Prevalence of Hypercementosis in Radiographic Studies: A Systematic Review and Meta‐Analysis With Clinical Implications for Endodontic Assessment

Hypercementosis is uncommon at the tooth level but present in a clinically relevant proportion of patients. However, extreme heterogeneity and very low certainty of evidence limit the precision of prevalence estimates. Standardized diagnostic criteria and harmonized imaging protocols are needed to improve reproducibility. Within contemporary CBCT-based prognostic frameworks, hypercementosis may be considered a potential modifier of anatomical complexity, warranting further outcome-oriented investigation.