Evidence map›Paper›PMID 41940358›Full record

ArticleJournal of conservative dentistry and endodontics2026

Two-dimensional and three-dimensional evaluation of bone regeneration using platelet-rich fibrin versus bone putty in large periapical lesions after endodontic surgery: A randomized clinical trial.

Pravin Kumar, P Soundharrajan, Sharmila Shanmugam, Karishma Pathak, Rajat Sharma, Arun Kumar Patnana

Abstract read
In one paragraph

Article in Journal of conservative dentistry and endodontics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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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

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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.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Pravin KumarDepartment of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
P SoundharrajanDepartment of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Sharmila ShanmugamDepartment of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Karishma PathakDepartment of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Rajat SharmaDepartment of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, Haryana, India.
Arun Kumar PatnanaDepartment of Dentistry, All India Institute of Medical Sciences, Rajkot, Gujarat, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The aim of this study was to perform a two-dimensional (2D) and three-dimensional (3D) comparative evaluation of bone regeneration using autologous platelet-rich fibrin (PRF) versus calcium phosphosilicate-based bone putty in large periapical lesions before and after endodontic surgery. Materials and Methods: Fifty patients with a history of dental trauma and periapical pathology involving the maxillary and mandibular anterior and premolar tooth regions were randomly allocated into two groups, with 25 patients in each group. All patients underwent endodontic surgery following root canal treatment. Bony defects were managed with autologous PRF in Group I and bone putty in Group II. After a 1-year follow-up period, 2D healing was assessed using intraoral periapical radiographs (IOPARs), and area calculation was performed using ImageJ software. 3D healing was evaluated using cone-beam computed tomography (CBCT), and volumetric analysis was conducted using ITK-SNAP software. Results: Patients in Group II exhibited a significantly greater reduction in lesion volume (95.017% ±5.809%) and area (98.376% ± 2.916%) compared to those in Group I (volume reduction: 72.449% ± 14.264% and area reduction: 87.868% ± 11.048%). Bone healing assessed through CBCT and volumetric analysis using ITK-SNAP (83.733 ± 15.668%) was found to be more accurate than 2D area evaluation (93.122 ± 9.598) using IOPAR. Conclusion: Calcium phosphosilicate-based bone putty demonstrated significantly faster bone regeneration than PRF. CBCT-based volumetric assessment (3D) provides a more objective and accurate evaluation of bone healing than conventional IOPAR-based area assessment (2D) and may serve as a valuable tool for assessing treatment outcomes in complex endodontic surgeries.

Indexed as

Bone puttyendodontic surgeryImageJITK-SNAPperiapical lesionsplatelet-rich fibrinvolumetric analysis

Identifiers

PMID41940358
PMCPMC13048805

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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.