Evidence map›Paper›PMID 42322012›Full record

ArticleInternational endodontic journal2026

Chronic Stress Predictability Modulates the Severity of Apical Periodontitis Induced in Wistar Rats.

Giovanna Bignoto Minhoto, Gustavo G Guerrero, Rayana D Khoury, Carolina O Lima, Carolina F Gagliardi, Camila G C Barbosa, Emmanuel J N L Silva, Marcia C Valera

Abstract read
In one paragraph

Article in International endodontic journal, 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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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

8 authors.

Giovanna Bignoto MinhotoDepartment of Restorative Dentistry, Endodontic Division, São Paulo State University - UNESP, Institute of Science and Technology, São Paulo, Brazil.
Gustavo G GuerreroDepartment of Restorative Dentistry, Endodontic Division, São Paulo State University - UNESP, Institute of Science and Technology, São Paulo, Brazil.
Rayana D KhouryDepartment of Restorative Dentistry, Endodontic Division, São Paulo State University - UNESP, Institute of Science and Technology, São Paulo, Brazil.
Carolina O LimaDepartment of Endodontics, Juiz de Fora Federal University (UFJF), Governador Valadares, Brazil.
Carolina F GagliardiDepartment of Restorative Dentistry, Endodontic Division, São Paulo State University - UNESP, Institute of Science and Technology, São Paulo, Brazil.
Camila G C BarbosaDepartment of Restorative Dentistry, Endodontic Division, São Paulo State University - UNESP, Institute of Science and Technology, São Paulo, Brazil.
Emmanuel J N L SilvaDepartment of Endodontics, Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-6445-8243
Marcia C ValeraDepartment of Restorative Dentistry, Endodontic Division, São Paulo State University - UNESP, Institute of Science and Technology, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-7398-6438

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico _ CNPq 431807/2016-7Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorFundação de Amparo à Pesquisa do Estado de São Paulo 2020/13269-1
6 · The paper itself

Abstract

aimTo evaluate the effects of predictable and unpredictable chronic stress on the development and severity of periapical lesions in rats. METHODOLOGY: Thirty-two male Wistar rats were randomly allocated into four groups (n = 8 each): control, apical periodontitis without stress, apical periodontitis with predictable stress, and apical periodontitis with unpredictable stress. Emotional stress protocols were applied for 42 days, and apical periodontitis was induced on day 21 by pulp exposure. Stress induction was confirmed through behavioural evaluation using the open field and Y-maze tests. The severity of periapical lesions was assessed by microcomputed tomography and histological analysis. Data were analysed using Student's t-test, Mann-Whitney, one-way ANOVA, or Kruskal-Wallis tests (p < 0.05).

resultsBehavioural tests confirmed successful stress induction, with both stressed groups demonstrating reduced exploratory activity compared to non-stressed animals. Animals exposed to unpredictable stress developed significantly larger periapical lesions and exhibited higher inflammatory infiltrate scores than those subjected to predictable stress or no stress (p < 0.05). Microcomputed tomography findings corroborated the histological results, confirming the greater severity of apical periodontitis in the unpredictable stress group (p < 0.05).

conclusionUnpredictable chronic stress significantly exacerbated the development and severity of periapical lesions, suggesting that stress predictability may act as a modulatory factor in apical periodontitis progression.

Indexed as

Periapical PeriodontitisStress, PsychologicalAnimalsChronic DiseaseDisease Models, AnimalMaleRandom AllocationRatsRats, WistarSeverity of Illness IndexX-Ray Microtomographyanimal modelapical periodontitisbone losschronic stressendodontics

Identifiers

PMID42322012
PMCPMC13569247

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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.