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Endodontic Disease: Prevalence, Risk Factors, and Treatment Outcome

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: 20 January 2026 | Viewed by 222

Special Issue Editors


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Guest Editor
Department of Optics, Faculty of Science, University of Granada, Granada, Spain
Interests: dentistry; devitalised teeth reconstruction; dental materials; color measurement; optical tech-niques; biomaterials; tissue engineering

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Co-Guest Editor
Department of Odontology, Endodontics and Oral Pathology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 33 Moților Street, 400001 Cluj-Napoca, Romania
Interests: endodontics; periapical lesions; irrigation solutions; root canal treatment; color science; ceramic restorations

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Guest Editor Assistant
Department of Restorative Dentistry and Endodontics, Research Center TADERP, Faculty of Dental Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
Interests: endodontics; bioceramic; rotary instrumentation; periapical lesions; coronal restoration

Special Issue Information

Dear Colleagues,

This Special Issue of JCM explores endodontic disease, focusing on its prevalence, risk factors, and treatment outcomes—topics of increasing importance in everyday dental practice. As the global burden of pulpal and periapical pathologies grows, a deeper understanding of their etiology and clinical management is essential for both general dentists and endodontists. The content of this Special Issue will explore the epidemiology of endodontic disease, highlighting systemic and local risk factors such as caries, trauma, periodontal conditions, and restorative complications. Emphasis will be placed on diagnostic severity and treatment complexity, and how these factors influence prognosis and treatment planning. Clinical outcomes are shaped by a range of elements such as microbial resistance, root canal anatomy, the precision of the procedure, and individual patient characteristics. Although research and clinical techniques have advanced significantly, gaps remain in standardizing diagnostic criteria, outcome measures, and long-term follow-up data. Through original research and literature reviews, this collection of articles seeks to address these challenges and support informed clinical decision-making. Importantly, this Special Issue also connects contemporary endodontic practice with emerging technologies, such as 3D imaging, bioceramics, new irrigation and activation solutions, and techniques and regenerative approaches, highlighting their role in enhancing precision, outcomes, and the overall quality of dental care.

Prof. Dr. Razvan Ionut Ghinea
Dr. Ioana-Sofia Pop-Ciutrilă
Guest Editors

Dr. Luminita-Maria Nica
Guest Editor Assistant

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • endodontics
  • apical periodontitis
  • pulpitis
  • root canal treatment
  • risk factors
  • treatment outcomes
  • regenerative endodontics

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Published Papers (1 paper)

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Research

19 pages, 2818 KiB  
Article
An Observational Study on Pain Occurrence After Root Canal Treatment: Role of Operator Experience When Using a Bioceramic Sealer
by Mihai Merfea, Ioana Sofia Pop-Ciutrila, Mindra Eugenia Badea, Ada Gabriela Delean, Oana Cimponeriu, Razvan Corneliu Pop, Maria Peter, Iulia Clara Badea and Sanda Ileana Cimpean
J. Clin. Med. 2025, 14(13), 4558; https://doi.org/10.3390/jcm14134558 - 27 Jun 2025
Viewed by 146
Abstract
Background and objectives: Post-operative pain (POP) is a common complication after root canal treatment and is influenced by various clinical and patient-related factors. The present study evaluated the incidence and intensity of POP following root canal treatment using a bioceramic sealer performed [...] Read more.
Background and objectives: Post-operative pain (POP) is a common complication after root canal treatment and is influenced by various clinical and patient-related factors. The present study evaluated the incidence and intensity of POP following root canal treatment using a bioceramic sealer performed by operators with different levels of experience. Methods: A total of 115 patients were included in this prospective observational study. Patients were treated by operators with different levels of experience: postgraduate students (PGSs) and endodontic specialists (ESs). Standardized protocols were used in two distinct appointments: an instrumentation visit and an obturation visit. Obturation was performed using the continuous wave condensation technique and Total Fill Hi-Flow BC Sealer (TFHF). POP, mastication discomfort, and sleep disturbance were assessed at 24, 48, and 72 h after the instrumentation and obturation phases using a numeric rating scale (NRS). Results: The results indicate significantly higher POP after the instrumentation phase, compared to the obturation phase (p < 0.001). The pain intensity progressively decreased over time for both phases. No significant differences were observed between the PGS and ES groups regarding POP, mastication discomfort, or sleep disturbance at any time. Sealer extrusion did not significantly impact POP (p > 0.05). Conclusions: This study found that operator experience does not significantly influence POP when a standardized protocol is followed. The use of TFHF with the continuous wave condensation technique was associated with minimal POP. Full article
(This article belongs to the Special Issue Endodontic Disease: Prevalence, Risk Factors, and Treatment Outcome)
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