BMC Oral Health最新文献

{"title":"22 months follow-up of deep marginal acquisition with thermacut bur in management of deep subgingival interproximal carious lesions: a case report.","authors":"Ahmed Khairy Elmorsy, Shereen Hafez Ibrahim, Hani Mohamed Essam El-Nahass, Ahmed El Zohairy","doi":"10.1186/s12903-024-05326-y","DOIUrl":"https://doi.org/10.1186/s12903-024-05326-y","url":null,"abstract":"<p><strong>Background: </strong>Minimally invasive dentistry is now becoming the forefront of restorative dentistry, involving less traumatic treatment protocols, conservation of tooth structure and surrounding tissues, enhancing the long-term survivability of treated teeth, and improving the overall quality of life for patients.</p><p><strong>Objective: </strong>The current case report was conducted to evaluate acquiring deep subgingival interproximal carious lesions by the mean of thermacut bur gingivectomy, in terms of patient satisfaction through pain evaluation, Bleeding on Probing, Pocket Depth, Crestal Bone Level evaluation, and restoration evaluation using modified USPHS criteria.</p><p><strong>Material and methods: </strong>A patient with a deep proximal cavity in the posterior tooth was thoroughly examined and underwent Thermacut Bur Gingivectomy (TBG) after caries removal followed by direct resin composite restoration of the prepared cavity. Patient Satisfaction using a Visual Analogue Scale (VAS) as a primary outcome. Bleeding on Probing (BoP), Probing Depth (PD), and Crestal Bone Level (CBL) as secondary outcomes, and Marginal Integrity using Modified USPHS Criteria as a tertiary outcome, were evaluated at the baseline, immediate post-operative, 6 month, 12 month and 22 month follow-up intervals.</p><p><strong>Results: </strong>Thermacut bur gingivectomy revealed minimal immediate post-operative pain, minimal time-consuming procedure, minimal (BoP), appropriate (PD) and no need for extra specialty involvement in the treatment of deep interproximal carious lesions in addition to preservation of the alveolar bone crest with excellent restoration margin at different time intervals.</p><p><strong>Conclusions: </strong>Thermacut bur gingivectomy can be considered a valid treatment for managing of deep subgingival interproximal carious lesions in vital teeth. Thermacut bur gingivectomy can be introduced as an easy technique for clinicians in the management of deep subgingival interproximal carious lesions, without the need to refer patients to periodontists and without the need for special devices.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"67"},"PeriodicalIF":2.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome of Er, Cr:YSGG laser and antioxidant pretreatments on bonding quality to caries-induced dentin.","authors":"Lamiaa M Moharam, Haidy N Salem, Ahmed Abdou, Rasha H Afifi","doi":"10.1186/s12903-024-05390-4","DOIUrl":"https://doi.org/10.1186/s12903-024-05390-4","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to assess the influence of different pretreatment protocols and antioxidants application on the shear bond strength (SBS) of universal adhesive to sound (SoD) and caries-induced dentin (CID).</p><p><strong>Methods: </strong>One hundred and twenty posterior teeth had their occlusal enamel removed, then the specimens were divided into two main groups according to dentin substrates; SoD and CID, three subgroups according to pretreatments protocols control (no pretreatment), NaOCl-treated, and Er, Cr:YSGG-treated and two divisions according to antioxidant application (with and without sodium ascorbate (SA) application). All-Bond Universal (ABU) universal adhesives was applied in self-etch (SE) mode then resin composite discs were built. The specimens were stored in distilled water for 24-hr at 37°C before SBS testing. Three-way ANOVA and Tukey HSD tests were used for data analysis (a = 0.05).</p><p><strong>Results: </strong>6% NaOCl resulted in a significant reduction in SBS in SoD without antioxidant application. 10% SA application showed significant increase in SBS for 6% NaOCl group only in SoD. Laser application recorded a significantly higher SBS compared to 6% NaOCl group without or with antioxidant application, while 10% SA application revealed a significant increase in SBS for control group only.</p><p><strong>Conclusions: </strong>Er, Cr:YSGG laser irradiation followed by antioxidant application has the potential to enhance the bonding quality of both tested dentin substrates. NaOCl application has significantly compromised the bonding to SoD and CID substrates.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"66"},"PeriodicalIF":2.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of using transfer learning with different classifiers in hypodontia diagnosis.","authors":"Tansel Uyar, Didem Sakaryalı Uyar","doi":"10.1186/s12903-025-05451-2","DOIUrl":"https://doi.org/10.1186/s12903-025-05451-2","url":null,"abstract":"<p><strong>Background: </strong>Hypodontia is the absence of one or more teeth in the primary or permanent dentition during development, and radiographic imaging is the most common method of diagnosis. However, in recent years, artificial intelligence-based decision support systems have been employed to make highly accurate diagnoses. The aim of this study was to classify single premolar agenesis, multiple premolar agenesis, and without tooth agenesis using various artificial intelligence approaches.