Evidence map›Paper›PMID 41318444›Full record

Trial reportHead & face medicine2025

Lessening the erosive influence of electrolyte sports drinks on teeth using L-arginine and aqueous Miswak extract.

Hanaa Elgamily, Engie Safwat, Reham Sayed, Samah Mosbah, Ahmed Yossef

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Head & face medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Hanaa ElgamilyRestorative and Dental Materials Department, Oral and Dental Research Institutes, National Research Centre, Cairo, Egypt. hm.elgamily@nrc.sci.eg.ORCID http://orcid.org/0000-0002-8890-4914
Engie SafwatRestorative and Dental Materials Department, Oral and Dental Research Institutes, National Research Centre, Cairo, Egypt.
Reham SayedRestorative and Dental Materials Department, Oral and Dental Research Institutes, National Research Centre, Cairo, Egypt.
Samah MosbahDairy Department, Food Industries and Nutrition Research Institute, National Research Centre, Cairo, Egypt.
Ahmed YossefPackaging Materials Department, National Research Centre, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveExcessive intake of electrolyte sports drinks (ESDs) among adolescents and athletes is associated with dental erosion due to their low pH, while their sugar content increases the risk of dental caries. This study aimed to evaluate and compare the protective effects of incorporating either L-arginine or Salvadora persica (Miswak) extract into an ESD on enamel surface properties. MATERIALS AND

methodsExtracted human premolars were randomly assigned to three groups (n = 6): (1) plain ESD, (2) ESD with 1% L-arginine (Arg-ESD), and (3) ESD with 10% Salvadora persica extract (Mis-ESD). Each specimen was immersed in its respective solution for 5 min daily over 7 days. Post-treatment assessments included enamel microhardness (VHN), surface roughness (Sa), colour change (ΔE), Ca/P ratio, and scanning electron microscopy (SEM) for surface morphology. A taste acceptability survey was conducted in adult volunteers. Statistical analysis used one-way ANOVA (α = 0.05). In addition, a small panel of adult volunteers (n = 20) evaluated the taste acceptability of the modified formulations after providing informed consent.

resultsBoth Arg-ESD and Mis-ESD significantly increased enamel microhardness and reduced surface roughness compared to plain ESD (P < 0.01), with Mis-ESD showing the greatest improvements. Mis-ESD also enhanced colour stability (P < 0.001). SEM images confirmed preservation of enamel structure, particularly in Mis-ESD specimens. Taste testing indicated good palatability for both modified formulations.

conclusionIncorporating Salvadora persica extract into ESDs significantly improved enamel resistance to erosion and enhanced aesthetic properties. Miswak-enriched ESDs could serve as a preventive option for dental erosion. CLINICAL RELEVANCE: Formulating ESDs with Salvadora persica may reduce their erosive potential while preserving taste acceptability, offering a novel, consumer-friendly strategy to protect enamel in high-risk populations.

Indexed as

ArginineBeveragesElectrolytesPlant ExtractsSalvadoraceaeTooth ErosionAdolescentAdultDental EnamelFemaleHumansMaleMicroscopy, Electron, ScanningYoung AdultArginineElectrolytesPlant ExtractsElectrolytesErosionL-arginineMiswak extract

Identifiers

PMID41318444
PMCPMC12702156

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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.