · goldAbstract read
In one paragraph

Article in Dentistry journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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, 12 citations in OpenAlex.

  1. A naturally isolated symbioticCurrent research in microbial sciences · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 4 countries.

Luciano GiardinoIndependent Researcher, 88900 Crotone, Italy.ORCID 0000-0003-2970-6683
Luigi GeneraliDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, 41124 Modena, Italy.ORCID 0000-0003-3764-7046
Paolo SavadoriDepartment of Biomedical, Surgical, and Dental Sciences, Universita degli Studi di Milano, 20133 Milano, Italy.
Mirela Cesar BarrosDepartment of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru 17012-901, Brazil.ORCID 0000-0002-4711-3841
Leticia Lobo de Melo SimasDepartment of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru 17012-901, Brazil.
Jolanta Pytko-PolończykDepartment of Integrated Dentistry, Dental Institute, Faculty of Medicine, Jagiellonian University Medical College, 31-008 Cracow, Poland.
Wojciech WilkońskiIndependent Researcher, 34-100 Wadowice, Poland.ORCID 0000-0001-7205-5586
Vasudev BallalDepartment of Conservative Dentistry & Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal 576104, India.ORCID 0000-0002-2208-9443
Flaviana Bombarda de AndradeDepartment of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru 17012-901, Brazil.
Universidade de São Paulo · BRIstituto S.Anna Crotone · ITJagiellonian University · PLManipal Academy of Higher Education · INUniversity of Milan · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been no unanimity concerning the ideal concentration of citric acid for safe use in clinical practice. This study evaluated the cytotoxicity and the antibacterial activity in infected dentinal tubules of 10% and 1% citric acid (CA) solutions.

methodsThe cytotoxicity of CA solutions in DMEM (diluted 1/10, 1/100) was assessed in L-929 fibroblasts. A broth macrodilution method (MIC and MBC) was used to assess CA antibacterial concentration. The antimicrobial activity of CA solutions was also evaluated after their final rinse inside root canals in previously

resultsBoth undiluted and diluted CA solutions showed severe toxicity; no changes from normal morphology were displayed when diluted 1/100. The MIC and MBC of CA were 6.25 mg/mL and 12.50 mg/mL, respectively. CA solutions demonstrated significantly low levels of bacterial counts than the positive control group, reporting a value of 9.3% for the 10% solution versus the 1% solution (35.2%).

conclusionsDespite its valuable antimicrobial properties, the cytotoxic effects of citric acid should be considered during endodontic treatment.

Indexed as

citric acidconfocal laser scanning microscopycytotoxicitydentinal tubulesminimal bactericidal concentrationminimal inhibitory concentration

Identifiers

PMID36005246
PMCPMC9406502
OpenAlexW4293105412

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.