{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:13:08Z","timestamp":1791393188472,"version":"4.3.3"},"reference-count":69,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Folktandv\u00e5rden stockholms l\u00e4n AB"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec025\">\n<jats:title>Background<\/jats:title>\n<jats:p>This study evaluates whether exposure to dental X-ray examinations in childhood and adolescence results in negative health effects.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec026\">\n<jats:title>Material and methods<\/jats:title>\n<jats:p>This systematic review includes both primary studies and systematic reviews available in Medline, Embase, and Web of Science databases. Six reviewers read the full text of the selected studies.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec027\">\n<jats:title>Results<\/jats:title>\n<jats:p>The literature search resulted in 10,949 publications. After title and abstract screening, 55 publications were selected for full text reading, resulting in a total of 18 reports, 7 systematic reviews, and 11 primary studies for quality assessment.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec028\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>None of the selected studies passed the quality assessment due to high or very high risk of bias. There is a gap of knowledge regarding negative effects of dental X-rays and a need for more accurate and updated studies.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0323808","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T20:06:46Z","timestamp":1748549206000},"page":"e0323808","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Negative health effects of dental X-rays: A systematic review"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5344-0331","authenticated-orcid":true,"given":"Laila","family":"Wiklander","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Cederlund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils","family":"Kadesj\u00f6","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peggy","family":"N\u00e4sman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Tranaeus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aron","family":"Naimi-Akbar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,5,29]]},"reference":[{"key":"pone.0323808.ref001","unstructured":"United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) 2020\/21 REPORT, 2020\/21:_Annex-A. p 22."},{"issue":"3","key":"pone.0323808.ref002","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/0030-4220(94)90301-8","article-title":"Radiation doses of commonly used dental radiographic surveys","volume":"77","author":"JP Freeman","year":"1994","journal-title":"Oral Surg Oral Med Oral Pathol"},{"issue":"1066","key":"pone.0323808.ref003","doi-asserted-by":"crossref","first-page":"20151052","DOI":"10.1259\/bjr.20151052","article-title":"Absorbed organ and effective doses from digital intra-oral and panoramic radiography applying the ICRP 103 recommendations for effective dose estimations","volume":"89","author":"C Granlund","year":"2016","journal-title":"Br J Radiol"},{"issue":"4","key":"pone.0323808.ref004","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.tripleo.2008.10.002","article-title":"Patient discomfort and retakes in periapical examination of mandibular third molars using digital receptors and film","volume":"107","author":"LH Matzen","year":"2009","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"issue":"1","key":"pone.0323808.ref005","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1111\/j.1600-0528.1992.tb00667.x","article-title":"Approximal caries and frequency of bitewing examinations in Swedish children and adolescents","volume":"20","author":"HG Gr\u00f6ndahl","year":"1992","journal-title":"Community Dent Oral Epidemiol"},{"issue":"5","key":"pone.0323808.ref006","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1080\/000163500750051737","article-title":"Progression rate of approximal carious lesions in Swedish teenagers and the correlation between caries experience and radiographic behavior. 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