Evidence map›Paper›PMID 41685848›Full record

SynthesisEuropean endodontic journal2025

Three-Dimensional Filling Quality of Cold Lateral vs Warm Vertical Condensation: A Micro-CT and CBCT-Based Systematic Review and Meta-Analysis.

Mahmood Dashti, Niloofar Ghadimi, Turgut Yagmur Yalc N, Houyar Zahmatkesh, Kaan Orhan, Shahryar Irannejad Rankouhi, Zohaib Khurshid, Muhammad Sohail Zafar

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European endodontic journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Mahmood DashtiDentofacial Deformities Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Niloofar GhadimiDepartment of Oral and Maxillofacial Radiology, Dental School, Islamic Azad University of Medical Sciences, Tehran, Iran.
Turgut Yagmur Yalc NDepartment of Endodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkiye.
Houyar ZahmatkeshFaculty of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Kaan OrhanDepartment of Dento-maxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara, Turkiye; Ankara University Medical Design Application and Research Center (MEDITAM), Ankara, Turkiye; Department of Oral Diagnostics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary.
Shahryar Irannejad RankouhiDental School, Alborz University of Medical Sciences, Karaj, Iran.
Zohaib KhurshidDepartment of Prosthodontics and Dental Implantology, King Faisal University, Al-Ahsa, Saudi Arabia; Center of Excellence for Regenerative Dentistry, Department of Anatomy, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Muhammad Sohail ZafarDepartment of Clinical Sciences, College of Dentistry, Ajman University, Ajman, United Arab Emirates; Center of Medical and Bio-allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates; 13. School of Dentistry, University of Jordan, Amman, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review and meta-analysis compared the efficacy of cold lateral condensation (CLC) and warm vertical condensation (WVC) in endodontic obturation. The primary focus was to evaluate three-dimensional (3D) obturation quality, including void volume, gutta-percha adaptation, and filling completeness, using Micro-Computed Tomography (Micro-CT) and Cone-Beam Computed Tomography (CBCT). A systematic search was conducted in PubMed, Embase, Scopus, and Web of Science up to December 2024 following PRISMA guidelines. Studies were included if they had compared CLC and WVC using Micro-CT or CBCT imaging and reported quantitative outcomes on gutta-percha filling and void volume. A randomeffects meta-analysis was performed because of high heterogeneity (I��=80%), with standardized mean differences (SMD) and 95% confidence intervals (CIs) calculated. Twelve studies were included in the review, with five contributing to the meta-analysis. WVC showed superior obturation quality along the full canal length (SMD=-2.19; 95% CI: -3.78 to -0.60; p=0.02). However, in the apical third, the difference was not statistically significant (SMD=-0.79; 95% CI: -1.92 to 0.35; p=0.13). While WVC offered superior adaptation and fewer voids, it also presented a higher risk of sealer extrusion. CLC, while cost-effective and widely used, exhibited more voids and poorer adaptation, particularly in complex canals. However, substantial heterogeneity (I��=80-85%) among included studies limits confidence in these pooled estimates. WVC achieves superior obturation quality along the full length; however, the evidence remains inconclusive for the apical third, reflecting uncertainty in this anatomically complex region. High study heterogeneity underscores the need for methodological standardization. Given the high heterogeneity and methodological variation among included studies, including studies using alternative models or techniques, the findings should be interpreted with caution and serve as a basis for future standardized research. (EEJ-2025-05-077).

Indexed as

Cone-Beam Computed TomographyRoot Canal ObturationX-Ray MicrotomographyGutta-PerchaHumansImaging, Three-DimensionalRoot Canal Filling MaterialsGutta-PerchaRoot Canal Filling Materials

Identifiers

PMID41685848
PMCPMC12686864

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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.