Evidence map›Paper›PMID 41840389›Full record

ArticleBMC oral health2026

Oral dirofilariasis mimicking endodontic failure: a case report.

Aleksandra Karkle, Ksenija Silina, Ilze Akota, Angelika Krumina, Anete Vaskevica, Katrina Gardovska, Laura Neimane, Anda Slaidina

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Aleksandra KarkleDepartment of Conservative Dentistry and Oral Health, Rīga Stradiņš University, Riga, LV-1007, Latvia.ORCID 0000-0003-2201-8060
Ksenija SilinaDepartment of Conservative Dentistry and Oral Health, Rīga Stradiņš University, Riga, LV-1007, Latvia. ksenija.silina@rsusi.lv.ORCID 0009-0003-0675-900X
Ilze AkotaDepartment of Oral and Maxillofacial Surgery and Oral Medicine, Rīga Stradiņš University, Riga, LV-1007, Latvia.ORCID 0000-0003-2263-1383
Angelika KruminaDepartment of Oral and Maxillofacial Surgery and Oral Medicine, Rīga Stradiņš University, Riga, LV-1007, Latvia.ORCID 0000-0003-0726-3375
Anete VaskevicaDepartment of Conservative Dentistry and Oral Health, Rīga Stradiņš University, Riga, LV-1007, Latvia.ORCID 0000-0002-2067-4219
Katrina GardovskaDepartment of Conservative Dentistry and Oral Health, Rīga Stradiņš University, Riga, LV-1007, Latvia.ORCID 0000-0002-5529-8209
Laura NeimaneDepartment of Conservative Dentistry and Oral Health, Rīga Stradiņš University, Riga, LV-1007, Latvia.ORCID 0000-0002-5411-5810
Anda SlaidinaDepartment of Prosthetic Dentistry, Rīga Stradiņš University, Riga, LV-1007, Latvia.ORCID 0000-0001-8353-4187

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral dirofilariasis is a rare parasitic infection that can mimic common dental pathologies. This report presents a unique case where dirofilariasis was mistaken for an acute apical abscess, highlighting diagnostic challenges and the importance of interdisciplinary collaboration. CASE PRESENTATION: A 47-year-old male presented with a persistent, painless swelling in the maxillary anterior region (tooth 11). Initial history and radiographic examinations suggested an acute apical abscess following inadequate root canal treatment. However, during surgical exploration, a live nematode was discovered in the periapical lesion. The parasite was extracted, and histopathological analysis confirmed Dirofilaria spp. The patient underwent endodontic retreatment and achieved full recovery.

conclusionsThis case underscores the need for clinicians to consider parasitic infections in atypical presentations of periapical pathology. Advanced imaging, thorough surgical assessment, and histopathological confirmation are essential in distinguishing rare infections from common dental diseases.

Indexed as

DirofilariasisMouth DiseasesPeriapical AbscessAnimalsDiagnosis, DifferentialHumansMaleMiddle AgedRoot Canal TherapyAcute apical abscessApical periodontitisCase reportCBCTDirofilariasisParasitic InfectionPeriapical lesion

Identifiers

PMID41840389
PMCPMC13037268

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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.