ArticleJournal of conservative dentistry and endodontics2025
Healing beyond the apex: Nonsurgical management of a periapical lesion with esthetic rehabilitation using direct composite veneers.
Article in Journal of conservative dentistry and endodontics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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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.
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Who cites it
2 citing papers in PubMed.
- From lesion to resolution: A cone-beam computed tomography-based retrospective comparison of bioactive materials in nonsurgical root canal therapy.Journal of conservative dentistry and endodontics · 2026Article
- Effect of guided tissue regeneration on the outcome of surgical endodontic treatment: An umbrella review.Journal of conservative dentistry and endodontics · 2025Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Discoloration of nonvital anterior teeth, often resulting from pulpal necrosis and associated periapical pathology, poses both functional and esthetic challenges. Conservative management that addresses both biological healing and esthetics is essential in such cases. A 45-year-old female presented with pain and discoloration in the maxillary anterior region. Clinical and radiographic examination revealed a nonvital, discolored tooth 11 with a large periapical lesion and initial periapical changes in tooth 12. Root canal treatment was performed on both teeth using HyFlex EDM files and ultrasonically activated irrigation protocol. Obturation was completed using a bioceramic sealer. Intracoronal bleaching of tooth 11 was attempted using sodium perborate and hydrogen peroxide, but minimal improvement in shade necessitated direct composite veneers for teeth 11 and 12. Tooth 13 was also veneered upon the patient's request. The patient was followed up at 3, 6, 9, and 12 months, with satisfactory clinical and radiographic outcomes. A combination of conservative endodontic treatment and minimally invasive esthetic rehabilitation can effectively manage nonvital, discolored anterior teeth, ensuring both functional success and patient satisfaction.
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