Evidence map›Paper›PMID 40603366›Full record

Trial reportScientific reports2025

Impact of minimally invasive root canal treatment on healing outcomes in a randomized clinical trial.

Seung-Kyung Kwon, Minkyeong Seog, Dohyun Kim, Il-Young Jung

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Seung-Kyung KwonMicroscope Center, Department of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Sudaemun-gu, Seoul, 03722, Korea.
Minkyeong SeogMicroscope Center, Department of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Sudaemun-gu, Seoul, 03722, Korea.
Dohyun KimMicroscope Center, Department of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Sudaemun-gu, Seoul, 03722, Korea.
Il-Young JungMicroscope Center, Department of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Sudaemun-gu, Seoul, 03722, Korea. juen@yuhs.ac.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimally invasive endodontic treatment has been an important topic of discussion in recent years, particularly in endodontics. This randomized prospective clinical trial aimed to assess outcomes after at least 2 years following two distinct root canal treatment (RCT) protocols: (1) conventional treatment protocol (CP) and (2) minimally invasive protocol (MP), with a focus on the amount of root canal preparation. 175 mature permanent teeth were randomly assigned to one of two groups. The CP group was treated using ProTaper Gold systems and the continuous wave condensation technique, while the MP group underwent treatment with TruNatomy, ultrasonic-associated irrigation, calcium hydroxide (Ca[OH]₂), and a sealer-based obturation technique. The patients were recalled after a minimum of 2 years, and the outcome was dichotomized into success or failure according to strict and loose criteria, respectively. The results were analyzed statistically through chi-squared, Fisher's exact tests or t-tests, followed by multivariable logistic regression analysis. A total of 125 teeth were analyzed, with a recall rate of 67.4% and an average follow-up period of 36 months (24-46 months). The overall success rates were 84.8% for loose criteria (CP 91.9%, MP 77.8%) and 80.8% for strict criteria (CP 88.7%, MP 71.4%), with statistically significant differences observed between the groups (p = 0.027 and p = 0.016, respectively). The MP group and the presence of sinus tract were associated with a greater risk of failure under both loose and strict criteria. Within the constraints of this protocol-which combined minimal preparation with supplemental disinfection techniques-the MP group exhibited significantly lower success rates than the CP group. While MP may offer benefits in structural preservation, clinicians should carefully weigh these advantages against the potential compromise in treatment outcomes. Trial registration: CRIS, KCT0005351. Registered on 25 August 2020.

Indexed as

Minimally Invasive Surgical ProceduresRoot Canal TherapyWound HealingAdultCalcium HydroxideFemaleHumansMaleMiddle AgedProspective StudiesRoot Canal PreparationTreatment OutcomeYoung AdultCalcium Hydroxide

Identifiers

PMID40603366
PMCPMC12222528

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Registered trials

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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.