Dental Traumatology最新文献

{"title":"Comparative Evaluation of Two Post-Bonding Reinforcement Protocols for Fragment Reattachment in Uncomplicated Crown Fracture-An In Vitro Study.","authors":"Amna Afrin Kidwai, Komal Yadav, Nitesh Tewari, Farheen Sultan, Vijay Prakash Mathur, Ashish Dutt Upadhyaya, Morankar Rahul","doi":"10.1111/edt.13084","DOIUrl":"https://doi.org/10.1111/edt.13084","url":null,"abstract":"<p><strong>Background/aims: </strong>Re-bonding of a fractured fragment without any preparations or reinforcement has been recommended as the preferred treatment of uncomplicated crown fractures. A recent systematic review found that post-bonding reinforcements could reduce the risk of loss of attached fragments in teeth with uncomplicated and complicated crown fractures. Hence, this study aimed to compare various techniques of reinforcement in terms of the force required to fracture, using bovine incisor models with simulated uncomplicated crown fractures.</p><p><strong>Methods: </strong>This in vitro study was initiated after obtaining approval from the Institutional Ethics Committee. The sample size was calculated as 20 teeth per group, and bovine mandibular incisors were carefully evaluated for size and absence of structural defects and randomly allocated to four groups (Group I- Simple Reattachment, Group II- External Chamfer, Group III- Over contouring, Group IV- Sound teeth). Those in experimental groups were subjected to a fracture protocol, kept dry at room temperature and atmospheric pressure for 24 h, rehydrated for 15 min, and bonded using simple reattachment. The post-bonding reinforcement protocols were followed for Groups II and III. Samples were stored in normal saline, and thermocycling was performed. A universal testing machine was used to assess the force required to fracture.</p><p><strong>Results: </strong>The least magnitude of force required for fracture was seen in Group I, while the highest was seen in Group III (164.75 N). The force in Group I was significantly lower compared to all the protocols of post-bonding reinforcement and the control teeth (Group IV). A statistically significant difference was not seen between Groups II and III.</p><p><strong>Conclusion: </strong>The force required to fracture the teeth subjected to post-bonding reinforcement was significantly more than that seen after simple reattachment. The maximum force was exhibited by the teeth reinforced by over-contouring, followed by an external chamfer.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Attitude of the Care Staff Working in Children's Homes About Avulsed Teeth: Cross-Sectional Survey.","authors":"Aysun Avsar, Aysuhan Ceyhan, Büşra Mutlu, Elif Buse Kaplan","doi":"10.1111/edt.13083","DOIUrl":"https://doi.org/10.1111/edt.13083","url":null,"abstract":"<p><strong>Background: </strong>The knowledge and first-aid skills of care staff working in children's homes in cases of dental avulsion-defined as the complete displacement of a tooth from its alveolar socket- can significantly influence the prognosis of the affected tooth. This study aims to evaluate the knowledge and attitudes of care staff in children's homes regarding the management of avulsed teeth.</p><p><strong>Material and methods: </strong>The study included 118 participants, 62 women and 56 men, working as care staff in 3 different children's homes of Samsun Provincial Directorate of Social Services. The questionnaire was divided into three sections with a total of 18 questions: demographic information, knowledge and attitudes toward avulsion, and interventions for avulsion injuries. For the frequency data Chi-Square Independency test and Fisher's exact test for 2 × 2 tables were used. For the total score data, the Mann-Whitney U test and Kruskal-Wallis H test were used. The level of significance was set at p < 0.05 for all statistical tests. Hierarchical cluster analysis was applied to create a dendrogram using the nearest neighbor method and squared Euclidean distance.</p><p><strong>Results: </strong>Majority of the participants stated that dental trauma is an emergency and they need to learn how to deal with it. Three quarters of the participants stated that they would be better able to help with dental trauma after receiving a short and relevant training. Unfortunately, only 3.4% correctly stated that a permanent tooth should be replaced in the event of an avulsion. Thirty-seven point 3% of the participants preferred to keep the avulsed tooth in a napkin, and 63.6% suggested keeping it in tap water while taking it to the dentist. The correct option, milk, was preferred by only 8.5%.</p><p><strong>Conclusion: </strong>Care staff working in children's homes have insufficient knowledge about the management of permanent dental avulsion.