Evidence map›Paper›PMID 42140893›Full record

ReviewBDJ open2026

Fluoride release and mechanical properties of S-PRG fillers in dental materials: a systematic review and meta-analysis.

Kanwalpreet Kaur, Ravinder S Saini, Mohamed Saheer Kuruniyan, Rayan Ibrahim H Binduhayyim, V N V Madhav, Sunil Kumar Vaddamanu, Mario Alberto Alarcón-Sánchez, Artak Heboyan

Abstract readReview
In one paragraph

Review in BDJ open, 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
–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

8 authors.

Kanwalpreet KaurRutgers School of Dental Medicine, Newark, NJ, USA.
Ravinder S SainiDepartment of Allied Dental Health Sciences COAMS, King Khalid University, Abha, Saudi Arabia.
Mohamed Saheer KuruniyanDepartment of Allied Dental Health Sciences COAMS, King Khalid University, Abha, Saudi Arabia.
Rayan Ibrahim H BinduhayyimDepartment of Allied Dental Health Sciences COAMS, King Khalid University, Abha, Saudi Arabia.
V N V MadhavDepartment of Prosthodontics, Crown & Bridge and Oral Implantology, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), 411018, Maharashtra, Pune, India.
Sunil Kumar VaddamanuDepartment of Allied Dental Health Sciences COAMS, King Khalid University, Abha, Saudi Arabia.
Mario Alberto Alarcón-SánchezMolecular Biology and Medicine Program, University Center of Health Sciences, University of Guadalajara (CUCS-UdeG), Guadalajara, Jalisco, Mexico. marioaasanchez@hotmail.com.ORCID http://orcid.org/0000-0001-6727-7969
Artak HeboyanDepartment of Research Analytics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India. a_heboyan@farabi.tums.ac.ir.ORCID http://orcid.org/0000-0001-8329-3205

Funding

King Khalid University (KKU) RGP2/633/46
6 · The paper itself

Abstract

backgroundThis systematic review aimed to assess the fluoride release and selected mechanical properties (direct tensile strength [DTS], flexural strength, and wear resistance) of S-PRG-containing dental materials.

methodA search was conducted using PubMed, Scopus, ScienceDirect, and Google Scholar according to the PRISMA guidelines. Qualitative data were pooled narratively, and quantitative data were synthesized statistically in RevMan 5.4 using a random-effects meta-analysis. Subgroup analyses of DTS and flexural strength were conducted where appropriate. The risk of bias was assessed using the QUIN tool, and GRADE was used to assess the certainty of the evidence.

resultsOf the 216 studies identified, 18 were deemed eligible. Seven studies provided quantitative fluoride-release data for the meta-analysis. The meta-analysis revealed an overall statistically significant difference between S-PRG-containing materials and comparators (mean difference: -3.21; 95% CI: -4.12 to -2.30; p < 0.01) with very high heterogeneity between studies (I² = 98%). Subgroup meta-analyses of mechanical property comparisons revealed pooled estimates of 6.50 and 11.20 for the DTS and flexural strength comparisons, respectively. Both comparisons showed extreme heterogeneity between studies. Most studies demonstrated a moderate risk of bias, and the certainty of evidence was low.

conclusionOwing to their composition, S-PRG-containing materials might have the potential for fluoride release and may have different mechanical properties compared to comparator materials. Nevertheless, there is insufficient evidence owing to the extreme heterogeneity and high number of in vitro studies. Therefore, the interpretation of these findings should be made with caution, and future investigations should use standardized testing protocols and well-designed clinical trials.

Identifiers

PMID42140893
PMCPMC13179356

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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.