Evidence map›Paper›PMID 41968431›Full record

SynthesisAustralian endodontic journal : the journal of the Australian Society of Endodontology Inc2026

Artificial Intelligence for Working Length Determination in Endodontics: A Systematic Review and Meta-Analysis.

Rajinder Kumar Bansal, Saurabh Gupta, Saru Dhir Gupta, Sangam Mittal, Gagandeep Kaur, Manish Sharma, Seema Gupta

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Australian endodontic journal : the journal of the Australian Society of Endodontology Inc, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Rajinder Kumar BansalDepartment of Conservative Dentistry and Endodontics, Guru Nanak Dev Dental College and Research Institute, Sunam, Punjab, India.ORCID https://orcid.org/0000-0001-7738-5779
Saurabh GuptaDepartment of Conservative Dentistry and Endodontics, J.N. Kapoor, D.A.V. Centenary Dental College and Hospital, Haryana, India.ORCID https://orcid.org/0009-0003-0781-5712
Saru Dhir GuptaDepartment of Pediatric Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research, Haryana, India.ORCID https://orcid.org/0000-0001-5306-3900
Sangam MittalDepartment of Conservative Dentistry and Endodontics, Guru Nanak Dev Dental College and Research Institute, Sunam, Punjab, India.ORCID https://orcid.org/0009-0008-8614-4967
Gagandeep KaurDepartment of Conservative Dentistry and Endodontics, Guru Nanak Dev Dental College and Research Institute, Sunam, Punjab, India.ORCID https://orcid.org/0009-0008-4842-9056
Manish SharmaDepartment of Oral Pathology, JMF'S ACPM Dental College, Dhule, Maharashtra, India.ORCID https://orcid.org/0000-0002-6711-1552
Seema GuptaDepartment of Orthodontics, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh, India.ORCID https://orcid.org/0000-0002-3525-6618

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review and meta-analysis evaluated the comparative performance of artificial intelligence (AI) models versus comparators for working-length determination using radiographic or impedance-based inputs. A comprehensive search across seven electronic databases was conducted up to 1 October 2025, identifying five eligible in vitro and ex vivo studies encompassing over 1765 teeth or radiographic images. All the included studies directly compared AI-based approaches with manual or conventional reference standards. An exploratory random-effects meta-analysis demonstrated higher odds of correct working length determination using AI-based methods compared to expert assessment. The risk of bias was moderate to high, primarily because of internal validation and the predominance of laboratory-based study designs. The overall certainty of evidence for the primary outcome was rated low. This first quantitative synthesis suggests that AI-based methods may enhance the consistency of working-length determination under controlled conditions; however, further well-designed clinical studies are required before routine clinical implementation.

Indexed as

Artificial IntelligenceEndodonticsOdontometryHumansaccuracyartificial intelligenceendodonticssystematic reviewworking length

Identifiers

PMID41968431
PMCPMC13436275

What OpenQuestion holds

Textmetadata
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.