Evidence map›Paper›PMID 40710648›Full record

ArticleGels (Basel, Switzerland)2025

The Influence of Calcium Ions and pH on Fluoride Release from Commercial Fluoride Gels in an In Vitro Study.

Paweł J Piszko, Michał Kulus, Aleksandra Piszko, Jan Kiryk, Sylwia Kiryk, Julia Kensy, Agata Małyszek, Mateusz Michalak, Wojciech Dobrzyński, Jacek Matys and 1 more

Abstract read
In one paragraph

Article in Gels (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
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.

Paweł J PiszkoDepartment of Biomedical Engineering, Faculty of Fundamental Problems of Technology, Wrocław University of Science and Technology, Wybrzeże Wyspiańskiego 27, 50-370 Wrocław, Poland.ORCID 0000-0002-7577-8509
Michał KulusDivision of Ultrastructural Research, Wroclaw Medical University, Chałubińskiego 6a, 50-368 Wrocław, Poland.ORCID 0000-0002-3014-6946
Aleksandra PiszkoDepartment of Pediatric Dentistry and Preclinical Dentistry, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.
Jan KirykDental Surgery Department, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.ORCID 0000-0002-5442-1412
Sylwia KirykDepartment of Pediatric Dentistry and Preclinical Dentistry, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.ORCID 0000-0001-9062-4156
Julia KensyFaculty of Dentistry, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.ORCID 0009-0008-1680-793X
Agata MałyszekDepartment of Biostructure and Animal Physiology, Wrocław University of Environmental and Life Sciences, Kożuchowska 1, 51-631 Wroclaw, Poland.ORCID 0009-0007-5187-5324
Mateusz MichalakMedical Center of Innovation, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.
Wojciech DobrzyńskiDepartment of Dentofacial Orthopedics and Orthodontics, Division of Facial Abnormalities, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.ORCID 0000-0002-6400-3660
Jacek MatysDental Surgery Department, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.ORCID 0000-0002-3801-0218
Maciej DobrzyńskiDepartment of Pediatric Dentistry and Preclinical Dentistry, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.ORCID 0000-0003-2368-1534

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fluoride gels are widely used in dental prophylaxis due to their proven ability to prevent demineralization and promote remineralization of hard dental tissues. However, the effectiveness of fluoride release from such gels may be significantly influenced by environmental factors such as pH and the presence of calcium ions. This in vitro study aimed to evaluate how these variables affect fluoride ion release from three commercially available fluoride gels-Clarben, Flairesse, and Lunos. The gels were incubated in artificial saliva of varying pH levels (4.5, 6.0, 7.0, and 7.5) with and without the addition of calcium, as well as in other water-based media-tap water, deionized water, and 0.9% NaCl solution. Fluoride release and changes in pH were measured and statistically analyzed using a multifactorial ANOVA. The results revealed that fluoride release was highest in calcium-free environments and at neutral to slightly alkaline pH, while the presence of calcium significantly reduced fluoride availability. Among the tested products, Flairesse and Lunos exhibited sensitivity to calcium's presence, unlike Clarben. Fluoride release was generally higher in water than in artificial saliva. Additionally, all gels induced a decrease in pH, which varied depending on the initial pH and calcium content. These findings underline the importance of environmental conditions in optimizing the clinical efficacy of fluoride gel applications.

Indexed as

calcium interferencedental biomaterialsfluoride gelsfluoride releasein vitro incubationstatistical analysis

Identifiers

PMID40710648
PMCPMC12296090

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.