Question · asked by 1 review

Self-assembling/remineralizing peptide (e.g., P11-4, PAA-PASP) vs Fluoride agent (e.g., NaF/SDF/KF/CaF2): Immediate (24 h) resin-dentin bond strength (MPa)

Population
Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro)
Intervention
Self-assembling/remineralizing peptide (e.g., P11-4, PAA-PASP)
Comparison
Fluoride agent (e.g., NaF/SDF/KF/CaF2)
Outcome
Immediate (24 h) resin-dentin bond strength (MPa)

In the Self-Etch adhesive + chemical ACAD protocol network, Peptide vs Fluorine showed no significant difference in 24 h bond strength (MD 2.131, 95% CI -2.213 to 6.475; Low certainty).

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 0 · 0%Very low 0 · 0%Low 1 · 33.3%Moderate 2 · 66.7%High 0 · 0%
FindingEffectStudiesGRADE certainty
Self-assembling/remineralizing peptide (e.g., P11-4, PAA-PASP) vs Fluoride agent (e.g., NaF/SDF/KF/CaF2)
Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), In vitro; extracted permanent human teeth; bond strength testing (SBS/microSBS/microTBS), Self-Etch + chemical ACAD
In the Self-Etch adhesive + chemical ACAD protocol network, Peptide vs Fluorine showed no significant difference in 24 h bond strength (MD 2.131, 95% CI -2.213 to 6.475; Low certainty).
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) All outcomes
MD 2.131 [-2.213, 6.475]1 studyLow
Self-assembling/remineralizing peptide (e.g., P11-4, PAA-PASP) vs Fluoride agent (e.g., NaF/SDF/KF/CaF2)
Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), In vitro; extracted permanent human teeth; bond strength testing (SBS/microSBS/microTBS), Etch-and-Rinse + biological ACAD
In the Etch-and-Rinse adhesive + biological ACAD protocol network, Peptide showed 14.098 MPa higher 24 h bond strength than Fluorine (MD 14.098, 95% CI 9.684 to 18.512; Moderate certainty).
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) All outcomes
MD 14.098 [9.684, 18.512]2 studiesModerate
Self-assembling/remineralizing peptide (e.g., P11-4, PAA-PASP) vs Fluoride agent (e.g., NaF/SDF/KF/CaF2)
Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), In vitro; extracted permanent human teeth; bond strength testing (SBS/microSBS/microTBS), Etch-and-Rinse + chemical ACAD
In the Etch-and-Rinse adhesive + chemical ACAD protocol network, Peptide vs Fluorine showed no significant difference in 24 h bond strength (MD 4.672, 95% CI -1.320 to 10.665; Moderate certainty).
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025) All outcomes
MD 4.672 [-1.320, 10.665]2 studiesModerate

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis.
2025 All outcomes
June 202323Low / Moderate

The same intervention and outcome, asked in another population or against another comparator.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.