Evidence map›Paper›PMID 38277034›Full record

Trial reportClinical oral investigations2024

Pomegranate extract in polyphosphate-fluoride mouthwash reduces enamel demineralization.

Ana Paula Miranda Vieira, Marcelle Danelon, Gabriela Lopes Fernandes, Andresa Aparecida Berretta, Andrei Felipe Moreira Buszinski, Lucinéia Dos Santos, Alberto Carlos Botazzo Delbem, Debora Barros Barbosa

Open access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Ana Paula Miranda VieiraGraduate Program of Dental Science, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil.
Marcelle DanelonDepartment of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil.
Gabriela Lopes FernandesGraduate Program of Dental Science, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil.
Andresa Aparecida BerrettaApis Flora Industrial and Comercial Ltd., Ribeirão Preto, Brazil.
Andrei Felipe Moreira BuszinskiApis Flora Industrial and Comercial Ltd., Ribeirão Preto, Brazil.
Lucinéia Dos SantosDepartment of Biotechnology, São Paulo State University (UNESP), School of Sciences, Humanities and Languages, Assis, Brazil.
Alberto Carlos Botazzo DelbemDepartment of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil.
Debora Barros BarbosaDepartment of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araçatuba, José Bonifácio 1193, Araçatuba, 16015-050, Brazil. debora.b.barbosa@unesp.br.
Universidade Estadual Paulista (Unesp) · BRApis Flora (Brazil) · BR

Funding

São Paulo Research Foundation (FAPESP) 2018/06582-5
6 · The paper itself

Abstract

objectivesTo evaluate the anti-demineralizing effect of a mouthwash comprising pomegranate peel extract (PPE 3%), sodium trimetaphosphate (TMP 0.3%), and fluoride (F 225 ppm) in an in situ study, and to assess its irritation potential in an ex vivo study.

methodsThis double-blind crossover study was conducted in four phases with 7 days each. Twelve volunteers used palatal appliances containing enamel blocks, which were subjected to cariogenic challenges. The ETF formulation (PPE + TMP + F, pH 7.0), TF formulation (TMP + F, pH 7.0), deionized water (W, pH 7.0), and essential oil commercial mouthwash (CM, 220 ppm F, pH 4.3) were dropped onto the enamel twice daily. The percentage of surface hardness loss, integrated loss of subsurface hardness, calcium, phosphorus, and fluoride in enamel and biofilms were determined. In addition, alkali-soluble extracellular polysaccharide concentrations were analyzed in the biofilms. The irritation potential was evaluated using the hen's egg chorioallantoic membrane test through the vascular effect produced during 300-s of exposure.

resultsETF was the most efficacious in preventing demineralization. It also showed the highest concentrations of calcium and phosphorus in the enamel and in the biofilm, as well as the lowest amount of extracellular polysaccharides in the biofilm. In the eggs, ETF produced light reddening, whereas CM led to hyperemia and hemorrhage.

conclusionsThe addition of PPE to formulations containing TMP and F increased its anti-demineralizing property, and this formulation presented a lower irritation potential than the CM. CLINICAL RELEVANCE: ETF can be a promising alternative alcohol-free mouthwash in patients at high risk of caries.

Indexed as

MouthwashesPlant ExtractsPomegranateTooth DemineralizationCalciumCross-Over StudiesDental EnamelFluoridesHardnessHumansPhosphorusPolyphosphatesCalciumFluoridesMouthwashesPhosphorusPlant ExtractsPolyphosphatesChick embryoDental cariesFluoridesMouthwashesPhosphatesPomegranate

Identifiers

PMID38277034
OpenAlexW4391260059

What OpenQuestion holds

Textmetadata
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.