Evidence map›Paper›PMID 41013545›Full record

ArticleBMC oral health2025

Evaluation of the effectiveness of different remineralization agents on primary and permanent teeth exposed to acidic liquids: a randomized controlled in vitro study.

Kübra Bilge, İrem İpek, Büşra Karaagac Eskibaglar

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
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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

3 authors.

Kübra BilgeDepartment of Restorative Dentistry, Firat University, Faculty of Dentistry, Elazig, Turkey. kubratnyl@gmail.com.ORCID http://orcid.org/0000-0002-4323-9316
İrem İpekDepartment of Pediatric Dentistry, Firat University, Faculty of Dentistry, Elazig, Turkey.ORCID http://orcid.org/0000-0002-3542-7122
Büşra Karaagac EskibaglarDepartment of Pediatric Dentistry, Firat University, Faculty of Dentistry, Elazig, Turkey.ORCID http://orcid.org/0000-0003-0775-9274

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study is to evaluate the effectiveness of different remineralization agents applied to primary and permanent teeth that were demineralized in acidic environments with varying pH levels, using scanning electron microscopy (SEM) and microhardness measurements.

methodsIn this study, 80 primary second molars and 80 permanent premolars were used and demineralization procedure was applied by keeping in gastric acid (pH = 1.2) and kefir (pH = 4.5) for 72 h. Then, samples were randomly divided into groups (n = 10) to be applied with different remineralization agents (Curodont Protect, MI Paste Plus, Tooth Mousse) for 14 days. Samples in the control group were kept in artificial saliva for 14 days. Microhardness measurements were made at the beginning, after the demineralization procedure and after the remineralization procedure from all groups and SEM analyses were performed on one sample from each group. Since the assumptions of parametric test were met in the evaluation of the data (Kolmogorov-Smirnov), two-way ANOVA, followed by the Tukey post hoc test. p < 0.05 was accepted as the significance value.

resultsThe lowest microhardness values and the most eroded areas in SEM images were observed in primary teeth. When acidic liquids were evaluated, microhardness values decreased more in those immersed in gastric acid than at the initial. After the application of remineralization agents, the microhardness values of primary and permanent teeth increased the most in the Curodont Protect group and the least in the control group. In SEM images, the most eroded areas were observed in the control group in which no remineralization agent was applied after immersed in gastric acid in primary teeth.

conclusionGastric acid is a stronger acid compared to kefir, which may explain its more erosive effect on both primary and permanent teeth. Curodont Protect, a biomimetic peptide-based product, can be preferred primarily in clinical use for erosive enamel treatment because it shows an effective remineralization ability on eroded enamel.

Indexed as

Tooth, DeciduousTooth DemineralizationTooth RemineralizationCaseinsDental EnamelDentition, PermanentHardnessHumansHydrogen-Ion ConcentrationIn Vitro TechniquesMicroscopy, Electron, ScanningMolarRandom AllocationSaliva, ArtificialCaseinsSaliva, ArtificialMicrohardnessPrimary and permanent teethRemineralization agentsSEM

Identifiers

PMID41013545
PMCPMC12465249

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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.