Evidence map›Paper›PMID 38665416›Full record

ArticleJournal of oral microbiology2024

Microbiological assessment of success and failure in pulp revitalization: a randomized clinical trial using calcium hydroxide and chlorhexidine gluconate in traumatized immature necrotic teeth.

Alina Wikström, Nelly Romani Vestman, Olena Rakhimova, David Lazaro Gimeno, Georgios Tsilingaridis, Malin Brundin

Open access · goldAbstract read
In one paragraph

Article in Journal of oral microbiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Evidence Mapping and Quality Assessment of Randomized Controlled Trials in Dental Traumatology.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
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 at 3 institutions in 1 country.

Alina WikströmDivision of Orthodontics and Paediatric Dentistry, Department of Dental Medicine, Karolinska Institute, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-8281-9241
Nelly Romani VestmanDepartment of Odontology, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-5674-8179
Olena RakhimovaDepartment of Odontology, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-3536-4467
David Lazaro GimenoDepartment of Plant Physiology, Umeå Plant Science Centre, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0003-3107-841X
Georgios TsilingaridisDivision of Orthodontics and Paediatric Dentistry, Department of Dental Medicine, Karolinska Institute, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-5361-5840
Malin BrundinDepartment of Odontology, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-8747-3307
Umeå University · SEKarolinska Institutet · SEUmeå Plant Science Centre · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To compare differences in the disinfection efficacy of calcium hydroxide (CH) and chlorhexidine gluconate (CHD) dressings in pulp revitalization (PR) of traumatized immature necrotic teeth; to investigate the microflora in successful/failed PR and whether bacterial persistence influences the outcomes of PR. Methods: Microbiological assessment of the average bacterial load (CFU/sample) and bacterial diversity (taxa/sample) was performed on 41 teeth at three timepoints (S2-before, S3-after debridement and S5- after root canal dressing). Results: The primary microflora was more diverse in successful cases than in failed. Decreases in CFU/sample and taxa/sample occurred S2 - S3, though new increases occurred at S5 in the CHD subgroup (successful and failed) and CFU/sample in the CH subgroup (failed). At S5, the successful cases showed more bacterial decreases. No specific species was associated with the outcomes with no statistical differences between the disinfection efficacy. Conclusions: There were no statistical differences in CH and CHD efficacy. At S5, microflora persisted in both successful and failed outcomes, but the abundance and diversity increased significantly only in the failed cases. The successful outcomes presented higher diversity and higher decreases of the primary microflora at S5 than the failed outcomes. The abundance and diversity increased significantly at S5 only in failed cases.

Indexed as

calcium hydroxidechlorhexidine gluconatedental traumaendodontic pulp revitalizationimmature traumatized necrotic teethmicrobiological assessment

Identifiers

PMID38665416
PMCPMC11044761
OpenAlexW4395116901

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.