Evidence map›Paper›PMID 41779470›Full record

ArticleJournal of applied oral science : revista FOB2026

Assessment of chitosan addition to at-home bleaching gel with and without calcium on the physical properties of tooth enamel.

Laura Nobre Ferraz, Letícia de Souza Franco, Carolina Meneghin Barbosa, Marcos Roberto de Lima Benati, Tatiane Cristina Dotta, Waldemir Francisco Vieira-Junior, Débora Alves Nunes Leite Lima

Abstract readEvaluation Study
In one paragraph

Article in Journal of applied oral science : revista FOB, 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.

Laura Nobre FerrazFundação Hermínio Ometto - FHO, Araras, SP, Brasil.ORCID http://orcid.org/0000-0002-6234-8913
Letícia de Souza FrancoFundação Hermínio Ometto - FHO, Araras, SP, Brasil.
Carolina Meneghin BarbosaFundação Hermínio Ometto - FHO, Araras, SP, Brasil.ORCID http://orcid.org/0000-0003-3223-3952
Marcos Roberto de Lima BenatiFundação Hermínio Ometto - FHO, Araras, SP, Brasil.ORCID http://orcid.org/0000-0002-6289-8114
Tatiane Cristina DottaFundação Hermínio Ometto - FHO, Araras, SP, Brasil.ORCID http://orcid.org/0000-0001-6376-679X
Waldemir Francisco Vieira-JuniorUniversidade de Campinas, Faculdade de Odontologia de Piracicaba, Departamento de Odontologia Restauradora, Piracicaba, SP, Brasil.ORCID http://orcid.org/0000-0001-8226-3100
Débora Alves Nunes Leite LimaUniversidade de Campinas, Faculdade de Odontologia de Piracicaba, Departamento de Odontologia Restauradora, Piracicaba, SP, Brasil.ORCID http://orcid.org/0000-0001-5457-3347

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dental bleaching is a widely used esthetic treatment, but concerns persist regarding its potential effects on enamel integrity. The incorporation of remineralizing and protective agents into bleaching gels, such as calcium and chitosan, has been proposed to mitigate these effects.

objectiveThis in vitro study evaluated the effects of adding 2% chitosan to at-home bleaching gels with and without calcium on enamel physical properties. METHODOLOGY: Bovine enamel specimens stained with black tea were assigned to five groups (n = 12): control (no bleaching), 7.5% hydrogen peroxide (7.5% HP), 7.5% HP + 2% chitosan (7.5% HP+ Chi), 7.5% HP + calcium (7.5% HP + Ca), and 7.5% HP + calcium + chitosan (7.5% HP + Ca + Chi). Bleaching was performed for 14 days (1 hour/day). Color (∆L*, ∆a*, ∆b*, ∆Eab, ∆E00, and ∆WID), surface roughness, and surface microhardness (SMH) were evaluated at baseline (T1) and after treatment (T2). Mineral content (Ca, P, and the Ca/P ratio) was assessed by energy-dispersive X-ray spectroscopy and enamel morphology by scanning electron microscopy. Statistical analyses included the Kruskal-Wallis and Dunn's tests, mixed models, and ANOVA.

resultsGroups containing chitosan (7.5% HP + Chi and 7.5% HP + Ca + Chi) showed the lowest surface roughness and the highest microhardness values. For these groups, SMH showed no decrease after treatment (T2), remaining similar to the initial values (T1). Color changes were similar among all bleached groups. Calcium, phosphorus, and Ca/P levels were the same for all groups.

conclusionAdding 2% chitosan to 7.5% hydrogen peroxide-based at-home bleaching gels appears to be a promising approach to protect enamel against changes in roughness, microhardness, and mineral content without compromising bleaching efficacy.

Indexed as

CalciumChitosanDental EnamelHydrogen PeroxideTooth BleachingTooth Bleaching AgentsAnalysis of VarianceAnimalsCattleColorGelsHardnessHardness TestsMaterials TestingMicroscopy, Electron, ScanningRandom AllocationCalciumChitosanGelsHydrogen PeroxideTooth Bleaching Agents

Identifiers

PMID41779470
PMCPMC13123782

What OpenQuestion holds

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LicenceCC BY
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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.