Evidence map›Paper›PMID 41837388›Full record

SynthesisAustralian endodontic journal : the journal of the Australian Society of Endodontology Inc2026

Enterococcus faecalis and Endodontic Treatment Failure: A Qualitative Systematic Review of Its Role and Elimination Strategies.

Francine Santos Fernandes de Lima, Analia Gabriella Borges Ferraz Facury

Abstract readSystematic Review
In one paragraph

Synthesis in Australian endodontic journal : the journal of the Australian Society of Endodontology Inc, 2026. 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

2 authors.

Francine Santos Fernandes de LimaCentro Universitário Nossa Senhora Do Patrocínio, School of Dentistry, Itu, São Paulo, Brazil.ORCID https://orcid.org/0009-0003-5895-1140
Analia Gabriella Borges Ferraz FacuryDepartment of Restorative Dentistry, School of Dentistry, University of Uberaba, Uberaba, Minas Gerais, Brazil.ORCID https://orcid.org/0000-0001-9255-3937

Funding

Fundação de Amparo à Pesquisa do Estado de Minas Gerais APQ-01203-23
6 · The paper itself

Abstract

The aim of this study was to synthesize evidence on the influence of Enterococcus faecalis on endodontic treatment failure and strategies for its elimination. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was registered in PROSPERO (CRD420251022741). PubMed and SciELO were searched using PICO terms, and 76 studies (1997 and 2025) met the inclusion criteria. Reported E. faecalis prevalence ranged from approximately 4%-78%, depending on detection methods and sampling strategies. Canal isolates frequently expressed virulence factors, formed biofilms, and survived alkaline pH and nutrient limitation, with multidrug resistance reported. Chemo-mechanical preparation with sodium hypochlorite and EDTA, often combined with ultrasonic activation, reduced intraradicular bacterial load but achieved complete sterilization. In retreatment, two-visit protocols with intracanal medication improved microbiological outcomes, although calcium hydroxide efficacy depended on vehicle and duration. Adjunctive approaches showed mainly in vitro promise. Optimised disinfection and sealing remain essential.

Indexed as

Enterococcus faecalisGram-Positive Bacterial InfectionsRoot Canal TherapyBiofilmsHumansRoot Canal IrrigantsTreatment FailureRoot Canal IrrigantsEnterococcus faecalisintracanal medicationroot canal retreatmentsystematic reviewultrasound

Identifiers

PMID41837388
PMCPMC13436183

What OpenQuestion holds

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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.