</p><p><strong>Methods: </strong>One thousand sixty-eight panoramic radiographs from pediatric patients aged between 6 and 12 years without systemic disease were sorted into three separate classes: single premolar agenesis (n = 336), multiple premolar agenesis (n = 324), and without tooth agenesis (n = 408). Pretrained convolutional neural network models (AlexNet, DarkNet-19, DarkNet-53, DenseNet-201, EfficientNet, GoogLeNet, InceptionV3, IncResV2, MobileNetV2, NasNet-Mobile, Places365, ResNet-18, ResNet-50, ResNet-101, ShuffleNet, SqueezeNet, VGG-16, VGG-19, and Xception) were used for training with the fine-tuning method and different machine learning classifiers (decision trees, discriminant analysis, logistic regression, naive Bayes, support vector machines, nearest neighbor, ensemble method, and artificial neural network). The dataset was divided into 80% for training and 20% for testing. Performance was evaluated via accuracy, recall, precision, F1-score, specificity and area under the curve (AUC) parameters.</p><p><strong>Results: </strong>All of the data were classified via a VGG-19 model with a bilayered neural network classifier, which achieved 95.63% accuracy, 93.26% precision, 93.34% recall, 96.73% specificity, 93.25% F1-score and 95.03% AUC and was identified as the most successful model. The accuracy values for this model were distributed as follows: 96.72% for without tooth agenesis, 95.79% for multiple premolar agenesis, and 94.39% for single premolar agenesis.</p><p><strong>Conclusions: </strong>Successful results of pretrained models have been demonstrated for the radiographic diagnosis of hypodontia in pediatric patients. It is expected that artificial intelligence approaches will facilitate the diagnosis of hypodontia.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"68"},"PeriodicalIF":2.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ankyloglossia and breastfeeding self-efficacy in newborns: a birth cohort study.","authors":"Carlos Alberto Feldens, Moréniké Oluwátóyìn Foláyan, Lívia Mund de Amorim, Elisa Maria Rosa de Barros Coelho, Gabriela Fernandes Kern Dos Santos, Paulo Floriani Kramer","doi":"10.1186/s12903-025-05444-1","DOIUrl":"https://doi.org/10.1186/s12903-025-05444-1","url":null,"abstract":"<p><strong>Background: </strong>The impact of ankyloglossia (tongue-tie) on breastfeeding outcomes may be overestimated and surgical treatment in newborns remains a controversial topic. The aim of the present study was to assess and quantify the impact of ankyloglossia in newborns on breastfeeding self-efficacy at 14 days of life.</p><p><strong>Methods: </strong>A birth cohort study was conducted involving mothers and newborns soon after childbirth at a public hospital in the city of Canoas, southern Brazil. At the hospital, the lingual frenum of newborns were clinically examined and classified using the Bristol Tongue Assessment Tool. For every newborn with defined or suspected ankyloglossia, two newborns without ankyloglossia were co-enrolled for the study. At 14 days of the children's lives, the mothers were interviewed at home to collect data on breastfeeding self-efficacy using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). Poisson regression with robust variance was conducted to quantify differences in the Breastfeeding Self-Efficacy scores between exposed and nonexposed newborns after adjusting for maternal sociodemographic variables (mother's completed years of schooling, mother's age, family structure, progenitor status of child, mother's smoking status), the gestational variables (number of prenatal appointments, gestational age, comorbidities, type of childbirth), and child related variables (sex, birth weight, birth length) as confounders.</p><p><strong>Results: </strong>The final sample was composed of 31 children with ankyloglossia (exposed) and 57 without ankyloglossia (nonexposed). No significant differences were found in the BSEF-SF scores between the 31 children with ankyloglossia (mean BSEF-SF scores: 56.0; median BSEF-SF scores: 60; 95% CI: 51.9-60.1) and the 57 children without ankyloglossia (mean BSEF-SF scores: 59.6; median BSEF-SF scores: 60; 95% CI: 57.5-61.7). The Poisson regression analysis showed no significant difference in the BSEF-SF scores between newborns with ankyloglossia and those without ankyloglossia (Ratio = 0.95; 95% CI: 0.88-1.02; p = 0.139).</p><p><strong>Conclusion: </strong>Ankyloglossia at birth exerted no clinically relevant impact on breastfeeding self-efficacy in children at 14 days of life.