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Published on: February 23, 2024
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Evaluation of Dental Panoramic Radiographs by Artificial Intelligence Compared to Human Reference: A Diagnostic
Natalia Turosz1,2, Kamila Chęcińska3,4,5, Maciej Chęciński1,2,6
1National Medical Institute of the Ministry of Interior and Administration, Wołoska 137 Str., 02-507 Warsaw, Poland.
Journal of Clinical Medicine
|November 27, 2024
Summary
Artificial intelligence (AI) software shows high accuracy in analyzing dental panoramic radiographs for tasks like detecting missing teeth. However, clinicians should verify AI findings for endodontic lesions and crowns, as AI performance varies.
Area of Science:
- Dentistry
- Artificial Intelligence
- Radiology
Background:
- Artificial intelligence (AI) is increasingly vital in dentistry for diagnosis and treatment planning.
- Dental panoramic radiographs (DPRs) are commonly used diagnostic tools.
Purpose of the Study:
- To evaluate the performance of AI software in analyzing DPRs.
- To assess sensitivity, specificity, accuracy, and precision of AI in identifying various dental features.
Main Methods:
- Analysis of 600 dental panoramic radiographs (DPRs).
- Comparison of AI software analysis with human researcher analysis.
- Assessment of eight variables: missing tooth, root canal filling, endodontic lesion, implant, abutment, pontic, crown, and sound tooth.
Main Results:
- AI demonstrated high performance (>90%) for detecting missing teeth, root canal fillings, and implant abutment crowns.
- Moderate sensitivity and precision were observed for identifying endodontic lesions.
- Lowest precision (65.30%) was recorded for detecting crowns.
Conclusions:
- AI software is a potentially valuable tool for dental diagnosis and treatment planning.
- Clinical verification by dentists is recommended, particularly for endodontic lesions and crowns.
- Further research is needed due to study limitations.

