Evidence map›Paper›PMID 40481449›Full record

Trial reportBMC oral health2025

Accuracy of static-guided endodontics for access cavity preparation with pulp canal obliteration: a randomized controlled clinical trial.

Jiayang Li, Yufeng Hu, Zhifei Ma, Hui Liu, Liqun Cao, Xiaoling Wei

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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.

Jiayang Li *Department of Endodontics, School of Stomatology, Shanghai Stomatological Hospital, Fudan University, 356 Beijing Road East, Huangpu District, Shanghai, 200001, China.
Yufeng Hu *Department of Endodontics, School of Stomatology, Shanghai Stomatological Hospital, Fudan University, 356 Beijing Road East, Huangpu District, Shanghai, 200001, China.
Zhifei MaDepartment of Endodontics, School of Stomatology, Shanghai Stomatological Hospital, Fudan University, 356 Beijing Road East, Huangpu District, Shanghai, 200001, China.
Hui LiuDepartment of Endodontics, School of Stomatology, Shanghai Stomatological Hospital, Fudan University, 356 Beijing Road East, Huangpu District, Shanghai, 200001, China.
Liqun CaoDepartment of Endodontics, School of Stomatology, Shanghai Stomatological Hospital, Fudan University, 356 Beijing Road East, Huangpu District, Shanghai, 200001, China. caoliqun1975@qq.com.
Xiaoling WeiDepartment of Endodontics, School of Stomatology, Shanghai Stomatological Hospital, Fudan University, 356 Beijing Road East, Huangpu District, Shanghai, 200001, China. Xiaoling_Wei@fudan.edu.cn.

Funding

Shanghai Municipal Health Commission Planning 202040492Shanghai Municipal Health Commission Planning 20244Y0127Shanghai Science and Technology Innovation Action Medical Innovation Research Project 23Y11910100Shanghai Stomatological Hospital Shanghai Stomatological Hospital Institutional Project SHH-2022-YJ-07Shanghai Stomatological Hospital Shanghai Stomatological Hospital Institutional Project SHH-2022-YJ-B03
6 · The paper itself

Abstract

backgroundLocating calcified canals in teeth with pulp canal obliteration remains particularly challenging. The absence of data from randomized controlled trials conducted in vivo has been a critical gap. The objective of this study was to comprehensively assess the accuracy of static-guided endodontics in addressing the challenges of pulp canal obliteration through a randomized controlled clinical trial, as well as pain during treatment and clinical outcomes.

methodsEighty patients with pulp canal obliteration were selected from July 2020 to March 2022 and randomly divided into two groups. In the freehand group, patients underwent contemporary freehand access cavity preparation. Patients in the static-guided group underwent innovative access cavity preparation using three-dimensional-printed endodontic guides for precise root canal localization. The quantitative accuracy was subsequently evaluated through meticulous assessment of indirect impression scans obtained from the access cavities. Moreover, pain during treatment and clinical outcome were investigated.

resultsAll participants were randomly assigned to treatment groups. The static-guided group showed high accuracy, with average deviations of 0.14 ± 0.08 mm at the coronal entry point, 0.35 ± 0.16 mm at the apical point, and an angular deviation of 1.75 ± 0.30 °. These deviations were significantly lower than those in the freehand group (P < 0.0001). No significant difference were found between the groups regarding pain during treatment and clinical outcomes after one year (P > 0.05).

conclusionThis study demonstrates, within its limitations, the static endodontics guides represent an accurate method in locating root canals for pulp canal obliteration through a randomized controlled clinical trial.

trial registrationThe Chinese Clinical Trial Registry, NO. ChiCTR2000037260 (27/08/2020, retrospectively registered).

Indexed as

Dental Pulp CalcificationDental Pulp CavityRoot Canal PreparationAdultFemaleHumansMaleMiddle AgedPrinting, Three-DimensionalRoot Canal TherapyTreatment OutcomeYoung AdultClinical studiesComputer-Aided designCone-Beam computed tomographyDental pulp calcificationRoot Canal Preparation

Identifiers

PMID40481449
PMCPMC12144754

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.