Evidence map›Paper›PMID 40819015›Full record

ReviewOdontology2026

Bioactive restorative materials in dentistry: a comprehensive review of mechanisms, clinical applications, and future directions.

Dina Abozaid, Amr Azab, Mohammad A Bahnsawy, Mohamed Eldebawy, Abdullah Ayad, Romesa Soomro, Enas Elwakeel, Maged Ahmed Mohamed

Abstract readReview
In one paragraph

Review in Odontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

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

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  19. Biological Effects on S-PRG: An Integrative Review.Journal of functional biomaterials · 2026
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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.

Dina AbozaidDental Biomaterials Department, Faculty of Dentistry, Tanta University, El-Geish Street, Tanta, 31511, Egypt. dina_ezzat@dent.tanta.edu.eg.ORCID http://orcid.org/0000-0002-8357-8224
Amr AzabProsthodontics Department, Faculty of Dentistry, Tanta University, Tanta, Egypt.ORCID http://orcid.org/0000-0002-2635-9316
Mohammad A BahnsawyFaculty of Dental Medicine, Al-Azhar University, Cairo, Egypt.ORCID http://orcid.org/0009-0002-3005-3528
Mohamed EldebawyFaculty of Dentistry, Tanta University, Tanta, Egypt.ORCID http://orcid.org/0009-0002-5884-0582
Abdullah AyadCollege of Dentistry, University of Basrah, Basrah, Iraq.ORCID http://orcid.org/0009-0002-2799-6277
Romesa SoomroPhysics Department, Faculty of Science, Universiti Putra Malaysia, 43300, Selangor, Malaysia.
Enas ElwakeelFaculty of Dentistry, Tanta University, Tanta, Egypt.ORCID http://orcid.org/0009-0006-3388-3710
Maged Ahmed MohamedFaculty of Dental Medicine, Al-Azhar University, Cairo, Egypt.ORCID http://orcid.org/0009-0008-5891-9294

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bioactive restorative materials represent a paradigm shift in modern dentistry, moving from passive restorations to functional materials that actively promote oral health. This review comprehensively explores the evolution, mechanisms of action, methods of assessment, and clinical applications of direct bioactive restorative materials, including glass ionomer cements (GICs), resin-based composites, and ion-releasing materials. This review critically analyzes their roles in remineralization, fluoride release, antimicrobial activity, and tissue regeneration, while also addressing their mechanical properties and limitations. A systematic literature search was conducted across major databases, including PubMed, Scopus, Web of Science, and ScienceDirect. Key findings reveal that bioactive GICs, resin-based composites, and ion-releasing materials exhibit varying degrees of bioactivity through ion release, apatite layer formation, and collagen interaction. Recent advances in calcium phosphate-based fillers, bioactive glass additives, and antimicrobial agents have significantly improved these materials' therapeutic potential. However, challenges remain regarding mechanical strength, long-term stability, and standardization of bioactivity assessment. Future research should focus on developing standardized testing protocols, optimizing mechanical performance, and conducting rigorous long-term clinical trials to fully harness the potential of bioactive restorative materials in dental practice. Also identifying the key knowledge gaps and proposing future research directions to advance the field.

Indexed as

Biocompatible MaterialsDental MaterialsDental Restoration, PermanentComposite ResinsGlass Ionomer CementsHumansBiocompatible MaterialsComposite ResinsDental MaterialsGlass Ionomer CementsBioactiveComposite resinDirect restorative materialsGlass ionomerIon-releasing restorations

Identifiers

PMID40819015
PMCPMC13053330

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.