Evidence map›Paper›PMID 39604951›Full record

ArticleBMC oral health2024

Effect of sodium hypochlorite and EDTA pretreatment on the resin infiltration efficacy and acid resistance of enamel white spot lesions: an in vitro study.

Ke Ni, Lijuan Chen, Jingyu He, Yu Ding, Jian Meng, Qingfei Meng, Karl Lyons, May Lei Mei

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2024. 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. Antibiotic approaches to endodontic regeneration.Biomaterial investigations in dentistry · 2026
    Review
  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

8 authors.

Ke Ni *Department of Stomatology, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China.
Lijuan Chen *Department of Stomatology, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Xuzhou, China.
Jingyu HeDepartment of Stomatology, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China.
Yu DingDepartment of Stomatology, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China.
Jian MengDepartment of Stomatology, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China. mrocket@126.com.
Qingfei MengDepartment of Stomatology, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China. 1981mqf@163.com.
Karl LyonsFaculty of Dentistry, University of Otago, Dunedin, New Zealand.
May Lei MeiFaculty of Dentistry, University of Otago, Dunedin, New Zealand.

Funding

Jiangsu Provinicial Medical Youth Talent No. QNRC2016391Science and Technology Project of Xuzhou Health and Wellness Committee No. XWKYHT20220114
6 · The paper itself

Abstract

backgroundThis in vitro study aimed to evaluate the effect of sodium hypochlorite (NaOCl) and ethylene diamine tetraacetic acid (EDTA) as pretreatments on the resin infiltration efficacy and acid resistance of enamel white spot lesions (WSLs).

methodsEnamel blocks prepared from the buccal surfaces of sound human premolars were placed in a demineralisation solution for 3 days to establish artificial enamel WSLs. All the blocks with WSLs were randomly divided into four groups (n = 40 per group): RI (Control): resin infiltration only. N/RI: 5.25% NaOCl pretreatment + resin infiltration; E/RI: 17% EDTA pretreatment + resin infiltration; NE/RI: combined pretreatment of 5.25% NaOCl with 17% EDTA + resin infiltration; Enamel pore exposure was measured by using SEM observation and Image J software in each group after pretreatment prior to resin infiltration (n = 8 per group). Resin penetration depth and enamel surface microhardness were assessed after resin infiltration (n = 8 per group for each test) by a confocal laser scanning microscope and a Vickers' microhardness test respectively. The remaining specimens were subjected 7 days of pH cycling after which surface enamel roughness and microhardness were assessed by an atomic force microscope and a microhardness test respectively.

resultsCompared to the control group, the enamel surface pore exposure (p = 0.007), resin penetration depth (p = 0.011) and enamel surface microhardness (p < 0.001) were all significantly increased after the pretreatment of 5.25% NaOCl alone or combined with 17% EDTA by one-way ANOVA. After pH cycling, no significant differences were found in enamel surface roughness or microhardness among the four groups (p = 0.55) by two-way ANOVA.

conclusionsEnamel surface pretreatment of 5.25% NaOCl or combined with 17% EDTA improved the efficacy of the resin infiltration of WSLs, but might be useless in enhancing the acid resistance of resin-infiltrated WSLs.

Indexed as

Dental EnamelEdetic AcidSodium HypochloriteHardnessHumansHydrogen-Ion ConcentrationIn Vitro TechniquesMaterials TestingMicroscopy, ConfocalMicroscopy, Electron, ScanningResins, SyntheticSurface PropertiesEdetic AcidResins, SyntheticSodium HypochloriteEDTANaOClPretreatmentResin infiltrationWhite spot lesions

Identifiers

PMID39604951
PMCPMC11600858

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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.