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Reliability of Large Language Model-Based Chatbots Versus Clinicians as Sources of Information on Orthodontics: A
Stefano Martina1, Davide Cannatà1, Teresa Paduano1
1Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Via Allende, 84081 Baronissi, Italy.
Large Language Model (LLM) chatbots show high consistency in answering orthodontic questions but often differ significantly from dental practitioners. While useful, they may provide misleading information on complex topics.
Area of Science:
- Dental Science
- Artificial Intelligence
Background:
- Large Language Model (LLM) chatbots are increasingly used for information retrieval.
- Their reliability in specialized fields like orthodontics requires thorough evaluation.
Purpose of the Study:
- To assess the reliability of LLM chatbots as information sources in orthodontics.
- To compare chatbot responses with those of general dental practitioners (GDPs) and orthodontic specialists (Os).
Main Methods:
- Eight true/false orthodontic questions were posed to five leading chatbots.
- Chatbot response consistency was measured using Cronbach's alpha.
- Chatbot answers were compared to clinician responses via Chi-squared tests (p < 0.05).
- Educational value was rated using the Global Quality Scale (GQS).
Main Results:
- All chatbots demonstrated high response consistency (alpha > 0.80).
- Significant differences (p < 0.05) were observed between chatbot and clinician responses for most questions.
- DeepSeek achieved the highest GQS score (median 4.00), while Copilot had the lowest (median 2.00).
Conclusions:
- LLM chatbots provide consistent, yet often divergent, information compared to dental professionals.
- Chatbots can offer valuable orthodontic insights but may be unreliable for controversial subjects.
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