<p>Inclusion and exclusion criteria.</p>

The PICO framework was used to define the inclusion and exclusion criteria, and the CASP checklist was used to assess study quality. Data were synthesised using vote counting by direction of effect, categorising findings into facilitators and barriers. Out of 156 records, 11 studies met the inclusion criteria.

Study quality ranged from 7 to11 out of 11 based on the CASP checklist for cross-sectional studies. Key findings included potential facilitators such as improved access, efficiency and cost-effectiveness, communication and referral enhancements, educational benefits, and positive perception of technology. The key reported barriers were limited awareness and training, infrastructure and equipment reliability, privacy and data security, cost and financial issues, diagnostic accuracy, and the preference for in-person meetings.

While teledentistry holds great potential, its integration in Saudi Arabia could be hindered by educational and technical challenges. Addressing them through improved infrastructure, enhanced training and integration into dental curricula, and strengthened regulatory frameworks may facilitate and support equitable adoption.</p></div>