Evidence map›Paper›PMID 39572408›Full record

Trial reportClinical oral investigations2024

The clinical and microbiological efficacy of a zinc-citrate/hydroxyapatite/potassium-citrate containing toothpaste: a double-blind randomized controlled clinical trial.

Uros Josic, Tatjana Maravic, Claudia Mazzitelli, Lorenzo Rinaldi, Carlo D'Alessandro, Diego D'Urso, Gerardo Pellegrino, Annalisa Mazzoni, Lorenzo Breschi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral investigations, 2024. 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. Oral hygiene agents at work: effects onFrontiers in cellular and infection microbiology · 2026
    Review
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

9 authors.

Uros JosicDepartment for Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy.
Tatjana MaravicDepartment for Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy.
Claudia MazzitelliDepartment for Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy.
Lorenzo RinaldiDepartment for Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy.
Carlo D'AlessandroDepartment for Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy.
Diego D'UrsoDepartment for Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy.
Gerardo PellegrinoDepartment for Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy.
Annalisa MazzoniDepartment for Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy.
Lorenzo BreschiDepartment for Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy. lorenzo.breschi@unibo.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the antibacterial efficacy of two fluoride-containing (1450 ppm F) toothpastes with or without zinc-citrate (ZCT), hydroxyapatite (HAP) and potassium-citrate (KCit); to assess and compare their clinical effects in terms of tooth sensitivity, plaque accumulation and gingivitis, as well as patients' satisfaction. MATERIALS AND

methodsHealthy, adult patients were selected and randomly assigned to two groups (n = 50): Experimental: ZCT-, HAP-, KCit- and fluoride-containing toothpaste; Control: fluoride-containing toothpaste. Salivary counts of Streptococcus mutans (S. mutans), plaque and gingival index, as well as clinically diagnosed sensitivity were recorded at baseline, and after 4 weeks. A custom-made questionnaire was used to assess patients' self-reported sensitivity (baseline and after 4 weeks) and overall satisfaction with the tested toothpastes. Data were statistically analyzed (α = 0.05).

resultsAfter 4 weeks, a statistically significant salivary reduction of S. mutans was observed in both groups (p = 0.001). Furthermore, the percentage of S. mutans decrease was significantly higher in Experimental group (p = 0.014). There were no statistically significant differences between the groups in terms of plaque and gingival index (p > 0.05). After 4 weeks, the self-reported tooth sensitivity was lower in Experimental group (p < 0.001).

conclusionsBoth toothpastes showed good antimicrobial effect after 4 weeks; however, the toothpaste containing ZCT, HAP, KCit and fluoride was found to be more effective in reducing the salivary counts of S. mutans than the product containing fluoride alone. CLINICAL RELEVANCE: Toothpaste containing ZCT, HAP, KCit and fluoride can be recommended for patients at risk for developing caries and may also be beneficial for individuals experiencing dental sensitivity.

Indexed as

Citric AcidDurapatiteFluoridesPotassium CitrateStreptococcus mutansToothpastesAdultCitratesDental PlaqueDental Plaque IndexDentin SensitivityDouble-Blind MethodFemaleGingivitisHumansMaleCitratesCitric AcidDurapatiteFluoridesPotassium CitrateToothpastesZinc CompoundsAntimicrobialDentin sensitivityFluorideHydroxyapatiteRandomized clinical trialToothpasteZinc citrate

Identifiers

PMID39572408
PMCPMC11582097

What Socratic holds

Textmetadata
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 Socratic graph.