Evidence map›Paper›PMID 41050297›Full record

ArticleInternational journal of clinical pediatric dentistry2025

Remineralization Potential of Casein Phosphopeptide-Amorphous Calcium Phosphate, Nanohydroxyapatite Crystals, and Bioactive Glass on Initial Enamel Lesions: A Systematic Review and Meta-analysis.

Varkey Nadakkavukaran Santhosh, Anil V Ankola, Roopali M Sankeshwari, Anu Sara Varghese, Kavitha Ragu, Yuvarani Kandasamy Parimala, Prajakta J Chavan, Siva Shankkari

Abstract read
In one paragraph

Article in International journal of clinical pediatric dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
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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.

Varkey Nadakkavukaran SanthoshDepartment of Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences and Hospital, KLE Academy of Higher Education and Research (KLE University), Belagavi, Karnataka, India.ORCID https://orcid.org/0000-0001-9197-2646
Anil V AnkolaDepartment of Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences and Hospital, KLE Academy of Higher Education and Research (KLE University), Belagavi, Karnataka, India.ORCID https://orcid.org/0000-0001-7776-5763
Roopali M SankeshwariDepartment of Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences and Hospital, KLE Academy of Higher Education and Research (KLE University), Belagavi, Karnataka, India.ORCID https://orcid.org/0000-0002-8680-8857
Anu Sara VargheseDepartment of Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences and Hospital, KLE Academy of Higher Education and Research (KLE University), Belagavi, Karnataka, India.ORCID https://orcid.org/0000-0003-2433-2686
Kavitha RaguDepartment of Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences and Hospital, KLE Academy of Higher Education and Research (KLE University), Belagavi, Karnataka, India.ORCID https://orcid.org/0009-0001-9111-6150
Yuvarani Kandasamy ParimalaDepartment of Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences and Hospital, KLE Academy of Higher Education and Research (KLE University), Belagavi, Karnataka, India.ORCID https://orcid.org/0009-0008-8866-638X
Prajakta J ChavanDepartment of Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences and Hospital, KLE Academy of Higher Education and Research (KLE University), Belagavi, Karnataka, India.ORCID https://orcid.org/0000-0002-6183-4872
Siva ShankkariDepartment of Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences and Hospital, KLE Academy of Higher Education and Research (KLE University), Belagavi, Karnataka, India.ORCID https://orcid.org/0009-0009-0238-9308

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dental caries is a prevalent chronic disease among both adult and pediatric patients characterized by enamel demineralization, leading to significant oral health issues. While fluoride has been the cornerstone of caries prevention, alternative remineralizing agents such as casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), nanohydroxyapatite (nHAp) crystals, and bioactive glass (BAG) are gaining attention for their potential in biomimetic enamel restoration. This systematic review and meta-analysis aim to compare the efficacy of these novel agents with conventional fluoride treatments in remineralizing initial enamel lesions (IELs). Materials and methods: This review was conducted across databases including MEDLINE, ProQuest, and Cochrane Library, covering studies from 2004 to 2024. The focus was on Results: Among the 292 identified articles, 19 met the inclusion criteria. Meta-analysis showed an overall pooled estimate of -1.31 (95% CI: -3.90 to 1.28) in favor of fluoride, though not statistically significant ( Conclusion: nHAp show promise as alternatives to fluoride for IEL remineralization in both pediatric and adult patients. However, the evidence quality is weak due to high heterogeneity and methodological limitations. Further How to cite this article: Santhosh VN, Ankola AV, Sankeshwari RM,

Indexed as

Bioactive glassCasein phosphopeptide–amorphous calcium phosphateFluorideInitial enamel lesionsNanohydroxyapatiteRemineralization

Identifiers

PMID41050297
PMCPMC12488510

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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.