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"64"},"PeriodicalIF":2.6,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced platelet-rich fibrin.","authors":"Marwa Abdelhaleem, Wafaa Saleh, Samah Elmeadawy","doi":"10.1186/s12903-024-05398-w","DOIUrl":"10.1186/s12903-024-05398-w","url":null,"abstract":"<p><strong>Objectives: </strong>The current literature about the effect of advanced platelet rich fibrin(A-PRF) with vestibular incision subperiosteal tunnel access (VISTA) technique in treating gingival recession is scarce. Therefore, the aim of the current randomized clinical trial is to evaluate the effect of A-PRF with VISTA technique in the treatment of Cairo class 1 gingival recession (RT1).</p><p><strong>Methods: </strong>Twenty-four patients who met the eligibility criteria were randomly allocated into two groups. VISTA + A-PRF was the treatment of the study group, while VISTA + collagen matrix was performed for the control group. The clinical outcomes were assessed by a single-blind assessor at baseline, three months, and six months. They were divided into primary and secondary outcomes. The primary outcomes included recession depth (RD), recession width (RW), gingival thickness (GT), mean of root coverage % (MRC%), and width of attached gingiva (WAG) while the secondary outcome included clinical attachment level (CAL).</p><p><strong>Results: </strong>The primary outcomes analysis demonstrated statistically significant improvements in RD, RW, MRC%, GT, and WAG after 3 and 6 months in both groups (p < 0.001). However, the study group demonstrated a significantly greater improvement than the control group in RD, RW, and MRC%. No significant differences were observed between the two groups regarding GT and WAG.</p><p><strong>Conclusions: </strong>Both treatment approaches were effective in the treating of RT1 adjacent gingival recessions. A-PRF showed promising results compared to collagen matrix.</p><p><strong>Trial registration: </strong>The current randomized clinical trial was registered at ClinicalTrials.gov (Registration number: NCT06357351) and it was released on 10/04/2024.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"63"},"PeriodicalIF":2.6,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142977555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between malocclusion and speech patterns: a cross-sectional study.","authors":"Nada E Tashkandi, Razan AlDosary, Hissah Zamandar, Misk Alalwan, Mohannad Alwothainani, Hissah Aljoaid, Duaa Alghazhmri, Eman Allam, Anand Marya, Samar M Adel","doi":"10.1186/s12903-025-05437-0","DOIUrl":"https://doi.org/10.1186/s12903-025-05437-0","url":null,"abstract":"<p><strong>Objective: </strong>Dental occlusion and the alignment of the dentition play crucial roles in producing speech sounds. The Arabic language is specifically complex, with many varieties and geographically dependent dialects. This study investigated the relationship between malocclusion and speech abnormalities in the form of misarticulations of Arabic sounds.</p><p><strong>Materials and methods: </strong>One hundred native subjects (28.92 ± 12.09 years old) were recruited for this cross-sectional study. The Peer Assessment Rating (PAR) index was used to describe malocclusion pattern. A standard speech sample was recorded for each subject and evaluated by a blinded speech therapist to judge misarticulations and indicate the misarticulation classification. The Jeddah Institute for Speech and Hearing Centre (JISH) articulation test was used to assess the phonologic abilities of the participants. Mann-Whitney U test was utilized for the statistical analysis. P-value < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The PAR score ranged from 0 to 15, with an average of 4.87. The descriptive statistics of the included sample demonstrated that twenty-seven subjects showed improper articulation of sounds, with 25 being distortions and 2 substitutions. No significant gender differences were reported. A statistically significant association between PAR scores was recorded for the sounds / ص/ (p = 0.004), / ز/ (p = 0.017), and / س/ (p = 0.010).</p><p><strong>Conclusions: </strong>There was an evident pattern of partial association of PAR index scores and speech abnormalities including improper articulation. To provide optimal care for involved subjects, collaboration between orthodontists and speech therapists, in pre- and post-treatment evaluations, is crucial.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"65"},"PeriodicalIF":2.6,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of various etiological factors for oral squamous cell carcinoma in non-habit patients- a cross sectional case control study.","authors":"Mudiyayirakkani Muthusamy, Pratibha Ramani, Paramasivam Arumugam, Parthiban Rudrapathy, Boopathi Kangusamy, Vishnu Priya Veeraraghavan, Selvaraj Jayaraman, Balachander Kannan, Anitha Pandi","doi":"10.1186/s12903-024-05406-z","DOIUrl":"10.1186/s12903-024-05406-z","url":null,"abstract":"<p><strong>Background: </strong>Oral squamous cell carcinoma (OSCC) is one of the most prevalent oral cancers in the world. The major etiological factors are considered to be tobacco and alcohol. However, the etiological factors for non-habit associated oral squamous cell carcinoma (NHOSCC) remains an enigma. So we focused in assessing various etiological factors like genetic factor, microbial factor, dental factor and the biochemical factor of non-habit associated oral squamous cell carcinoma. The aim was to assess Harvey Rat Sarcoma Virus gene (HRAS) mutation, total bacterial count, Herpes Simplex Virus-1 (HSV-1), regressive changes of teeth, total antioxidant capacity and its association with NHOSCC.