Evidence map›Paper›PMID 39815035›Full record

Trial reportClinical oral investigations2025

Evaluation of the effect of different irrigation solutions used in regenerative endodontic treatment of necrotic molar teeth with open apex on postoperative pain- randomized clinical trial.

İpek Eraslan Akyüz, Ayşe Tuğba Eminsoy Avcı, Yakup Üstün, Kevser Solak Kolçakoğlu, Esra Kızılcı

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06386991 (Evaluation of the Effects of Different Irrigation Solutions Used in Regenerative Endodontic Treatment of Lower Molars With Open Necrotic Apexes on Postoperative Pain and Lesion Healing), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT06386991 phase4unknown statusnot on this map

Evaluation of the Effects of Different Irrigation Solutions Used in Regenerative Endodontic Treatment of Lower Molars With Open Necrotic Apexes on Postoperative Pain and Lesion Healing

TypeinterventionalSponsorTC Erciyes UniversityRan2024 to 2026Enrolled39ConditionsEndodontic DiseaseArmsUsing ethylenediaminetetraacetic acid (EDTA), citric acid ((MONO/ANH) and etidronic acid (HEBP) to clean root canals during regenerative endodontic treatments
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Cyotoxicity of Etidronate as an Endodontic Chelator Against Periodontal Ligament Fibroblast.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2026
    Article
  4. Narrative Review of Endodontic Biomaterials.Biomimetics (Basel, Switzerland) · 2026
    Review
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

5 authors.

İpek Eraslan AkyüzDepartment of Endodontics, Faculty of Dentistry, Erciyes University, Melikgazi, Kayseri, 38039, Türkiye.ORCID http://orcid.org/0009-0004-0963-9617
Ayşe Tuğba Eminsoy AvcıDepartment of Endodontics, Faculty of Dentistry, Erciyes University, Melikgazi, Kayseri, 38039, Türkiye.ORCID http://orcid.org/0000-0003-2697-8907
Yakup ÜstünDepartment of Endodontics, Faculty of Dentistry, Erciyes University, Melikgazi, Kayseri, 38039, Türkiye. yustun@erciyes.edu.tr.ORCID http://orcid.org/0000-0002-9290-5661
Kevser Solak KolçakoğluDepartment of Pedodontics, Faculty of Dentistry, Erciyes University, 38039, Kayseri, Türkiye.ORCID http://orcid.org/0000-0003-2596-8678
Esra KızılcıDepartment of Pedodontics, Faculty of Dentistry, Erciyes University, 38039, Kayseri, Türkiye.ORCID http://orcid.org/0000-0003-0746-7087

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study evaluates the effect of different irrigation solutions for postoperative pain in the regenerative endodontic treatments (RET) of necrotic teeth with open apex. MATERIALS AND

methodsThis study included necrotic, deeply carious lower molars of 42 patients. Access cavities of the teeth were opened and working lengths were measured at the first visit. In Group 1, the root canals were irrigated with 1.5% sodium hypochlorite (NaOCl) and 17% Ethylenediaminetetraacetic-acid (EDTA), in Group 2, with 1.5% NaOCl and 10% citric acid, and in the Group 3, with 1.5% NaOCl and 9% Etidronic acid (HEDP) mixture solution. Final irrigation was performed with distilled water. The canals were dried, filled with calcium hydroxide paste, and sealed with Cavit. Postoperative pain was assessed using a numerical rating scale, and Paracetamol was prescribed. At the second visit, calcium hydroxide was removed with 1.5% NaOCl, irrigated with chelators, and sealed with Sure-Seal PT 3 mm below the cementoenamel junction before composite resin filling.

resultsPostoperative pain was higher in Group 3 (p < 0.05), but analgesic consumption did not show a significant difference (p > 0.05).

conclusionsHEDP caused significantly more postoperative pain than EDTA and citric acid (p < 0.05). While the study provided information regarding the effects of irrigation solutions on postoperative pain, further research is needed as it did not include detailed assessments of long-term periapical healing and apex closure. CLINICAL RELEVANCE: When HEDP is used as a chelation agent in RETs, it shows a higher degree of postoperative pain than EDTA and citric acid solutions. CLINICAL

trial registrationThe study protocol was registered at www. CLINICALTRIALS: gov (ID: NCT06386991).

Indexed as

Dental Pulp NecrosisMolarPostoperative PainRegenerative EndodonticsRoot Canal IrrigantsTooth ApexAdultCitric AcidEdetic AcidFemaleHumansMaleMiddle AgedPain MeasurementSodium HypochloriteTreatment OutcomeCitric AcidEdetic AcidRoot Canal IrrigantsSodium HypochloriteApical periodontitisDevitalized teethPost-operative painRegeneration

Identifiers

PMID39815035
PMCPMC11735588

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Registered trials

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.