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This scoping review, supported by metasynthesis through thematic analysis, synthesised clinical and imaging evidence in multirooted teeth. Five studies, including experimental research and case reports, were analysed. Thematic analysis revealed four core themes: clinical outcomes, imaging assessment, procedural features, and methodological limitations. Short\u2010term outcomes of selective retreatment were comparable to full retreatment, with high tooth survival and low incidence of new lesions. Three\u2010dimensional imaging played a pivotal role in detecting root\u2010confined pathology, planning selective access, and supporting structural preservation. Evidence remains limited by small sample sizes, retrospective designs, and heterogeneity in study protocols. This review offers a structured synthesis of selective retreatment, integrating clinical and imaging insights to inform minimally invasive endodontic practice in a research and clinical context.<\/jats:p>","DOI":"10.1111\/aej.70050","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T09:14:09Z","timestamp":1767345249000},"page":"323-330","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Selective Root Canal Retreatment: A Scoping Review and Metasynthesis by Thematic Analysis"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4146-9134","authenticated-orcid":false,"given":"Jos\u00e9 Evando","family":"da Silva\u2010Filho","sequence":"first","affiliation":[{"name":"Department of Dental Radiology and Imaging, Faculty of Dentistry University of Fortaleza  Fortaleza Cear\u00e1 Brazil"},{"name":"Department of Endodontics, Faculty of Dentistry University of Fortaleza  Fortaleza Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4608-3829","authenticated-orcid":false,"given":"J\u00falia","family":"Magalh\u00e3es\u2010Saldanha","sequence":"additional","affiliation":[{"name":"Department of Endodontics, Faculty of Dentistry University of Fortaleza  Fortaleza Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5552-3170","authenticated-orcid":false,"given":"Ana Paula","family":"Caracas\u2010de\u2010Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Department of Operative Dentistry, Faculty of Dentistry University of Fortaleza  Fortaleza Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2707-6123","authenticated-orcid":false,"given":"Zildenilson","family":"da Silva Sousa","sequence":"additional","affiliation":[{"name":"Department of Stomatology, Faculty of Dentistry University of Fortaleza  Fortaleza Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5691-3824","authenticated-orcid":false,"given":"Danielle Frota","family":"de Albuquerque","sequence":"additional","affiliation":[{"name":"Department of Dental Radiology and Imaging, Faculty of Dentistry University of Fortaleza  Fortaleza Cear\u00e1 Brazil"},{"name":"Department of Stomatology, Faculty of Dentistry University of Fortaleza  Fortaleza Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5772-446X","authenticated-orcid":false,"given":"Eduardo Diogo","family":"Gurgel\u2010Filho","sequence":"additional","affiliation":[{"name":"Department of Endodontics, Faculty of Dentistry University of Fortaleza  Fortaleza Cear\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102591.2000.00381.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/1305\u20107456.175682"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.13677"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2021.02.004"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2025.03.004"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2015.02.035"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdmed.2024.1422390"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010024\u201005002\u20101"},{"key":"e_1_2_10_10_1","unstructured":"M. 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