Vol. 22 No. 11s (2025): Volume 22, Number 11s – 2025
Original Article

Common Complications of Endodontic Treatment and Successful Management Approaches: A Systematic Review

Published 2025-11-10

Abstract

Background: Endodontic treatment is a cornerstone of modern dental practice with high reported success rates; however, procedural and postoperative complications remain clinically relevant.

Objective: To systematically review common complications of endodontic treatment and evaluate successful management approaches.

Methods: A systematic search of PubMed/MEDLINE, Scopus, Web of Science, and Google Scholar (2000–2025) was conducted following PRISMA 2020.

Results: Instrument separation, canal transportation, ledge formation, perforations, postoperative pain, and flare-ups were the most frequent complications. Magnification, CBCT imaging, ultrasonic techniques, and bioceramic materials improved management outcomes.

Conclusion: Evidence-based management significantly enhances prognosis and treatment success.