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration of Child Abuse-Neglect in the Pediatric Dental Trauma Curriculum: A Mixed-Method Observational Cohort Study.","authors":"Chaitanya P Puranik, Shahbaz Katebzadeh, Samantha Bothwell, Tracy de Peralta","doi":"10.1111/edt.13085","DOIUrl":"https://doi.org/10.1111/edt.13085","url":null,"abstract":"<p><strong>Background/aim: </strong>There is a lack of a comprehensive dental curriculum for teaching child abuse-neglect (CAN) with traumatic dental injuries (TDIs). The integration of problem-based learning (PBL) to discuss CAN cases within a pediatric or dental trauma curriculum has never been investigated. The aim of this mixed-method, observational cohort study was to investigate the impact of PBL on student performance and self-perceived benefits in a pediatric dental trauma curriculum with training on CAN.</p><p><strong>Material and methods: </strong>The performance of two cohorts of students who received a comprehensive pediatric dental trauma curriculum with or without CAN case discussion in a PBL format was studied. A t-test compared scores and numbers of attempts on CAN and TDI examinations between cohorts with or without PBL case discussions on CAN. A voluntary three-question survey assessed students' perceived learning benefits. Differences in survey agreement were analyzed using the Mantel-Haenszel ordinal Chi-square test. Pearson's correlation assessed associations between scores (α = 0.05).</p><p><strong>Results: </strong>CAN case discussion in the PBL format in a pediatric dental trauma curriculum significantly improved the students' scores on CAN (p = 0.02) and TDIs (p = 0.03) examinations. However, the first-time pass rates were improved for the CAN examination only (p = 0.003), with no correlation between the two examinations. A significantly higher proportion of students in the cohort with CAN case discussions in the PBL format reported the experience as beneficial (p = 0.04) and the discussed cases as appropriate for learning (p = 0.018).</p><p><strong>Conclusion: </strong>Discussion of CAN cases in the PBL format significantly improved students' knowledge and self-perceived learning benefits. Students' knowledge about different domains of dental trauma should be independently evaluated.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of the Mechanisms Involved in Periodontal Ligament Revascularization and Reinnervation Following Immediate Tooth Replantation in Rats.","authors":"Caroline Amaro da Silva, Luciano Aparecido de Almeida-Junior, Guido Artemio Marañon Vásquez, Alexandra Mussolino de Queiroz, Francisco Wanderley Garcia de Paula-Silva, Maya Fernanda Manfrin Arnez","doi":"10.1111/edt.13082","DOIUrl":"10.1111/edt.13082","url":null,"abstract":"<p><strong>Background/aim: </strong>Tooth avulsion is characterized by the complete displacement of a tooth from its socket, and the recommended treatment is immediate replantation of the tooth. Despite this, the mechanisms involved in repairing the periodontal ligament following dental trauma remain unclear. Therefore, the objective of this research was to investigate the repair process of periodontal tissues after tooth avulsion and immediate replantation in Wistar rats.</p><p><strong>Materials and methods: </strong>Twenty-four rats underwent extraction of the upper right incisors, followed by immediate replantation. The left teeth were left intact as controls. The animals were euthanized after 15 and 60 days, and histopathological evaluation, immunohistochemical staining (neurotrophin-4-NT-4, and platelet endothelial cell adhesion molecule-1-PECAM-1), and TUNEL-based apoptosis quantification were performed. Image deconvolution was used to analyze slides, applying hematoxylin and DAB filters. The \"integrated density\" and \"area\" tools measured staining intensity, with data presented as arbitrary units per μm². Data were analyzed using two-way ANOVA followed by Sidak's post-test at a significance level of 5%.</p><p><strong>Results: </strong>Histopathological examination revealed an inflammatory response surrounding the replanted tooth, with mineralized tissue resorption occurring over time. After 15 days post-replantation, there was a significant increase in neurotrophin-4 (p = 0.0439) and platelet endothelial cell adhesion molecule-1 expression (p = 0.0389) compared with the control group (sound teeth). At 60 days, expression levels of these markers decreased and showed no significant difference compared to the control group (p > 0.05). Furthermore, replanted teeth showed a significantly higher amount of apoptotic cells compared with the control group, regardless of the period of investigation (p < 0.001).