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Bayesian-Based Decision Support System for Assessing the Needs for Orthodontic Treatment.

Bhornsawan Thanathornwong1

  • 1Department of General Dentistry, Faculty of Dentistry, Srinakharinwirot University, Bangkok, Thailand.

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|March 6, 2018
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Summary

A new clinical decision support system accurately assesses orthodontic treatment needs in patients with permanent dentition, showing high agreement with expert orthodontist evaluations.

Keywords:
Angle's ClassificationArtificial IntelligenceDental InformaticsMachine LearningMalocclusion

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Area of Science:

  • Dentistry
  • Medical Informatics
  • Artificial Intelligence

Background:

  • General practitioners require tools to accurately assess orthodontic treatment needs.
  • Existing methods may lack consistent or objective evaluation criteria.

Purpose of the Study:

  • To develop and evaluate a clinical decision support system for assessing orthodontic treatment necessity.
  • To aid general practitioners in patient evaluation for permanent dentition.

Main Methods:

  • A Bayesian network (BN) was utilized as the core model.
  • One thousand patient datasets from a hospital record system were analyzed.
  • The system's assessments were compared against expert orthodontist judgments.

Main Results:

  • The Bayesian network model effectively represents variables and their causal relationships.
  • High agreement was observed between two expert orthodontists (kappa = 0.894).
  • The decision support system demonstrated excellent agreement with both orthodontists (kappa = 1.00 and 0.894).

Conclusions:

  • The developed system shows high accuracy in classifying patients needing orthodontic treatment.
  • This represents a promising first testing phase for the clinical decision support system.
  • The system can assist in objective and consistent orthodontic treatment need assessment.