Evidence map›Paper›PMID 40788371›Full record

SynthesisInternational journal of implant dentistry2025

Are dental magnetic resonance imaging and ultrasonography techniques reliable alternatives for treatment planning dental implants? A systematic review and meta-analysis.

Hengjia Zhang, Joe Donaldson, Vitor C M Neves, James Scott

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International journal of implant dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

4 authors.

Hengjia ZhangDepartment of Restorative Dentistry, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
Joe DonaldsonCharles Clifford Dental Hospital, Sheffield Teaching Hospitals, NHS Foundation Trust, Sheffield, UK.
Vitor C M NevesDepartment of Restorative Dentistry, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
James ScottCharles Clifford Dental Hospital, Sheffield Teaching Hospitals, NHS Foundation Trust, Sheffield, UK. james.scott@sheffield.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rising global demand for dental implant highlights the necessity for precise imaging techniques that minimise patient risk of radiation exposure. While the cone -beam Computed Tomography (CBCT) remains the gold standard, its ionizing radiation exposure raises safety concerns. This systematic review and meta-analysis aim to evaluate the accuracy of non-ionizing alternatives, Magnetic Resonance Imaging (MRI) and Ultrasonography (US), in dental implantology.

methodsDatabases (MEDLINE, Scopus, Cochrane) were searched for studies (2014-2024) using predefined PICO criteria. Risk of bias was assessed via QUADAS-2. Meta-analysis employed fixed/random-effects models to synthesize quantitative data on geometric deviations and soft-tissue accuracy.

resultsTwelve studies were included in this study. While MRI generally exhibited greater deviation in implant tip placement at 0.3 mm (95% CI -0.08, 0.68), its overall accuracy remained comparable to CBCT. MRI showed a higher mean deviation at the implant entry level of 0.38 mm (95% CI 0.04, 0.71) and for implant angulation with a mean difference of 0.81 degree (95% CI -0.50, 2.12), indicating less precision under specific conditions. Conversely, Ultrasonography demonstrated superior performance in soft tissue accuracy with a smaller deviation compared to CBCT, at just 0.04 mm (95% CI -0.04, 0.13).

conclusionMRI and ultrasonography offer reliable non-ionizing alternatives for dental implant planning, with MRI matching CBCT in hard-tissue accuracy and ultrasonography excelling in soft tissue assessment. Further standardisation of protocols is needed to address variability in clinical workflows. CLINICAL TRIAL NUMBER: The Clinical Trial Number is not applicable in this systematic review. This study was prospectively registered on the International Prospective Register of Systematic Reviews (PROSPERO) online with the identification number CRD42024610741.

Indexed as

Dental Implantation, EndosseousDental ImplantsMagnetic Resonance ImagingPatient Care PlanningCone-Beam Computed TomographyHumansUltrasonographyDental ImplantsCone-Beam Computed Tomography (CBCT)Dental implantsImplant planning accuracyMRISystematic reviewUltrasonography

Identifiers

PMID40788371
PMCPMC12339830

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.