</p><p><strong>Materials and methods: </strong>A total of 564 (n = 564) patients with OSCC were included in the study. Out of 564 patients, 282 patients had NHOSCC and 282 patients had habit associated oral squamous cell carcinoma (HOSCC). The isolated DNA from the tissue was subjected to Sanger's sequencing analysis for mutation analysis of the HRAS gene. The isolated serum was subjected to HSV-1 ELISA analysis and TAC ELISA analysis. The dental cast used to analyze the presence of sharp teeth/ any other form of regressive changes of teeth.</p><p><strong>Results: </strong>Firstly, we found 3 novel pathogenic mutations c.16C > A/p.L6M (missense mutation), c.359 T > C/p.L120P (point mutation), c.382C > T/p.R128W (missense mutation) of HRAS gene in NHOSCC samples by genetic analysis. No significant difference was noted in the total bacterial count between the non-habit associated and habit associated oral squamous cell carcinoma (HOSCC). The binary logistic regression showed patients with HSV1 infection have 2.667 odds (2.667 OR, CI, 1.589- 4.484) of getting NHOSCC and it was found to be statistically significant (p < 0.001).The dental analysis revealed that patients with regressive changes have 4.432 odds (4.432 OR, CI, 2.807- 6.998) of getting NHOSCC and it was found to be statistically significant (p < 0.001). The biochemical analysis revealed patients with lower total antioxidant capacity have 0.671 odds (0.671 OR, CI, 0.621-0.725) of getting NHOSCC and was found to be statistically significant (p < 0.001). Our results suggest that the frequency of HRAS mutation in NHOSCC is high. HSV1, oxidative stress and regressive changes of teeth are associated with NHOSCC.</p><p><strong>Conclusion: </strong>Our results suggest that the frequency of HRAS mutation in NHOSCC is high. HSV1, oxidative stress and regressive changes of teeth are associated with NHOSCC.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"62"},"PeriodicalIF":2.6,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11727232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in Ghana.","authors":"Joana Kwabena-Adade, Enoch Aninagyei, Joy Ato Nyarko","doi":"10.1186/s12903-024-05405-0","DOIUrl":"10.1186/s12903-024-05405-0","url":null,"abstract":"<p><strong>Background: </strong>There is a paucity of data on oral health problems among the residents of Fanteakwa districts (South and North) in the Eastern region of Ghana. Therefore, this study assessed the prevalence and factors associated with self-reported oral health problems in the Fanteakwa districts of Ghana.</p><p><strong>Methods: </strong>This community-based cross-sectional study targeted residents of the towns of the Fanteakwa districts, who have not had any dental care visit in the past six months preceding the study. The participants were enrolled from July - October, 2023. Socio-demographic study variables collected were sex, age, educational level, income level, ethnicity, area of residence, household size and frequency of brushing teeth in a day. Whereas the self-reported oral health problems were tooth ache, swollen gum, bleeding gum, sensitive tooth/teeth, hole in tooth/teeth, discoloured tooth/teeth and mouth odour. The chi-square statistical test was used to test the association between the presence of oral health problem(s) and other independent variables. Whereas, Modified Poisson regression was used to test the relationships among the variables.</p><p><strong>Results: </strong>In total, 400 community members were interviewed. The mean age of respondents was 31 years (SD ± 12.4, Min = 19, Max = 81). The majority were females (55.2%) and more than 96% had some form of formal education. The Akan ethnic group accounted for as much as 47% of the respondents. The overall prevalence of self-reported oral health problems was 58.5% (95% CI 53.5% - 63.4%). The commonly reported oral health problems were toothache (51.7%), swollen gum (38.5%), difficulty in chewing (33.3%), bleeding gum (32.1%), and mobile teeth (17.1%). About 98% (229/234) of the study participants who self-reported oral health problems, reported up to four different problems. Self-reported oral health problems associated with participants' age (χ² = 7.2, p = 0.027), income level (χ² = 19.3, p < 0.001), ethnicity (χ² = 21.2, p < 0.001), area of residence (χ² = 26.9, p < 0.001), religious affiliation (χ² = 15.7, p < 0.001) and frequency of brushing teeth in a day (χ² = 6.85, p < 0.032). Despite the observed relationships, Modified Poisson regression identified that compared to the rural dwellers, the urban dwellers had lower odds of self-reporting oral health problems (aOR = 0.718, p = 0.032, CI: 0.531-0.971), after controlling for age and frequency of teeth brushing in a day.