Common Complications of Endodontic Treatment and Successful Management Approaches: A Systematic Review
Published 2025-11-10

This work is licensed under a Creative Commons Attribution 4.0 International License.
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.