</p><p><strong>Conclusions: </strong>This study indicate that proteins associated with angiogenesis and neurogenesis are present in the early stages of repair. Additionally, cell death was observed at both 15 and 60 days post-replantation.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychomotor Development and Traumatic Dental Injuries in Preschool.","authors":"Ednele Fabyene Primo-Miranda, Maria Letícia Ramos-Jorge, Rosane Luzia de Souza Morais, Paloma Christina Aguiar Silva, Débora Souto-Souza, Leandro Silva Marques","doi":"10.1111/edt.13072","DOIUrl":"https://doi.org/10.1111/edt.13072","url":null,"abstract":"<p><strong>Background/aim: </strong>Insufficient motor coordination can predispose children to falls and, consequently, the occurrence of traumatic dental injuries (TDIs). The present study investigated the association between psychomotor development and TDI in preschool children.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted with 189 children aged three to six years in Diamantina, Brazil. Psychomotor development was assessed using the Test of Gross Motor Development-Second Edition (motor assessment) and a validated preschool version of the Mini-Mental State Examination (cognitive assessment). Parents/guardians answered a socioeconomic questionnaire. Anthropometric measures were determined using WHO growth curves to obtain the body mass index (BMI). Intraoral examinations were performed by a single examiner trained and calibrated for diagnosing TDI based on the criteria proposed by Andreasen, with radiographic evaluations conducted when necessary. Lip coverage, anterior open bite, arch shape, and overjet were also recorded. Descriptive statistics, the chi-square test, and Poisson regression (bivariate and multivariate) analyses were performed (95% CI, p < 0.05).</p><p><strong>Results: </strong>The prevalence of TDI was 50.3%. Delayed motor development (PR = 1.66; 95% CI: 1.25-2.22) and obesity (PR = 1.64; 95% CI: 1.10-2.45) were significantly associated with TDI in the adjusted model.</p><p><strong>Conclusion: </strong>Delayed motor development and obesity were associated with TDI in preschool children.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Framework to Improve the Quality of Management of Traumatic Dental Injuries at a Tertiary Dental Hospital.","authors":"Sarah Kho Xian Chua, Chee Weng Yong, Jeannette Ming Cheng Chua, Wataru Ode, Ren Jie Jacob Chew","doi":"10.1111/edt.13080","DOIUrl":"https://doi.org/10.1111/edt.13080","url":null,"abstract":"<p><strong>Background/aim: </strong>Appropriate early management, as well as early diagnosis and interceptive management of adverse outcomes, is essential in managing Traumatic Dental Injuries (TDIs) to minimize the incidence and impact of negative sequelae. Barriers to optimal management include inadequate clinician knowledge and experience, poor adherence to established guidelines, time constraints, and the complex nature of TDIs. These barriers can potentially be addressed by adopting a multipronged approach that integrates education and administrative support. The aim of this study was to evaluate the improvements in the quality of TDI management and review at the National University Centre for Oral Health Singapore after implementing a framework consisting of a series of targeted interventions.</p><p><strong>Materials and methods: </strong>Interventions included a refresher lecture, standardized recording templates, and improved access to resources such as international guidelines. Clinical records and radiographs of patients who had received acute management for TDI or received dental review as follow-up for TDIs between 1st May 2023 and 30th June 2024 were reviewed. The quality of baseline management and follow-up review was scored based on a scoring rubric, with a score of 100% deemed as \"appropriate\" management. The quality of baseline management and follow-up review of TDI in the pre- and post-implementation phases was compared using Chi-squared, Fisher's exact, and Mann-Whitney U tests.</p><p><strong>Results: </strong>247 patients were seen for TDI baseline management or review. The quality of TDI baseline and review management improved significantly, with median (interquartile range) scores increasing from 62.5% (27.9%) and 100% (66.6%), respectively, to 100% (0%, p < 0.001). The proportion of cases deemed appropriately managed at both baseline and review significantly improved from 3.64% and 54.3% to 82.9% and 93.8%, respectively (p < 0.001).</p><p><strong>Conclusion: </strong>A framework consisting of refresher lectures, standardized recording templates, and enhanced access to resources significantly improves the quality of TDI management and review.