Evidence map›Paper›PMID 41721331›Full record

ArticleBMC oral health2026

Effect of eggshell nanoparticles and fluoride varnish, with and without diode laser, on dentinal tubule occlusion (An in vitro study).

Mona El Sayed, Mona E Eliwa, Howaida Fakhry Fouad, Reem Zeid

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

4 authors.

Mona El SayedFaculty of Dentistry, Ahram Canadian University, Giza, Egypt. Mona_Mohamed@acu.edu.eg.ORCID 0009-0004-5559-0180
Mona E EliwaFaculty of Dentistry, Ahram Canadian University, Giza, Egypt.ORCID 0000-0001-6874-6093
Howaida Fakhry FouadFaculty of Dentistry, Galala University, Suez, Egypt.ORCID 0009-0003-2088-3285
Reem ZeidFaculty of Dentistry, Ahram Canadian University, Giza, Egypt.ORCID 0009-0003-6198-6758

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDentine hypersensitivity is a common clinical condition, affecting between 4% and 69% of the adult population. Management strategies are based on occluding patent dentinal tubules to reduce dentinal fluid movement. This in vitro study aimed to evaluate the effect of nano eggshell and fluoride varnish, alone and combined with diode laser, on dentinal tubule occlusion using scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDX).

methodsForty sound human maxillary premolars were sectioned to expose mid-coronal dentine and etched with 37% phosphoric acid to simulate hypersensitive dentine. Samples were randomly allocated into five groups (n = 8): Group 1 (nano eggshell), Group 2 (fluoride varnish), Group 3 (nano eggshell + diode laser), Group 4 (fluoride varnish + diode laser), and Group 5 (control). Nano eggshell and fluoride varnish were applied daily for seven consecutive days. Groups 3 and 4 received 940 nm diode laser irradiation after completing the 7-day treatment protocol. Group 5 received no treatment. All samples were analyzed using SEM and EDX to assess dentinal tubule occlusion and calcium to phosphorus (Ca/P) ratio. Data were statistically analyzed using one-way ANOVA and Tukey’s post hoc test with significance set at P ≤ 0.05.

resultsAll treatment groups exhibited significantly lower percentages of patent dentinal tubules and higher Ca/P ratios than the control (P < 0.0001). Group 3 (nano eggshell + laser) exhibited the lowest percentage of patent tubules (0.65 ± 0.14%), followed by Group 1 (nano eggshell, 2.33 ± 0.21%), Group 4 (fluoride + laser, 3.84 ± 0.67%), Group 2 (fluoride, 6.73 ± 0.55%), while Group 5 (control) showed the highest percentage (12.95 ± 1.39%). The Ca/P ratio was highest in Group 3 (1.755 ± 0.1226), followed by Groups 1, 4, and 2, respectively, with the control group showing the lowest ratio (0.603 ± 0.09096).

conclusionsAll tested treatments significantly reduced the percentage of patent dentinal tubules and increased Ca/P ratios compared to the control group. The combination of nano eggshell with diode laser demonstrated the highest efficacy. Nano eggshell-based treatments outperformed fluoride varnish, presenting a promising, biocompatible, and cost-effective approach for dentine hypersensitivity management.

Indexed as

DentinDentin Desensitizing AgentsDentin SensitivityEgg ShellFluorides, TopicalLasers, SemiconductorNanoparticlesAnimalsFluoride TreatmentHumansMicroscopy, Electron, ScanningSpectrometry, X-Ray EmissionDentin Desensitizing AgentsFluorides, TopicalDentinal tubule occlusionDentine hypersensitivityDiode laserFluoride varnishNano eggshell

Identifiers

PMID41721331
PMCPMC13047795

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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.