Evidence map›Paper›PMID 39510525›Full record

ArticleEuropean journal of dentistry2025

Anti-Inflammatory Effects of Calcium Hydroxide Combined with Ellagic Acid as Pulp Capping Material: In Vivo Study.

Annisa Fitria Sari, Intan Nirwana, Anita Yuliati, Asti Meizarini, Retno Pudji Rahayu, Retno Palupi, Michelle Fidelia Alexandra, Tarissa Balqis Nuraida, Meircurius Dwi Condro Surboyo, Khairul Anuar Shariff

Abstract read
In one paragraph

Article in European journal of dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Effect of the combination of Solanesol fromJournal of conservative dentistry and endodontics · 2026
    Article
  3. 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

10 authors.

Annisa Fitria SariDental Health Science Programme, Faculty of Dental Medicine, Universitas Airlangga Surabaya, Surabaya, Indonesia.
Intan NirwanaDepartment of Dental Materials, Faculty of Dental Medicine, Universitas Airlangga Surabaya, Surabaya, Indonesia.ORCID 0000-0003-3523-431X
Anita YuliatiDepartment of Dental Materials, Faculty of Dental Medicine, Universitas Airlangga Surabaya, Surabaya, Indonesia.
Asti MeizariniDepartment of Dental Materials, Faculty of Dental Medicine, Universitas Airlangga Surabaya, Surabaya, Indonesia.
Retno Pudji RahayuDepartment of Oral Pathology and Maxillofacial, Faculty of Dental Medicine, Airlangga University, Surabaya, Indonesia.
Retno PalupiDepartment of Dental Public Health, Faculty of Dental Medicine, Universitas Airlangga Surabaya, Surabaya, Indonesia.
Michelle Fidelia AlexandraDental Science Programme, Faculty of Dental Medicine, Universitas Airlangga Surabaya, Surabaya, Indonesia.
Tarissa Balqis NuraidaDental Science Programme, Faculty of Dental Medicine, Universitas Airlangga Surabaya, Surabaya, Indonesia.
Meircurius Dwi Condro SurboyoDepartment of Oral Medicine, Faculty of Dental Medicine, Airlangga University, Surabaya, Indonesia.ORCID 0000-0002-6052-2287
Khairul Anuar ShariffSchool of Materials and Mineral Resource Engineering, Universiti Sains Malaysia, Penang, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPulp capping is a pivotal treatment in dentistry aimed at preserving pulp vitality. While calcium hydroxide has long been considered the gold standard in pulp capping materials, its long-term use can induce chronic inflammation, ultimately leading to pulp necrosis and affecting human health. In this context, ellagic acid, a natural compound with potent anti-inflammatory properties, emerged as a promising adjunct to mitigate inflammation associated with calcium hydroxide application, thereby sustaining pulp vitality. This study aimed to investigate the inflammatory response by alterations in neutrophil, macrophage, lymphocyte, and tumor necrosis factor-α (TNF-α) expression following the treatment with a combination of calcium hydroxide and ellagic acid. MATERIALS AND

methodsDental pulp perforation was made on 27 male Wistar rats on the upper first molar and then pulp capped with calcium hydroxide and ellagic acid. The pulp of the control positive group was capped with calcium hydroxide, and the control group was not capped. The teeth were then extracted after 1, 3, and 7 days posttreatment. The differences in the number of neutrophils, macrophages, lymphocytes, and TNF-α expression were analyzed using one-way analysis of variance (ANOVA) and Tukey's honestly significant difference (HSD) test.

resultsThe treatment combination of calcium hydroxide and ellagic acid showed the lowest neutrophil number and TNF-α expression compared with the other groups (

conclusionThe combination of calcium hydroxide and ellagic acid as a pulp capping material exhibited a dual effect on the inflammatory response in dental pulp. These findings suggest that calcium hydroxide and ellagic acid modulate the inflammatory response in a complex manner, promoting a more controlled and potentially beneficial healing process.

Identifiers

PMID39510525
PMCPMC12182428

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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.