Evidence map›Paper›PMID 41931354›Full record

ArticleMedicine2026

Comparison of 2 kinds of endodontic treatments for pulp necrosis and infection in immature teeth following avulsion: A retrospective study.

Weiwei Zhou, Xin Zhang, Meng Wang, Liang Xue, Lili Zhang

Abstract readComparative Study
In one paragraph

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

0numbers the graph read from it
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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

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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

5 authors.

Weiwei ZhouDepartment of General Dentistry and Integrated Emergency Dental Care, Beijing Stomatological Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-8122-3780
Xin ZhangGongchen Branch of Beijing Stomatological Hospital, Capital Medical University, Beijing, China.
Meng WangDepartment of General Dentistry and Integrated Emergency Dental Care, Beijing Stomatological Hospital, Capital Medical University, Beijing, China.
Liang XueDepartment of General Dentistry and Integrated Emergency Dental Care, Beijing Stomatological Hospital, Capital Medical University, Beijing, China.
Lili ZhangDepartment of General Dentistry and Integrated Emergency Dental Care, Beijing Stomatological Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-5734-8441

Funding

Clinical Research Incubation Project of Beijing Stomatological Hospital, Capital Medical University 24-09-09
6 · The paper itself

Abstract

The aim of this study was to explore the feasibility and efficacy of regenerative endodontic procedures (REPs) for treating avulsion injuries through a comparative retrospective analysis of avulsed immature permanent teeth treated with apexification (APEX) and REPs. Forty-nine teeth from 39 patients met the inclusion criteria and were divided into APEX (n = 25) and REP (n = 24) groups. Clinical and radiographic data were analyzed, with treatment outcomes categorized as "healed," "healing," or "disease." Quantitative radiographic analysis using ImageJ software measured percent changes in root length and thickness. Multivariable logistic regression identified predictors of ``disease'' treatment outcome. The APEX (n = 25) and REP (n = 24) groups demonstrated balanced baseline characteristics (all P > .05). Analysis identified several prognostic factors, with storage medium (P = .031), root development stage (P = .003), and periodontal healing (PH) type (P < .001) showing significant associations. Multivariable analysis identified PH as the only independent predictor of ``disease'' treatment outcome (P = .005), with both ankylosis-related resorption (adjusted odds ratio = 0.014, 95% confidence interval: 0.001-0.235, P = .003) and infection-related resorption (adjusted odds ratio = 0.053, 95% confidence interval: 0.007-0.415, P = .005) substantially reducing the odds of healing. In a limited subsample (n = 20), REPs suggested a strong trend toward faster apical closure (P = .021), with 85.7% of REP cases achieving closure within 12 to 18 months compared to 23.1% of APEX cases. Radiographic measurements showed minimal and comparable changes in root development between groups (P > .05). REPs represent a viable therapeutic alternative to APEX in the management of avulsed immature teeth and associated with a tendency toward earlier apical closure. Furthermore, the type of PH was identified as a critical prognostic factor, serving as a key indicator for predicting adverse treatment outcomes.

Indexed as

ApexificationDental Pulp NecrosisRegenerative EndodonticsTooth AvulsionAdolescentChildFemaleHumansMaleRetrospective StudiesTooth ApexTreatment Outcomeapexification (APEX)avulsed teethimmature permanent teethpulp necrosis and infectionregenerative endodontic procedures (REPs)

Identifiers

PMID41931354
PMCPMC13052931

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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.