Evidence map›Paper›PMID 39754111›Full record

ArticleBMC oral health2025

Comparative study of pulpal response following direct pulp capping using synthesized fluorapatite and hydroxyapatite nanoparticles.

Eman M Salem, Omnia M Abdelfatah, Rania A Hanafy, Rehab M El-Sharkawy, Ghadir Elnawawy, Wafaa Yahia Alghonemy

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

6 authors.

Eman M SalemOral Biology Department, Faculty of Dentistry, Pharos University in Alexandria, P.O. Box 37, Sidi Gaber, Alexandria, Egypt. Eman.salem@pua.edu.eg.ORCID 0000-0003-4464-8653
Omnia M AbdelfatahOral Biology Department, Faculty of Dentistry, Pharos University in Alexandria, P.O. Box 37, Sidi Gaber, Alexandria, Egypt.ORCID 0000-0002-1975-0130
Rania A HanafyDental Material Department, Faculty of Dentistry, Pharos University in Alexandria, Sidi Gaber, Alexandria, Egypt.
Rehab M El-SharkawyChemistry Department, Faculty of Dentistry, Pharos University in Alexandria, P.O. Box 37, Sidi Gaber, Alexandria, Egypt.ORCID 0000-0003-1750-2165
Ghadir ElnawawyZoology Department, Faculty of Dentistry, Pharos University in Alexandria, P.O. Box 37, Sidi Gaber, Alexandria, Egypt.
Wafaa Yahia AlghonemyBasic Dental Sciences Department, Faculty of Dentistry, Zarqa University, PO Box 2000, Zarqa, 13110, Jordan.ORCID 0000-0002-0452-2565

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to investigate and compare the histological response of rabbit dental pulp after direct pulp capping with 3 different materials: mineral trioxide aggregate (MTA), nanoparticles of fluorapatite (Nano-FA), and nanoparticles of hydroxyapatite (Nano-HA) after 4 and 6-week time intervals. MATERIAL AND

methodsA total of 72 upper and lower incisor teeth from 18 rabbits were randomly categorized into 3 groups)24 incisors from six rabbits each. MTA Group: teeth were capped with MTA. Nano-FA Group: teeth were capped with fluorapatite nanoparticles. Nano-HA Group: teeth were capped with hydroxyapatite nanoparticles. Blood samples were collected to examine some antioxidant enzymes nitric oxide (NO), superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), glutathione (GSH), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α). After that, three rabbits from each group were euthanized after 4 and 6 weeks, respectively. Pulp tissues of all teeth in all groups were histologically observed.

resultsThe obtained results showed that both Nano-HA induced the formation of thick dentin bridges with irregular dentin patterns at 6 weeks, while MTA and Nano-FA induced no dentin bridge with no tubular dentin pattern. Blood examination at the two intervals revealed no significant increase or decrease in the values of NO, SOD, CAT, GPx, GSH, and TNF-α. However, there was a significant increase in p-values of IL-6 in the Nano-FA treated group compared to both MTA and Nano-HA treated groups at the two intervals. Regarding the inflammatory reaction of the dental pulp, the MTA and Nano-HA groups displayed moderate inflammation, followed by Nano-FA, which showed the highest prevalence of nonpathological inflammation. Histological results were consistent with the blood examination. After 4 weeks, the Nano-FA and Nano-HA groups showed pulp fibrosis at the operating site, but the MTA showed only granulation tissues. Plus, dilated blood vessels appeared in the Nano-FA group. After 6 weeks, MTA and Nano-FA groups showed pulp fibrosis at the operating site with the persistence of dilated blood vessels with Nano-FA. The nano-HA group showed dentin bridge formation at the operating site.

conclusionMTA and Nano-HA could be considered favorable materials for direct pulp capping, while Nano-FA produces nonpathological inflammatory cell reactions. Moreover, the Nano-HA was the best in dentin bridge formation. Although nano-FA increased the operating site closure, it was noticed that it significantly increased IL-6 compared to MTA at the two intervals and significantly increased IL-6 compared to Nano-HA at 6 weeks, which may be manifested as some nonpathological inflammations in the Nano-FA group compared to the other groups, but it was deemed acceptable to direct pulp capping procedures.

Indexed as

Aluminum CompoundsApatitesCalcium CompoundsDental PulpDental Pulp CappingDrug CombinationsDurapatiteGlutathioneNanoparticlesOxidesSilicatesSuperoxide DismutaseTumor Necrosis Factor-alphaAnimalsAntioxidantsCatalaseAluminum CompoundsAntioxidantsApatitesCalcium CompoundsCatalaseDrug CombinationsDurapatitefluorapatiteGlutathioneGlutathione PeroxidaseInterleukin-6mineral trioxide aggregateNitric OxideOxidesPulp Capping and Pulpectomy AgentsSilicatesSuperoxide DismutaseTumor Necrosis Factor-alphaDirect Pulp CappingFluorapatiteHydroxyapatiteMTANanoparticlesPulp

Identifiers

PMID39754111
PMCPMC11699670

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.