{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T07:58:45Z","timestamp":1790755125869,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Endodontic J"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Combined with haptic feedback systems, extended reality (XR) platforms enable immersive, multisensory learning environments that approximate the tactile, spatial, and proprioceptive demands of endodontic procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To map and critically examine the current evidence regarding the application of XR technologies in endodontic education, with particular emphasis on educational outcomes, clinical transferability, and future directions for curricular integration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>The review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses Extension for Scoping Reviews (PRISMA\u2010ScR) guidelines and conducted using the SPIDER framework to define eligibility criteria. Electronic searches were performed in PubMed (MEDLINE), Web of Science (All databases), and Scopus to identify studies evaluating XR\u2010based simulation platforms in undergraduate and postgraduate endodontic training. Eligible studies assessed educational outcomes related to technical performance, knowledge acquisition, psychological impact, or learner perception. Findings were synthesized descriptively with a critical appraisal of methodological and pedagogical considerations. Methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>XR\u2010based simulation platforms have demonstrated consistent short\u2010term improvements in technical performance, particularly in access cavity preparation, alongside enhanced learner engagement and structured feedback. Evidence also supports construct validity for certain haptic systems and positive effects on theoretical knowledge and confidence. However, substantial heterogeneity exists in study design, intervention protocols, and outcome measures. Most investigations are limited to short\u2010term simulator\u2010based metrics, with relatively few studies evaluating clinical transferability. Methodological variability and limited standardisation restrict the comparability of findings across platforms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>XR technologies represent a meaningful adjunct in endodontic education, particularly for deliberate practice and objective skill assessment. Nevertheless, current evidence remains focused primarily on short\u2010term outcomes. Future research should prioritise longitudinal designs, standardised evaluation frameworks, and clinically relevant endpoints to clarify the extent to which simulation\u2010based gains translate into improved patient care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iej.70284","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T07:23:22Z","timestamp":1790753002000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Extended Reality in Endodontic Education: A Scoping Review of Educational Impact, Clinical Transferability, and Future Directions"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9513-0841","authenticated-orcid":false,"given":"S\u0131la Nur","family":"Usta","sequence":"first","affiliation":[{"name":"Department of Endodontics, Gulhane Faculty of Dentistry University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6445-8243","authenticated-orcid":false,"given":"Emmanuel Jo\u00e3o Nogueira Leal","family":"Silva","sequence":"additional","affiliation":[{"name":"BIOTRANS Postgraduate Program Grande Rio University (UNIGRANRIO)  Rio de Janeiro Brazil"},{"name":"Department of Endodontics, School of Dentistry Rio de Janeiro State University (UERJ)  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"273","DOI":"10.14744\/eej.2024.31032","article-title":"Students' Perception of Remote Extended Reality Simulation Systems Using Patient\u2010Specific Three\u2010Dimensional\u2010Printed Models in Endodontic Education: A Pilot Study","volume":"9","author":"Alroomy R.","year":"2024","journal-title":"European Endodontic Journal"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/app14156813"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.14064"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/app13020981"},{"key":"e_1_2_12_6_1","first-page":"1","article-title":"Can Virtual Simulators Replace Traditional Preclinical Teaching Methods: A Students' Perspective?","volume":"2","author":"Bakr M.","year":"2015","journal-title":"International Journal of Dentistry and Oral Health"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.14252"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdmed.2025.1576646"},{"key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s12553-025-01034-x","article-title":"Virtual Reality in Health Sciences","volume":"16","author":"Caicedo\u2010Eraso J. 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