Evidence map›Paper›PMID 40344458›Full record

ArticleClinical and experimental dental research2025

In Vitro Assessment of Salivary Pellicle Disruption and Biofilm Removal on Titanium: Exploring the Role of Surface Hydrophobicity in Chemical Disinfection.

Wenji Cai, Azam Fayezi Sisi, Mohamed-Nur Abdallah, Ashwaq A Al-Hashedi, Juan Daniel Gamonal Sánchez, Enrique Bravo, Hasna H Kunhipurayil, Rubens Albuquerque, Zahi Badran, Mariano Sanz and 1 more

Abstract read
In one paragraph

Article in Clinical and experimental dental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

11 authors.

Wenji CaiFaculty of Dentistry, McGill University, Montreal, Canada.
Azam Fayezi SisiFaculty of Dentistry, McGill University, Montreal, Canada.
Mohamed-Nur AbdallahFaculty of Dentistry, McGill University, Montreal, Canada.
Ashwaq A Al-HashediFaculty of Dentistry, McGill University, Montreal, Canada.ORCID 0000-0002-4470-9885
Juan Daniel Gamonal SánchezETEP Research Group, Faculty of Dentistry, Complutense University, Madrid, Spain.
Enrique BravoETEP Research Group, Faculty of Dentistry, Complutense University, Madrid, Spain.
Hasna H KunhipurayilCollege of Dental Medicine, QU Health, Qatar University, Doha, Qatar.ORCID 0000-0002-2010-4865
Rubens AlbuquerqueFaculty of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.
Zahi BadranFaculty of Dentistry, McGill University, Montreal, Canada.
Mariano SanzETEP Research Group, Faculty of Dentistry, Complutense University, Madrid, Spain.ORCID 0000-0002-6293-5755
Faleh TamimiCollege of Dental Medicine, QU Health, Qatar University, Doha, Qatar.

Funding

This work was supported by ITI, NSERC, McGill University, Qatar University, the Fondation de I'Ordre des dentists du Quebec (FODQ), Le Reseau de recherché en santé buccodentaire et ossseuse (RSBO), the Fonds de recherche du Québec-Santé (FRQS), the Fonds de recherche du Québec-Nature et technologies (FRQNT), the Islamic Development Bank Scholarship, the Alpha Omega Foundation of Canada (A.A.), the Canadian Foundation for Innovation, NSERC-Discovery, and Canada Research Chair (Tire 2).
6 · The paper itself

Abstract

objectivesPeri-implantitis is mostly caused by a pathological biofilm that forms through complex processes, initiated by the formation of the salivary pellicle on implant surfaces. Understanding the nature of these pellicles and biofilm and how to remove them is important for preventing peri-implant infections and improving the success of dental implants. This study explores the characteristics of the salivary pellicle on titanium surfaces and assesses the effectiveness of different decontamination agents in eliminating the salivary pellicle and related microbial contaminations. MATERIALS AND

methodsTitanium surfaces were contaminated with salivary pellicles and pathological biofilms. The nature of the salivary pellicle was characterized using X-ray photoelectron spectroscopy (XPS), surface proteomics, contact angle measurements, and fluorescence microscopy. We tested six commonly used decontamination chemicals (chlorhexidine, essential oil-based mouthwash, citric acid, phosphoric acid, saline, and phosphate buffer saline) as well as newly proposed treatments such as surfactants and solvents (acetone, acetic acid, and Tween 20) for their capability to eliminate salivary pellicles and pathogenic biofilms from titanium surfaces.

resultsThe hydrophobic nature of the salivary pellicle on titanium surfaces limits the efficacy of commonly used hydrophilic solutions in removing pellicles and bacteria. Organic solvents and surfactants, particularly acetic acid and Tween 20, demonstrated superior effectiveness in removing the pellicle and biofilm. Acetic acid was notably effective in restoring surface composition, reducing microbial levels, and removing multispecies biofilms.

conclusionsThe use of surfactants and solvents could be a promising alternative for the treatment of biofilms on titanium surfaces. However, further studies are needed to explore their clinical applicability.

Indexed as

BiofilmsDental PellicleDisinfectantsDisinfectionTitaniumDecontaminationDental ImplantsHumansHydrophobic and Hydrophilic InteractionsIn Vitro TechniquesMouthwashesPeri-ImplantitisPhotoelectron SpectroscopySurface PropertiesDental ImplantsDisinfectantsMouthwashesTitaniumbiofilmsdecontaminationhydrophobicityperi‐implantitissalivary pellicle

Identifiers

PMID40344458
PMCPMC12061848

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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.