Evidence map›Paper›PMID 37493702›Full record

ArticleJournal of applied oral science : revista FOB2023

Rinsing solutions containing natural extracts and fluoride prevent enamel erosion in vitro.

Tommy Baumann, Samira Helena Niemeyer, Adrian Lussi, Taís Scaramucci, Thiago Saads Carvalho

Open access · diamondAbstract read
In one paragraph

Article in Journal of applied oral science : revista FOB, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Dental erosion and erosive tooth wear in childhood and adolescence: from diagnosis to prevention.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Review
  4. Article
  5. Effects ofFrontiers in oral health · 2026
    Article
  6. Review
  7. Review
  8. Article
  9. Article
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

5 authors at 1 institution in 3 countries.

Tommy BaumannUniversity of Bern, Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, Bern, Switzerland.ORCID http://orcid.org/0000-0002-5950-4137
Samira Helena NiemeyerUniversity of Bern, Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, Bern, Switzerland.ORCID http://orcid.org/0000-0001-9023-908X
Adrian LussiUniversity of Bern, Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, Bern, Switzerland.ORCID http://orcid.org/0000-0002-0426-3364
Taís ScaramucciUniversidade de São Paulo, Faculdade de Odontologia, Departmento de Odontologia Restauradora, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-4445-6697
Thiago Saads CarvalhoUniversity of Bern, Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, Bern, Switzerland.ORCID http://orcid.org/0000-0002-2435-1169
University of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolyphenols interact with salivary proteins and thus can improve the pellicle's erosion protective properties. This effect could be exploited to create rinsing solutions with polyphenols as active ingredients for erosion prevention. Different from the current gold standard for erosion protective rinsing solutions, these rinses would not rely on stannous ions. This would offer alternatives for patients with concerns regarding the composition of rinsing solutions and preferring bio-products.

objectiveTo develop an erosion-preventive rinsing solution containing natural polyphenol-rich extracts. METHODOLOGY: Solutions were prepared with polyphenols from either grapeseed extract or cranberry extract, 500 ppm fluoride added, and additionally flavors and sweeteners. Controls were deionized water, 500 ppm fluoride solution, and the gold standard rinse in the field (Sn2+/F-). In total, 135 enamel specimens (n=15/group) were subjected to five cycles of salivary pellicle formation (30 min, 37°C), modification with the solutions (2 min, 25°C), further salivary pellicle formation (60 min, 37°C), and erosive challenge (1 min, 1% citric acid, pH 3.6). Relative surface microhardness (rSMH), surface reflection intensity (rSRI), and amount of calcium release (CaR) were investigated. Data were analyzed with Kruskal-Wallis and Wilcoxon rank sum tests (α=0.05).

resultsThe polyphenol solutions containing fluoride, as well as additional flavors, protected enamel better than fluoride alone, and similar to the Sn2+/F- solution, when investigating both rSMH and CaR. When measuring rSRI, Sn2+/F- showed the best protection, while the polyphenol solutions were similar to fluoride.

conclusionFor two of the three assessed parameters (rSMH and CaR), both developed polyphenol-rich rinsing solutions were able to protect enamel from erosion, improving/potentializing the effect of fluoride and matching the protection offered by the current gold standard rinsing solution.

Indexed as

FluoridesTooth ErosionCalciumDental EnamelDental PellicleHumansPolyphenolsSodium FluorideCalciumFluoridesPolyphenolsSodium Fluoride

Identifiers

PMID37493702
PMCPMC10382078
OpenAlexW4385193418

What OpenQuestion holds

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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.