ArticleCureus2025
Surgical Management of Endodontic Failure and Dental Neglect: A Pediatric Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
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Who cites it
0 citing papers in PubMed.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The ultimate goal of an endodontic treatment is to eliminate infection, thoroughly clean and disinfect the root canal system, and prevent reinfection. Although endodontic procedures generally demonstrate high success rates, failures may still occur due to factors such as inadequate obturation or overextension of root-filling materials. Gutta-percha extrusion beyond the apex can lead to persistent inflammation and compromise the healing. This case report presents a 12-year-old girl with a two-month history of continuous pain and swelling in the maxillary anterior region. The patient had a history of dental trauma and previous root canal treatment and retreatment for tooth 21. Clinical and radiographic findings revealed periapical radiolucency with incomplete and over-extruded obturated material. An attempt to remove the extruded material using Hedstrom files under a Dental Operating Microscope (DOM) was unsuccessful, and persistent symptoms necessitated surgical intervention. This case presents the clinical challenges associated with an over-extended obturation and the limitations of nonsurgical retreatment in managing such conditions. Surgical endodontics, guided by American Association of Endodontists (AAE) protocols, can effectively manage persistent symptoms associated with over-extruded filling material. Timely intervention and adherence to clinical protocols are critical in ensuring successful long-term outcomes.
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Registered trials
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