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of Maxillofacial Injuries in the Swords of Iron War: Insights From a National Registry.","authors":"Nir Tsur, Dmitry Kotovich, Dean Dudkiewicz, Tomer Talmy, Irina Radomislensky, Adi Givon, Avi Benov, Yael Arbel, Mor Rittblat, Shachar Shapira","doi":"10.1111/edt.13081","DOIUrl":"https://doi.org/10.1111/edt.13081","url":null,"abstract":"<p><strong>Background: </strong>Maxillofacial injuries (MFI) in warfare present significant challenges due to the concentration of vital structures in the facial region and the high-energy mechanisms of injury. This study analyzes the epidemiology, severity, and outcomes of MFI during the Swords of Iron conflict using data from the Israeli National Trauma Registry.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on casualties from October 7, 2023 to August 1, 2024. Injury characteristics, surgical interventions, intensive care unit (ICU) admissions, and mortality rates were assessed. Logistic regression identified predictors for severe head injury and surgical intervention.</p><p><strong>Results: </strong>Of 1654 casualties, 324 (19.6%) sustained MFI, predominantly from explosions (85.2%). Fractures were associated with higher ICU admission rates (60.6% vs. 20.0%, p < 0.0001) and greater surgical intervention requirements (65.4% vs. 36.4%, p = 0.0001) than soft tissue injuries. Orbital fractures (59.6%) were the most common and strongly correlated with severe head injury (OR 9.33, CI 4.29-21.54, p < 0.001). Zygomatic (OR 8.47), maxillary (OR 5.81), and mandibular fractures (OR 12.61) significantly predicted the need for surgery, whereas orbital fractures often did not. Airway management was required in 26.5% of MFI cases, significantly higher than in other injuries (12.6%, p < 0.001). The overall mortality rate was low, with 7.7% in the fracture group and 0.9% in the soft tissue injury group.</p><p><strong>Conclusion: </strong>MFI in combat settings demands specialized trauma care, particularly for fractures requiring surgical intervention and intensive care. The high prevalence of orbital fractures and their association with severe head injuries highlight the need for early recognition and intervention despite their being less prone to surgical correction. These findings can inform trauma care protocols to optimize management and outcomes in future conflicts.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Approaches to Continuing Professional Development in Dental Traumatology-A Qualitative Study of General Dentists' Experiences.","authors":"Andjelka Cvijic, Monika Kvernenes, Anne Åstrøm, Georgios Tsilingaridis, Athanasia Bletsa","doi":"10.1111/edt.13079","DOIUrl":"https://doi.org/10.1111/edt.13079","url":null,"abstract":"<p><strong>Background: </strong>Dentists require continuous professional development (CPD) to maintain and enhance the quality of their services. However, there remains a gap in our understanding of the most effective methods for delivering such professional education.</p><p><strong>Objective: </strong>In order to develop CPD that is relevant and effective for general dentists, the aim of this study was to explore general dentists' experiences with and attitudes about two educational formats in dental traumatology: purely theoretical asynchronous webinars versus webinars complemented by an in-person, interactive course.</p><p><strong>Design, participants, and setting: </strong>All general dentists in the public dental service (PDS) in the Vestland County of Western Norway participated in an educational intervention in dental traumatology between November 2022 and February 2023. We recruited dentists from a group that attended webinars alone (N = 31) and a group that participated in webinars combined with an interactive in-person course (N = 36), referred to as a combined approach. In total, 16 dentists agreed to participate in focus group discussions through the electronic platform Teams. The discussions were video recorded, and the transcripts were analyzed using thematic analysis. Prior to the focus group discussions, participants completed a questionnaire with demographic information and course evaluation.</p><p><strong>Results: </strong>Participants represented diversity in clinical experience, age, gender, and they were overall satisfied with the content, organization, and learning outcomes of the given educational formats. Three themes emerged from the qualitative data analysis: Webinars offer flexibility but with limited learning outcomes; a combined approach supports knowledge application; balancing feasibility with participatory learning. While webinars in dental traumatology as an educational format offer accessibility and flexibility, the combined format made the general dentists reflect more, in addition to gaining ideas on better workflow as a team in their clinical settings. Regarding course design, results revealed the importance of well-structured content, interaction with relevant educators, and the need for a combined educational model.