Evidence map›Paper›PMID 40517172›Full record

SynthesisOdontology2026

Potential of irrigants and medicaments in regenerative endodontics: insights from a systematic review on dentin growth factor release.

Cynthia Luiza Lopes de Oliveira, Farley Mendes Ferreira, Julia Puppin-Rontani, Regina Maria Puppin-Rontani, Fernanda Miori Pascon

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Odontology, 2026. 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. Article
  3. 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

5 authors.

Cynthia Luiza Lopes de OliveiraPediatric Dentistry Division, Faculdade de Odontologia de Piracicaba, Department of Health Science and Pediatric Dentistry, Universidade Estadual de Campinas, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
Farley Mendes FerreiraPrivate Practice, Piracicaba, SP, Brazil.
Julia Puppin-RontaniPrivate Practice, Piracicaba, SP, Brazil.
Regina Maria Puppin-RontaniPediatric Dentistry Division, Faculdade de Odontologia de Piracicaba, Department of Health Science and Pediatric Dentistry, Universidade Estadual de Campinas, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
Fernanda Miori PasconPediatric Dentistry Division, Faculdade de Odontologia de Piracicaba, Department of Health Science and Pediatric Dentistry, Universidade Estadual de Campinas, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil. pascon@unicamp.br.

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 88887.480052/2020-00
6 · The paper itself

Abstract

This study systematically reviews the literature on protocols used in regenerative endodontic procedures, focusing on the relationship between irrigants, intracanal medicaments, and the release of dentin-derived growth factors, which form one of the foundational pillars of regenerative endodontics. Systematic searches were conducted in PubMed, Web of Science, Scopus, Google Scholar, and gray literature for English studies (2015-2024). The included studies investigated growth factor release associated with irrigants or intracanal medicaments in human dentin. QUIN tool assessed methodological quality. Of the three-thousand-seven-hundred-and-seventy-four screened, seventeen studies were included in the review. Ethylenediaminetetraacetic acid (EDTA), either alone or combined with sodium hypochlorite (NaOCl) or chlorhexidine, and 10% citric acid were the most effective in releasing TGF-β1 and BMPs (BMP2 and BMP7). Although this systematic review demonstrates methodological heterogeneity among studies, there was a tendency for increased levels of TGF-β1 and BMP with the use of EDTA (10 or 17%) associated or not with NaOCl or chlorhexidine, while the release of VEGF and FGF2 was minimal or undetectable. Regarding the intracanal medicaments, the use of calcium hydroxide paste (Ca(OH)₂) paste demonstrated an increase in TGF-β1 release. However, this result should be interpreted with caution due to the limited number of available studies.

Indexed as

DentinIntercellular Signaling Peptides and ProteinsRegenerative EndodonticsRoot Canal IrrigantsChlorhexidineEdetic AcidHumansSodium HypochloriteChlorhexidineEdetic AcidIntercellular Signaling Peptides and ProteinsRoot Canal IrrigantsSodium HypochloriteDentinRegenerationTissue engineeringTooth rootTransforming growth factor beta 1Vascular endothelial growth factor receptor-1

Identifiers

What OpenQuestion holds

Textmetadata
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.