Evidence map›Paper›PMID 40210873›Full record

ArticleBDJ open2025

Clinical and radiographic outcomes of non-surgical retreatment of mature maxillary incisions using two regenerative endodontic techniques in adolescents: a 24-month randomized clinical trial.

Ahmad Abdel Hamid Elheeny, Sherif Shafik El Bahnasy, Yassmin Mohamed ElMakawi, Mohammed Turky, Eman Farouk Ahmed, Norhan Khaled Omar Wahba

Abstract read
In one paragraph

Article in BDJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. 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.

Ahmad Abdel Hamid ElheenyAssistant Professor of Paediatric and Community Dentistry, Faculty of Dentistry, Minia University, Minia, Egypt. ahmedelheeny@mu.edu.eg.ORCID http://orcid.org/0000-0001-7796-0198
Sherif Shafik El BahnasyAssistant Professor of Oral Radiology, Faculty of dentistry, The British university in Egypt, Al Shorouk City, Egypt.
Yassmin Mohamed ElMakawiLecturer of Paediatric and Community Dentistry, Faculty of Oral and Dental Medicine, Nahda University, Nahda, Egypt.
Mohammed TurkyDepartment of Endodontics, Faculty of Dentistry, Minia University, Minia, Egypt.
Eman Farouk AhmedAssistant Professor of Microbiology and Immunology, Microbiology and Immunology Department, Faculty of Pharmacy, Sohag University, 82524, Province, Sohag, Egypt.
Norhan Khaled Omar WahbaDemonstrator of Paediatric and Community Dentistry, Faculty of Oral and Dental Medicine, Nahda University, Nahda, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe primary aim was to monitor the healing of the periapical radiolucencies of adolescents' mature permanent teeth with apical periodontitis after root canal retreatment with two REPs techniques at 24 months of follow-up. The secondary aim was to assess clinical outcomes and positive responses of retreated teeth to pulp sensibility tests. METHODOLOGY: Forty adolescents with 48 teeth were enroled and randomly allocated into two equal groups after being matched according to their periapical index (PAI) scores. Root canal retreatment was performed with blood clot (BC) formation in one group and platelet-rich fibrin (PRF) in the other group. The healing process was tracked using standardized two-dimensional radiographic images to record the changes in the PAI scores after 3, 6, 12, and 24 months. Additionally, the clinical signs and symptoms and the positive responses to pulp sensibility tests were monitored. The difference between the PAI medians was analysed using the Mann-Whitney U test. The main impact of time on the PAI values and the interaction between time and the REPs technique were assessed using the general linear model (GLM). The alpha level of significance was 5%.

resultsAfter two years of follow-up, there was no significant difference between the two groups clinically and in the PAI medians. The overall success rates in the BC and PRF groups were 95% and 100%, respectively (P > 0.05). Positive pulp responses were detected in 71% of the BC group and 73% in the PRF group (P > 0.05). The EPT mean values in the BC and PRF groups were 40.86 ± 6.60 and 37.9 ± 15.22, respectively (P > 0.05). Time had a significant impact on the PAI scores over the follow-up periods (P > 0.0001), while the interaction effect of time with the REPs technique had no significant effect on the PAI scores (P = 0.126).

conclusionsREPs were effective in the retreatment of mature maxillary permanent incisors with apical periodontitis with a comparable reduction in the periapical radiolucencies and clinical outcomes associated with approximately similar positive responses to thermal and electric pulp tests.

Identifiers

PMID40210873
PMCPMC11985920

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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.