Question · asked by 1 review

Nano-hydroxyapatite (nHA) dentifrice/paste (fluoride-free or fluoridated) vs nHA-free / fluoride-free (negative) control: Mineral loss (transversal microradiography)

Population
Enamel/dentin specimens with initial caries lesions (or sound surfaces) in intraoral (in situ) appliances worn by patients
Intervention
Nano-hydroxyapatite (nHA) dentifrice/paste (fluoride-free or fluoridated)
Comparison
nHA-free / fluoride-free (negative) control
Outcome
Mineral loss (transversal microradiography)

Under remineralizing conditions, nHA produced significantly more remineralization than the negative control (MD 350, 95% CI 179 to 521; very low certainty).

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 0 · 0%Very low 2 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Nano-hydroxyapatite (nHA) dentifrice/paste (fluoride-free or fluoridated) vs nHA-free / fluoride-free (negative) control
Mineral loss (transversal microradiography) · Enamel/dentin specimens with initial caries lesions (or sound surfaces) in intraoral (in situ) appliances worn by… · Median 21 days (range 14-28 days), In situ (intraoral appliance); net-remineralizing model, Net-remineralizing conditions
Under remineralizing conditions, nHA produced significantly more remineralization than the negative control (MD 350, 95% CI 179 to 521; very low certainty).
Efficacy of nano-hydroxyapatite on caries prevention-a systematic review and meta-analysis. (2022) All outcomes
MD 350 [179, 521]1 studyVery low
Nano-hydroxyapatite (nHA) dentifrice/paste (fluoride-free or fluoridated) vs nHA-free / fluoride-free (negative) control
Mineral loss (transversal microradiography) · Enamel/dentin specimens with initial caries lesions (or sound surfaces) in intraoral (in situ) appliances worn by… · Median 21 days (range 14-28 days), In situ (intraoral appliance); net-demineralizing model, Net-demineralizing conditions
Under demineralizing conditions, nHA did not differ from the fluoride-free control (MD -61, 95% CI -1301 to 1179; no significant difference; very low certainty).
Efficacy of nano-hydroxyapatite on caries prevention-a systematic review and meta-analysis. (2022) All outcomes
MD -61 [-1301, 1179]1 studyVery low

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

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Efficacy of nano-hydroxyapatite on caries prevention-a systematic review and meta-analysis.
2022 All outcomes
Databases searched up to 30 April 2021 (CENTRAL up to 30 Apr 2021; MEDLINE/PubMed 1946 to 30 Apr 2021; Ovid EMBASE 1947 to 30 Apr 2021)10Low / Critically Low
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.