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Artificial Intelligence in Predicting Surgical Problems and Postoperative Morbidity in Mandibular Third Molar
Pallavi Karadiguddi1, Sajid Ahmed Sanadi2, Abhigyan Manas3
1Department of Dentistry, JGMMMC, Hubballi, Karnataka, India.
Annals of African Medicine
|March 16, 2026
Summary
Artificial intelligence (AI) accurately predicts surgical difficulty and postoperative morbidity for mandibular third molar (MTM) extractions. This AI approach aids in personalized treatment planning for these common oral surgeries.
Area of Science:
- Oral Surgery
- Medical Imaging
- Artificial Intelligence
Background:
- Mandibular third molar (MTM) extractions are common oral surgeries with unpredictable outcomes.
- Surgical difficulty and postoperative complications can vary significantly.
- Artificial intelligence (AI) shows promise in improving preoperative planning for MTM extractions.
Purpose of the Study:
- To assess the effectiveness of AI in predicting surgical difficulty and postoperative morbidity associated with MTM extractions.
- To utilize cone-beam computed tomography (CBCT) data and patient variables for AI-driven predictions.
- To enhance preoperative planning for MTM extraction procedures.
Main Methods:
- A cross-sectional study involving 40 patients undergoing MTM extraction.
- Application of AI algorithms (random forest, convolutional neural networks) to analyze CBCT features and clinical data.
- Statistical analysis using SPSS version 26 to evaluate prediction accuracy.
Main Results:
- The AI model achieved 87.5% accuracy in predicting surgical difficulty.
- The AI model achieved 82.3% accuracy in predicting postoperative morbidity.
- Key predictors identified include root morphology, proximity to the inferior alveolar nerve, and patient age (P < 0.05).
Conclusions:
- AI-based predictive models are effective for assessing MTM extraction difficulty and postoperative morbidity.
- These AI models can significantly contribute to personalized treatment planning in oral surgery.
- Integrating AI with CBCT data offers a valuable tool for optimizing MTM extraction outcomes.
Keywords:
Artificial intelligenceIntelligence artificiellecone-beam computed tomographydifficultéchirurgicalemandibular third molarmorbidité postopératoirepostoperative morbiditysurgical difficultytomographie volumique à faisceau coniquetroisième molaire mandibulaire
