Evidence map›Paper›PMID 39196417›Full record

ArticleClinical oral investigations2024

Prevention of secondary caries using fluoride-loaded chitosan nanoparticle-modified glass-ionomer cement.

Hanife Altınışık, Hülya Erten Can, Necibe Başaran Mutlu Ağardan, Aysel Berkkan, Mustafa Güney

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Article 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Innovative Smart Materials in Restorative Dentistry.Journal of functional biomaterials · 2025
    Review
  5. Review
  6. Frontiers in dental medicine · 2025
    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.

Hanife AltınışıkDepartment of Restorative Dentistry, Faculty of Dentistry, Gazi University, Ankara, Emek, 06510, Turkey. hanifekamak@gazi.edu.tr.ORCID 0000-0001-7430-4750
Hülya Erten CanDepartment of Restorative Dentistry, Faculty of Dentistry, Dokuz Eylul University, İzmir, Turkey.ORCID 0000-0002-1784-8900
Necibe Başaran Mutlu AğardanDepartment of Pharmaceutical Technology, Gazi University Faculty of Pharmacy, Ankara, Turkey.ORCID 0000-0002-4882-3124
Aysel BerkkanDepartment of Analytical Chemistry, Gazi University Faculty of Pharmacy, Ankara, Turkey.ORCID 0000-0003-4669-5496
Mustafa GüneyDepartment of Medical Microbiology, Gulhane Medical Faculty, University of Health Sciences, Ankara, Turkey.ORCID 0000-0002-8478-1072

Funding

The Scientific Research Fund of Gazi University 03/2020-21
6 · The paper itself

Abstract

objectiveTo study the effect of incorporating chitosan and fluoride-loaded chitosan nanoparticles into a glass-ionomer cement (GIC) to prevent secondary caries. MATERIALS AND

methodsA standard cervical cavity (mesio-distal width 6 mm, cervico-occlusal width 2 mm, and depth 2 mm) was prepared on 30 molars for the following restoration groups: group 1, conventional GIC restoration; group 2, chitosan (10%) modified GIC restoration; group 3, fluoride loaded chitosan nanoparticles (10%) modified GIC restoration. The restored teeth were subjected to 1,500 thermal cycles before undergoing a multi-species cariogenic biofilm challenge. The restored teeth were examined by micro-computed tomography (micro-CT), scanning electron microscopy with energy dispersive X-ray spectroscopy (SEM/EDX). Data were analyzed by the one-way ANOVA, Tukey HDS, Kruskal Wallis, and Dunn's test.

resultsMicro-CT determined outer lesion depths for groups 1-3 were: 614 ± 20 μm, 589 ± 17 μm, and 560 ± 19 μm respectively. Both modifications with chitosan and fluoride-loaded chitosan nanoparticles significantly affected outer lesion depth (p < 0.05). The modification with fluoride-loaded chitosan nanoparticles statistically significantly decreased the outer lesion depth compared to all other groups (p < 0.05). SEM/EDX showed an increase of calcium, phosphorus, and fluoride at the root dentine adjacent to the restoration in groups 2 and 3 (modified GIC). This increase was statistically significantly higher in the group modified with fluorine-loaded nano chitosan particles compared to the other groups (p < 0.05).

conclusionIncorporation of 10% chitosan and 10% fluoride-loaded chitosan nanoparticles into GIC restorative material can prevent secondary root caries development. 10% fluoride-loaded chitosan nanoparticles were more effective. CLINICAL SIGNIFICANCE: Glass ionomer cement modified with fluoride-loaded chitosan nanoparticles may be a promising restorative material in pediatric and preventive dentistry due to their controlled release properties.

Indexed as

ChitosanDental CariesFluoridesGlass Ionomer CementsMicroscopy, Electron, ScanningNanoparticlesSpectrometry, X-Ray EmissionX-Ray MicrotomographyBiofilmsCariostatic AgentsDental Restoration, PermanentHumansIn Vitro TechniquesMaterials TestingMolarSurface PropertiesCariostatic AgentsChitosanFluoridesGlass Ionomer CementsCariesChitosanGlass-ionomer cementNanochitosan

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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.