Evidence map›Paper›PMID 39560698›Full record

Observational studyInternational endodontic journal2025

Potential predisposing features of external cervical resorption: An observational study.

Shanon Patel, Francesc Abella, Kreena Patel, AbdulAziz Bakhsh, Paul Lambrechts, Nassr Al-Nuaimi

Abstract readObservational Study
In one paragraph

Observational study in International endodontic journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Dental Traumatology in Contemporary Practice: From Evidence to Education and Clinical Practice.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Article
  5. Article
  6. [Research progress on external cervical resorption].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026
    Review
  7. Article
  8. Article
  9. Observational
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.

Shanon PatelFaculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.ORCID 0000-0003-0614-6951
Francesc AbellaUniversitat Internacional de Catalunya, Barcelona, Spain.ORCID 0000-0002-3500-3039
Kreena PatelPrivate Practice, London, UK.
AbdulAziz BakhshEndodontic Division, Department of Restorative Dentistry, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Paul LambrechtsDepartment of Oral Health Sciences, Endodontology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.
Nassr Al-NuaimiBoston University Henry M. Goldman School of Dental Medicine, Boston, Massachusetts, USA.ORCID 0000-0002-8748-062X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the occurrence of external cervical resorption (ECR) in relation to patient characteristics and potential predisposing factors. METHODOLOGY: In total, 215 ECR lesions (194 patients) referred to the Endodontic postgraduate Unit at King's College London or Specialist Endodontic practice (London, UK) between September 2017 and January 2022. The clinical records were readily accessible for evaluation. At the time of initial presentation, patients diagnosed with ECR were interviewed regarding potential predisposing factors using a checklist based on existing literature of reported predisposing factors. Absolute and relative frequencies for all variables were computed. Inferential analysis was carried out to determine if there was any potential association between the type and location of tooth in the jaw as well as sex, age of the patient and potential predisposing factors.

resultsNo identifiable predisposing factor were detected in 22.3% (48/215 teeth) of the cases, 57.7% (124/215 teeth) had a sole, identifiable predisposing factor and 20% (43/215 teeth) had combined (several) factors. The most common (sole or combined) potential predisposing factors were previous/existing history of orthodontic treatment (25.6%, 55/215 teeth), dental trauma injury (DTI) (20.9%, 45/215 teeth), domestic cat ownership (15.8%, 34/215 teeth) and parafunctional habits (10.2%, 22/215 teeth). The highest occurrence of sole predisposing factors was recorded for males (62%, 75/121 teeth), all other ethnic groups combined (non-white) patients (58.5%, 24/41 teeth), incisor teeth (64.4%, 56/87 teeth) and maxillary teeth (62.4%, 68/109 teeth). While the highest occurrence of combined predisposing factors was found in females (22.3%, 21/94 teeth), white patients (20.1%, 35/174 teeth), premolars (29%, 9/31 teeth) and mandibular teeth (21.7%, 23/106 teeth). There were significant associations between tooth type and trauma (p < .001), cat ownership (p = .003) and parafunctional habits (p = .017). The association between trauma (p < .001), cat ownership (p = .002) and jaw location were found to be significant. Concerning parafunctional habits, female patients had significantly (p = .015) more ECR occurrence than male patients.

conclusionMost cases had 1 (sole) identified predisposing factor; orthodontic treatment, dental trauma history and (previous) cat ownership were the most identified factors. The information may be helpful in diagnosing early stage ECR.

Indexed as

Tooth CervixAdolescentAdultAgedFemaleHumansLondonMaleMiddle AgedRisk FactorsRoot ResorptionTooth InjuriesYoung Adultexternal cervical resorptionpredisposing factors

Identifiers

PMID39560698
PMCPMC11715151

What OpenQuestion holds

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Registered trials

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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.