</p><p><strong>Conclusion: </strong>The study demonstrates that a combined educational format with high-quality content and a degree of interaction is the preferred method for CPD in dental traumatology for general dentists.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Maxillofacial Trauma: Machine Learning Based Predictive Modeling to Identify Trauma Patterns.","authors":"Elsy Antony, Saima Yunus Khan, Md Kalim Ansari, Divya Sanjay Sharma, Manoj Kumar Sharma","doi":"10.1111/edt.13077","DOIUrl":"https://doi.org/10.1111/edt.13077","url":null,"abstract":"<p><strong>Aim: </strong>To analyze the characteristics of pediatric facial trauma and predict factors influencing them through machine learning algorithms.</p><p><strong>Material and methods: </strong>A prospective hospital-based study was carried out between January 2024 and January 2025. All patients up to 15 years of age reporting with maxillofacial trauma formed the sample. Collected data was subjected to logistic regression analysis and machine learning algorithms (Bayesian Network, CHAID and Neural Network) to determine factors influencing pediatric maxillofacial trauma.</p><p><strong>Results: </strong>Logistic regression and Bayesian Network demonstrated 92.59% accuracy, whereas CHAID and Neural Network showed an accuracy of 78.40% and 74.69%, respectively. Bayesian Network and Logistic Regression with similar accuracy showed age (21.77%), (p = 0.014) as the variable with maximum predictor importance, followed by paternal education (15.65%), (p = 0.003), maternal education (12.55%), (p = 0.040) and parental employment (9.43%), (p = 0.040). Further, Bayesian Network showed RTA (9.66%), sex (6.36%), maxillofacial fracture treatment (5.99%), other causes of trauma (5.67%), religion (2.89%) and delay in TDI treatment (2.78%) as other predictor variables. Parental employment had the maximum predictor importance (17.36%) in the Neural Network, whereas maternal education demonstrated the highest predictor importance (33.03%) in the CHAID model.</p><p><strong>Conclusions: </strong>Age showed highest importance in predicting maxillofacial trauma when machine learning algorithms were used, followed by parental education and employment as other major predictors which suggested that children from lower socioeconomic status were more prone to trauma, as employment serves as a proxy for education.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Performance of Artificial Intelligence Based Chatbots in Providing First Aid Information on Dental Trauma According to the ToothSOS Application.","authors":"Ecem Elif Çege, Hamide Cömert, Neşe Akal, Ayşegül Ölmez","doi":"10.1111/edt.13078","DOIUrl":"https://doi.org/10.1111/edt.13078","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate the performance of ChatGPT-4o and Gemini Advanced artificial intelligence-based chatbots (AI-based chatbots) in providing emergency intervention recommendations for dental trauma with intraoral photographs of patients diagnosed with traumatic dental injuries, and to assess their compatibility with emergency intervention recommendations in the ToothSOS application.</p><p><strong>Material and methods: </strong>In this study, 80 intraoral photographs obtained from patients presenting with dental trauma were uploaded to two different AI-based chatbots (ChatGPT-4o and Gemini Advanced) and the responses generated by these systems were evaluated by four paediatric dentists. The evaluators scored the responses with a Modified Global Quality Score (GQS), referring to the English instructions of the ToothSOS application. In order to analyse the reliability of the responses, a total of three evaluation sessions were conducted 1 week apart.</p><p><strong>Results: </strong>The ChatGPT-4o performed better when all injury types were considered together (p = 0.012). It was found that the ChatGPT-4o performed much better in complicated crown fracture cases (p = 0.004) and the Gemini Advanced chatbot performed much better in critical dental injuries such as avulsion (p < 0.001).</p><p><strong>Conclusions: </strong>AI-based chatbots can be a helpful tool in the assessment of dental trauma. However, further development and expert validation are needed to improve their accuracy and consistency, especially in complex cases. Incorporating the International Association of Dental Traumatology (IADT) guidelines into the databases of these systems could improve the reliability of their recommendations. In addition, given the widespread use of AI-based chatbots in many fields, particularly health, they could contribute to public health by supporting access to accurate information.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}