Evidence map›Paper›PMID 39450213›Full record

ReviewCureus2024

The Management of Root Perforation: A Review of the Literature.

Maram M Alshehri, Bushra F Alhawsawi, Atheer Alghamdi, Salem O Aldobaikhi, Maha H Alanazi, Fahad A Alahmad

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Review
  2. Review
  3. Factors Influencing the Outcome of Iatrogenic Perforation Repair in Permanent Teeth-A Narrative Review.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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.

Maram M AlshehriCollege of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Bushra F AlhawsawiRestorative Department, Riyadh Elm University, Riyadh, SAU.
Atheer AlghamdiCollege of Dentistry, King Saud University, Riyadh, SAU.
Salem O AldobaikhiDentistry, Jubail General Hospital, Jubail, SAU.
Maha H AlanaziCollege of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Fahad A AlahmadDepartment of Dentistry, Armed Forces Hospital, Jizan, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Root canal perforation is defined as an opening or communication of the root to the outer oral tissue that occurs either accidentally during root canal therapy or due to unknown pathological causes, which generally result in complications in patients due to the passage of microorganisms to the surrounding tissues. These complications may necessitate extraction of the affected tooth. In this literature review, 42 articles were reviewed initially; 33 of them were included in the final analysis based on exclusion and inclusion criteria. Root perforation may occur due to caries, external and internal resorption, trauma, as well as iatrogenic causes. Many studies have suggested that perforation can be identified by radiographs, unexpected bleeding and pain during instrumentation, blood on paper points, electronic apex locator, and dental operating microscope. Several materials have been used in endodontic perforation repairs, such as indium foil, super 2-ethoxybenzoic acid (super EBA), as well as bioceramic materials like mineral trioxide aggregate (MTA) and biodentine. These materials must achieve biocompatibility, bacteriostatic ability, and radio-opacity. Many studies have reported the superior properties of MTA in comparison with other materials. Based on our literature review, management of root perforation should be performed based on multiple significant factors. Clinicians must possess a comprehensive understanding of tooth anatomy to prevent perforation occurrence. Furthermore, clinical management and prognosis of root perforation have been enhanced by the availability of advanced materials and sealing techniques.

Indexed as

apical perforationbioceramic materialscoronal perforationendodontic perforationiatrogenic perforationmineral trioxide aggregatepathological perforation

Identifiers

PMID39450213
PMCPMC11500726

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.