Evidence map›Paper›PMID 41846778›Full record

ArticleJournal of pharmacy & bioallied sciences2025

Exploring Alternative Fluoride Agents for Dental Caries Prevention: A Systematic Review.

Purushottam Lal, Nitin Kumar, Shivam Ratti, Yash Jain, Muqthadir Siddiqui Mohammed Abdul, Praveen Kumar Varma Datla, Bharani K Bhattu

Abstract read
In one paragraph

Article in Journal of pharmacy & bioallied sciences, 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

7 authors.

Purushottam LalDepartment of Pediatrics, University of New England, Maine US.
Nitin KumarDepartment of Pediatrics, St Christopher Hospital for Children, Philadelphia, US.
Shivam RattiCommunity Living Kingston and District, Kingston, Canada.
Yash JainDDS, Dental Surgery, University of California, Los Angeles, CA, US.
Muqthadir Siddiqui Mohammed AbdulRegistrar Pediatric Dentistry, Clinical Practice and Research, Riyadh, KSA.
Praveen Kumar Varma DatlaDepartment of Orthodontics, Vishnu Dental College, Vishnupur, Bhimavaram, Andhra Pradesh, India.
Bharani K BhattuBDS, DDS, La clinica De familia, Las Cruces, New Mexico, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dental caries remains a widespread global health challenge, prompting the exploration of alternative fluoride agents. This systematic review evaluates the efficacy of nano-silver fluoride (NSF), silver diamine fluoride (SDF), titanium tetrafluoride (TiF4), and sodium fluoride varnish (NaF) in caries prevention and arrest. Methods: A systematic search of PubMed, Scopus, and Web of Science was conducted to identify studies published between 2010 and 2024. Inclusion criteria focused on randomized controlled trials, clinical studies, and in vitro investigations comparing alternative fluoride agents. Data on caries arrest rates, enamel remineralization, biofilm inhibition, and adverse effects were extracted and analyzed. Results: NSF demonstrated superior enamel microhardness and reduced microleakage without staining. SDF showed high caries arrest rates (95-98%) but caused black staining of treated lesions. TiF4 effectively increased acid resistance and reduced biofilm activity, outperforming NaF in specific applications. NaF, while cost-effective and widely accessible, was less effective for advanced caries compared to SDF and NSF. Conclusion: Alternative fluoride agents, such as NSF and TiF4, offer promising results in caries prevention and management, addressing limitations of traditional fluoride treatments. Further clinical trials are needed to validate these findings for broader implementation.

Indexed as

Caries preventiondental cariesfluoride alternativesnano-silver fluoridesilver diamine fluoridesodium fluoride varnishtitanium tetrafluoride

Identifiers

PMID41846778
PMCPMC12991671

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LicenceCC BY-NC-SA
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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.