Evidence map›Paper›PMID 41385920›Full record

ArticleInternational dental journal2026

Bovine Cancellous Hydroxyapatite Toothpaste Enhances Enamel Remineralization.

Octarina Octarina, Florencia Livia Kurniawan, Niko Falatehan, Karen Sofiana, Gladys Mawarni Siregar, Ilman Nafi Maulana, Meircurius Dwi Condro Surboyo

Abstract read
In one paragraph

Article in International dental journal, 2026. 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

7 authors.

Octarina OctarinaDepartment of Dental Material, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia.
Florencia Livia KurniawanDepartment of Dental Material, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia. Electronic address: florencia@trisakti.ac.id.
Niko FalatehanDepartment of Prosthodontics, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia.
Karen SofianaFaculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia.
Gladys Mawarni SiregarFaculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia.
Ilman Nafi MaulanaFaculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia.
Meircurius Dwi Condro SurboyoDepartment of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHydroxyapatite (HA) is a biomimetic material capable of promoting enamel remineralization and exhibiting antimicrobial properties. Bovine cancellous bone is a promising HA source due to its bioactivity, biocompatibility, and cost-effectiveness. This study evaluated the effects of toothpaste formulations containing varying concentrations of bovine cancellous HA (1%, 3%, and 5%) on enamel remineralization, antimicrobial activity, abrasivity, and biocompatibility.

methodsToothpaste formulations were prepared with bovine cancellous HA at 1%, 3%, and 5%, alongside a base formulation and a commercial control. Physical properties (pH, viscosity, homogeneity, stability) and organoleptic characteristics (odour, taste, texture, colour) were assessed. Enamel remineralization was evaluated via Vickers microhardness testing and surface roughness analysis after simulated brushing. Antimicrobial activity was assessed against Staphylococcus aureus and Candida albicans.

resultsAll formulations exhibited slightly alkaline pH, stable viscosity, uniform homogeneity, and no phase separation over 30 days. Sensory evaluation indicated that 3% HA toothpaste provided the optimal balance between functionality and acceptability. Brushing with HA toothpaste increased enamel microhardness in a dose-dependent manner, with 3% and 5% HA toothpaste showing superior remineralization (Vickers Hardness Number: 327.6 ± 14.0 and 319.4 ± 19.9, respectively) compared to 1% (226.9 ± 11.1). Surface roughness was minimized with HA incorporation, indicating protective effects against enamel wear. Antimicrobial assays demonstrated concentration-dependent inhibition of S. aureus, with the 5% HA toothpaste (9.1 ± 0.06 mm) comparable to commercial toothpaste (9.4 ± 0.1 mm), whereas inhibition of C. albicans was highest at 1% HA (9.7 ± 1.2 mm).

conclusionBovine cancellous HA toothpaste effectively enhances enamel remineralization, reduces abrasivity, exhibits antimicrobial potential, and demonstrates excellent biocompatibility. The 3% to 5% HA toothpaste provide a balanced combination of efficacy, safety, and user acceptability, supporting their potential for translational applications in preventive oral care.

Indexed as

Dental EnamelDurapatiteToothpastesTooth RemineralizationAnimalsCandida albicansCattleHardnessHumansHydrogen-Ion ConcentrationStaphylococcus aureusSurface PropertiesToothbrushingDurapatiteToothpastesAntimicrobialBovine cancellous boneEnamel remineralizationHydroxyapatiteToothpaste

Identifiers

PMID41385920
PMCPMC12756644

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.