Evidence map›Paper›PMID 34240297›Full record

ReviewOdontology2021

Evolution of endodontic medicine: a critical narrative review of the interrelationship between endodontics and systemic pathological conditions.

Luciano Tavares Angelo Cintra, Maximiliano Schünke Gomes, Cristiane Cantiga da Silva, Flávio Duarte Faria, Francine Benetti, Leopoldo Cosme-Silva, Renata Oliveira Samuel, Tiago Novaes Pinheiro, Carlos Estrela, Alvaro Cruz González and 1 more

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Odontology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 5 pooled it
10.2field-weighted citation impact, top 1% of its field
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

44 citing papers in PubMed, 5 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  16. Endodontic Inflammatory Disease: Systemic Consequences.Advances in experimental medicine and biology · 2026
    Review
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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

11 authors at 9 institutions in 3 countries.

Luciano Tavares Angelo CintraDepartment of Preventive and Restorative Dentistry, Endodontic Section, School of Dentistry, São Paulo State University (Unesp), José Bonifácio, 1193, Vila Mendonça, Araçatuba, SP, CEP 16015-050, Brazil. luciano.cintra@unesp.br.ORCID http://orcid.org/0000-0003-2348-7846
Maximiliano Schünke GomesDepartament of Odontology, School of Dentistry and Medical and Dental Center, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
Cristiane Cantiga da SilvaDepartment of Preventive and Restorative Dentistry, Endodontic Section, School of Dentistry, São Paulo State University (Unesp), José Bonifácio, 1193, Vila Mendonça, Araçatuba, SP, CEP 16015-050, Brazil.
Flávio Duarte FariaDepartment of Preventive and Restorative Dentistry, Endodontic Section, School of Dentistry, São Paulo State University (Unesp), José Bonifácio, 1193, Vila Mendonça, Araçatuba, SP, CEP 16015-050, Brazil.
Francine BenettiDepartment of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
Leopoldo Cosme-SilvaDepartment of Clinics and Surgery, School of Dentistry, Federal University of Alfenas (Unifal), Alfenas, MG, Brazil.
Renata Oliveira SamuelDepartment of Clinical Dentistry, Dental School, Universidade de Uberaba, Uberaba, MG, Brazil.
Tiago Novaes PinheiroDepartment of Oral Pathology and Oral Medicine, Dental School of Amazonas State University, Manaus, AM, Brazil.
Carlos EstrelaDepartment of Stomatologic Sciences, School of Dentistry, Federal University of Goiás (UFG), Goiânia, GO, Brazil.
Alvaro Cruz GonzálezDepartment of Dental Clinics, University of Guadalajara, Guadalajara, Mexico.
Juan José Segura-EgeaDepartment of Stomatology, School of Dentistry, University of Sevilla, Sevilla, Spain.
Universidade Estadual Paulista (Unesp) · BRPontifícia Universidade Católica do Rio Grande do Sul · BRUniversidad de Guadalajara · MXUniversidad de Sevilla · ESUniversidade de Uberaba · BRUniversidade do Estado do Amazonas · BRUniversidade Federal de Alfenas · BRUniversidade Federal de Goiás · BRUniversidade Federal de Minas Gerais · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 311650/2018-0
6 · The paper itself

Abstract

Endodontics has gained emphasis in the scientific community in recent years due to the increase in clinical and in animal models studies focused on endodontic medicine, which aims to evaluate the interrelationship between systemic and periapical tissues pathological conditions. These studies have shown that systemic changes can boost the pathogenesis of endodontic infection, favoring its development and progression. A contrary relationship is reported in numerous studies that affirm the potential of endodontic infection to trigger systemic damage and may lead to the worsening of pre-existing pathologies. Recently, the potential of filling materials to develop systemic changes such as neurological alterations had been evaluated, also showing that systemic diseases can negatively influence tissue responses to filling materials after endodontic treatment. Despite advances in endodontic medicine studies, there are still gaps in knowledge on the mechanisms of interactions between apical periodontitis (AP) and systemic diseases and much research to be done. In this sense, this critical narrative literature review aimed to show the evolution of studies in endodontic medicine to help the endodontist to know the role of systemic diseases in the pathogenesis of AP and the possible interference in the repair of periapical tissues after endodontic treatment, as well as to evidence the systemic complications that can be triggered or aggravated in the presence of endodontic infection.

Indexed as

EndodonticsPeriapical PeriodontitisAnimalsDental CareHumansApical periodontitisDental pulp necrosisEndodonticOral healthRoot canal filling materials

Identifiers

PMID34240297
OpenAlexW3180332528

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.