Evidence map›Paper›PMID 41884976›Full record

Trial reportClinical and experimental dental research2026

An Evaluation of Flavored Photostimulable Phosphor (PSP) Barrier in Bitewing Radiography: A Randomized Crossover Study.

Shwetha Hegde, Scott Cameron Dickie, Thirimadura Ruvin Mendis, Mathew Yu, Shanika Nanayakkara, Amelita Simpson, Wendy Currie

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental dental research, 2026. 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
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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

7 authors.

Shwetha HegdeDentomaxillofacial Radiology, Sydney Dental School, University of Sydney, Sydney, Australia.
Scott Cameron DickieSydney Dental School, University of Sydney, Sydney, Australia.
Thirimadura Ruvin MendisSydney Dental School, University of Sydney, Sydney, Australia.
Mathew YuSydney Dental School, University of Sydney, Sydney, Australia.
Shanika NanayakkaraSydney Dental School, Institute of Dental Research, Westmead Centre for Oral Health, University of Sydney, Sydney, Australia.ORCID 0000-0002-5479-9650
Amelita SimpsonDentomaxillofacial Radiology, Sydney Dental School, University of Sydney, Sydney, Australia.
Wendy CurrieDentomaxillofacial Radiology, Sydney Dental School, University of Sydney, Sydney, Australia.

Funding

Colgate Financial Support for DMD projects 202410
6 · The paper itself

Abstract

objectivesTo assess whether flavoured PSP barrier sleeves enhance patient comfort and sensory perception during intraoral radiography compared to non-flavoured sleeves. MATERIAL AND

methodsIn a double-blind, randomized, crossover study, 74 dental students underwent two molar bitewing placements in random order, with a 15-min washout period. Participants rated overall comfort, gagging, oral irritation, taste, aftertaste, scent, feel, and overall procedure experience. Ordinal outcomes used the Wilcoxon signed-rank test, and binary outcomes used McNemar's test. Sequence and carryover effects were examined with the Mann-Whitney U test. Significance was set at p < 0.05.

resultsFlavored sleeves scored higher for chemosensory experience (p < 0.001; Cohen's r > 0.5). Order effects were noted for overall comfort, taste, aftertaste, and scent (p < 0.001; moderate to large effect size). The carryover effect persisted for taste, scent, and aftertaste (p < 0.01). Preference for flavored sleeve was 58.7% and strongly linked to treatment order (χ

conclusionsFlavored PSP barrier sleeves enhance chemosensory experience and perceived acceptability of bitewing radiography, with a limited impact on procedural discomfort and gagging. Their use may improve patient cooperation and experience in clinical settings. CLINICAL RELEVANCE: Bitewing radiography is commonly used, but it can be uncomfortable due to the film positioning, patient cooperation, and the taste and feel of the barrier sleeves used with photostimulable phosphor plates. In this randomized crossover study, mint-flavored barrier sleeves improved chemosensory experience and patient acceptability. These findings present a low-cost option to enhance the intraoral radiography experience, particularly for first-time, anxious, or pediatric patients.

Indexed as

Flavoring AgentsRadiography, BitewingAdultCross-Over StudiesDouble-Blind MethodFemaleHumansMalePatient ComfortTasteYoung AdultFlavoring Agentsbarrier sleevesbitewing radiographypatient acceptabilityphotostimulable phosphor platesrandomized crossover trial

Identifiers

PMID41884976
PMCPMC13140404

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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.