Evidence map›Paper›PMID 39967031›Full record

ArticleClinical and experimental dental research2025

Radicular Cysts and Periapical Granulomas: Data Documentation for 696 Cases and Findings on Fibrosis, and Porphyromonas gingivalis and Fusobacterium nucleatum in These Lesions.

Sirke Virkkunen, Terhi Kaarela, Merja Laine, Auli Suominen, Jaana Hagström, Timo Sorsa, Caj Haglund

Abstract read
In one paragraph

Article in Clinical and experimental dental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. The Presence and Tissue Distribution ofInternational journal of dentistry · 2026
    Article
  4. 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

7 authors.

Sirke VirkkunenDepartment of Pathology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0001-5376-4846
Terhi KaarelaDepartment of Pathology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Merja LaineDepartment of Dentistry, University of Turku, Turku, Finland.
Auli SuominenDepartment of Dentistry, University of Turku, Turku, Finland.
Jaana HagströmDepartment of Pathology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Timo SorsaDepartment of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Caj HaglundDepartment of Pathology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Funding

This research was supported by Helsingin ja Uudenmaan Sairaanhoitopiiri (Y780022044).
6 · The paper itself

Abstract

objectiveThe objective of our study was to re-evaluate periapical lesions, including radicular cysts (RCs) and periapical granulomas (PGs) for locations, histopathological features, and degree of fibrosis in relation to the inflammatory response. In addition, we examined the presence of Porphyromonas gingivalis (Pg) and Fusobacterium nucleatum (Fn) since both are widely recognized pathogens in periodontal infections.

methodsWe re-evaluated samples of RCs and PGs (n = 728) and collected data for analyses by IBM's SPSS Statistics. Among these samples, we stained 93 samples to determine the immunoexpression of Pg and Fn. For immunostaining, we used Gingipain R1 antibody for Pg and Rabbit anti-Fn antibody for Fn.

resultsFibrosis is associated with mild inflammation. We found a significant positive correlation between Pg and Fn. Thus, these pathogens are likely to occur together in periapical inflammatory lesions. We additionally noted that these periodontopathic pathogens are more likely to be present in RCs than in PGs.

conclusionsAsymptomatic radiologically diagnosed periapical lesions may not necessarily need root canal retreatment in healthy patients since these lesions may represent scar tissue rather than active apical periodontitis. Clinical and radiological follow-up is still needed. Yet, periapical lesions, especially cysts, may contain dystopic periodontopathic pathogens, and Pg and Fn often occur together in periapical lesions.

Indexed as

Fusobacterium nucleatumPeriapical GranulomaPorphyromonas gingivalisRadicular CystAdultAgedBacteroidaceae InfectionsFemaleFibrosisFusobacterium InfectionsHumansMaleMiddle Agedapical periodontitischronic inflammationdentigerous cystsperiodontopathogens

Identifiers

PMID39967031
PMCPMC11835764

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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.