Evidence map›Paper›PMID 41144041›Full record

ArticleClinical oral investigations2025

Therapeutic potential of flavonoids in erosive tooth wear management: a scoping review.

Gabriel Pereira Nunes, Renata de Oliveira Alves, Geórgia Rondó Peres, Priscila Toninatto Alves de Toledo, Aline Rogéria Freire de Castilho

Abstract readScoping Review
In one paragraph

Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Gabriel Pereira NunesDepartment of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, SP, Brazil.
Renata de Oliveira AlvesDepartment of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil.
Geórgia Rondó PeresDepartment of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil.
Priscila Toninatto Alves de ToledoDepartment of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo (USP), Bauru, SP, Brazil.
Aline Rogéria Freire de CastilhoDepartment of Pediatric Dentistry, Indiana University School of Dentistry, 415 Lansing St, OH145, Indianapolis, IN, 46202, USA. alifrei@iu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis scoping review provides an overview of the use of flavonoids in managing erosive tooth wear, including preventive methods, therapeutic interventions, and strategies for its control. MATERIALS AND

methodsThis scoping review was conducted in accordance with the PRISMA-ScR statement. A comprehensive search was conducted across multiple databases, retrieving all available records up to January 2025. Eligible evidence included in vivo, in vitro, and in situ studies investigating the therapeutic potential of flavonoids on erosive tooth wear. Data were extracted, and synthesis of study findings was performed.

resultsOf the 391 records screened, 34 studies were included in the review: two randomized clinical trials, 20 in vitro studies, five in situ investigations, and seven studies employing both in vitro and in situ approaches. Flavonoids demonstrated promising potential in the control of erosive tooth wear. Epigallocatechin-3-gallate (EGCG) was the most extensively studied and proved more effective than fluoride and chlorhexidine in dentin preservation, tissue loss reduction, and long-term adhesive performance. Proanthocyanidin also proved effective, especially in collagen stabilization and improved bond strength to eroded dentin. Quercetin stood out for its protective and reparative effects, including superior tubular occlusion, mechanical reinforcement, and preservation of the organic matrix. Although less investigated, theaflavin and hesperidin displayed dose-dependent effects in reducing wear and inhibiting matrix metalloproteinase activity.

conclusionsFlavonoids, especially EGCG, proanthocyanidin, and quercetin, show promising results in controlling erosive tooth wear, with multiple mechanisms including remineralization, anti-collagenolytic activity, and biomodification of dentin. CLINICAL RELEVANCE: Flavonoids may act as valuable adjunctive agents in preventive and restorative strategies for erosive tooth wear. However, further clinical trials are required to confirm their efficacy and establish optimal formulations for clinical application.

Indexed as

FlavonoidsTooth ErosionTooth WearHumansFlavonoidsDental enamelDentinErosive tooth wearFlavonoids

Identifiers

PMID41144041
PMCPMC12559054

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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.