Evidence map›Paper›PMID 42121169›Full record

SynthesisBMC medical education2026

Effectiveness of artificial intelligence-driven simulation in dental education: a systematic review and meta-analysis of learning outcomes.

Amol Ramchandra Gadbail, Shailesh M Gondivkar, Monal B Yuwanati, Archana Sonone, Mithilesh Dhamande, Aarti Panchbhai, Alka H Hande, Swati Patil, Sachin C Sarode

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC medical education, 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

9 authors.

Amol Ramchandra GadbailDepartment of Dentistry, Government Medical College & Hospital, Nagpur, Maharashtra, India. gadbail@yahoo.co.in.
Shailesh M GondivkarDepartment of Oral Medicine & Radiology, Government Dental College & Hospital, Nagpur, Maharashtra, India.
Monal B YuwanatiDepartment of Oral Pathology and Microbiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.
Archana SononeDepartment of Oral Pathology and Microbiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education & Research (DMIHER), Sawangi (M), Wardha, Maharashtra, India.
Mithilesh DhamandeDepartment of Prosthodontics, Crown and Bridge, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education & Research (DMIHER), Sawangi (M), Wardha, Maharashtra, India.
Aarti PanchbhaiDepartment of Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education & Research (DMIHER), Sawangi (M), Wardha, Maharashtra, India.
Alka H HandeDepartment of Oral Pathology and Microbiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education & Research (DMIHER), Sawangi (M), Wardha, Maharashtra, India.
Swati PatilDepartment of Oral Pathology and Microbiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education & Research (DMIHER), Sawangi (M), Wardha, Maharashtra, India.
Sachin C SarodeDepartment of Oral Pathology and Microbiology, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India. sachin.sarode@dpu.edu.in.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis systematic review and meta-analysis aimed to evaluate and quantitatively synthesize the effectiveness of artificial intelligence (AI)-driven simulation (ADS) technologies in improving learning outcomes in dental education.

methodsThe PubMed, Scopus, and Web of Science electronic databases were searched up to March 2026. Studies evaluating ADS modalities, with or without a comparator, were included. Comparative studies with appropriate control groups contributed to the meta-analysis, while all studies were included in the narrative synthesis. For multi-arm studies, each eligible intervention control pair was extracted as a separate comparison, with shared control groups appropriately adjusted to avoid double-counting. The outcomes were grouped according to Kirkpatrick's model. A random-effects meta-analysis using standardized mean differences (SMD) (Hedges' g) method was carried out.

resultsThe review included twelve studies with over 1,400 participants; five studies (including one multi-arm study yielding six independent comparisons; n = 557) contributed to the meta-analysis. ADS, considered as a heterogeneous group of AI-based educational interventions, was associated with improved overall learning outcomes compared to traditional methods (SMD = 1.20; 95% CI: 0.73-1.67). However, moderate-to-high heterogeneity was observed, and findings should be interpreted cautiously. Effects appeared more pronounced in immersive and feedback-driven modalities, although these observations are exploratory and based on limited evidence. Improvements were reported across multiple domains, reflecting a general (composite) educational effect across diverse interventions and outcome measures. Overall, while ADS shows potential benefit, the certainty of evidence remains limited.

conclusionADS, as a heterogeneous group of AI-based educational interventions, shows potential to improve overall learning outcomes in dental education, particularly in psychomotor and cognitive domains. However, these findings represent a composite educational effect across diverse modalities and should be interpreted cautiously due to heterogeneity, a limited number of studies, methodological variability, and predominantly short-term outcomes.

Indexed as

Artificial IntelligenceEducation, DentalLearningSimulation TrainingHumansArtificial IntelligenceClinical CompetenceDental EducationPsychomotor PerformanceSimulation TrainingVirtual Reality

Identifiers

PMID42121169
PMCPMC13339492

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.