</p><p><strong>Conclusion: </strong>High rate of self-reported oral health problems was observed in the study site. Participants from rural residence were disproportionately affected. Therefore, local health authorities are encouraged to leverage on the identified risk groups for enhanced oral health education towards reduction in the reported oral health problems.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"57"},"PeriodicalIF":2.6,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bayesian network for predicting mandibular third molar extraction difficulty.","authors":"Tian Meng, Zhiyong Zhang, Xiao Zhang, Chao Zhang","doi":"10.1186/s12903-025-05432-5","DOIUrl":"10.1186/s12903-025-05432-5","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to establish a model for predicting the difficulty of mandibular third molar extraction based on a Bayesian network to meet following requirements: (1) analyse the interaction of the primary risk factors; (2) output quantitative difficulty-evaluation results based on the patient's personal situation; and (3) identify key surgical points and propose surgical protocols to decrease complications.</p><p><strong>Methods: </strong>Relevant articles were searched to identify risk factors. Clinical knowledge and experience were used to analyse the risk factors to establish the Bayesian network. First, the qualitative mechanism knowledge, including the effect of risk factors on the extraction difficulty and the causal relationships between risk factors, was analysed to establish the framework of the Bayesian network. Then, the quantitative knowledge, including the occurrence probability of the parent nodes and the conditional probability table of the nodes with causal relationships, was given by the surgeon experience and calculated using the Dempster-Shafer evidence theory. According to the framework and likelihoods and relationships of risk factors, the Bayesian network model was established.</p><p><strong>Results: </strong>This Bayesian network model analysed the weight by sensitivity of each risk factor and expressed the interaction relationship among risk factors as well as the effect of risk factors on extraction difficulty quantitatively. This Bayesian network model showed quantitative analysis results for extraction difficulty and key risk factors. The Bayesian network model revealed that the relationship to the inferior alveolar nerve, surgeon experience and patient anxiety were the most important risk factors for extraction difficulty. By integrating these patient-specific risk factors across the entire surgical process, this model could be used during preoperative planning to identify high-risk cases and to optimize resource allocation; during intraoperative management to tailor surgical techniques; and during postoperative follow-up to establish targeted follow-up protocols for high-risk patients. Moreover, this Bayesian network model can flexibly improve inclusion factors and conditional probabilities with the development of relevant research and expert opinions, as well as change states and probabilities of relevant nodes based on actual clinical conditions.</p><p><strong>Conclusions: </strong>A model for predicting the difficulty of mandibular third molar extraction was established based on a Bayesian network.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"56"},"PeriodicalIF":2.6,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142968825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of different artificial intelligence applications in responding to regenerative endodontic procedures.","authors":"Ece Ekmekci, Parla Meva Durmazpinar","doi":"10.1186/s12903-025-05424-5","DOIUrl":"10.1186/s12903-025-05424-5","url":null,"abstract":"<p><strong>Introduction: </strong>The integration of artificial intelligence (AI) technologies in healthcare is revolutionizing the workflows of healthcare professionals, enabling faster and more accurate patient treatment. This study aims to evaluate the accuracy of responses provided by different AI chatbots to questions that dentists might ask regarding regenerative endodontic treatment (RET), a procedure that shows promising biological healing potential.</p><p><strong>Methods: </strong>A total of 23 questions related to RET procedures were developed based on the American Association of Endodontists (AAE) 2022 guidelines. These questions were presented to three platforms: Google Bard (Gemini), ChatGPT-4o, and ChatGPT-4 with a PDF plugin. The questions were asked three times a day over the course of 10 days by two different researchers. The responses obtained were categorized as correct, incorrect, or insufficient according to the guidelines, and the results were statistically analyzed.</p><p><strong>Results: </strong>A total of 1,380 responses were collected from the three platforms. Statistical analysis revealed significant relationships between the responses given by the platforms during morning, noon, and evening sessions (p < 0.05). ChatGPT-4 with the PDF plugin had the highest correct response rate (98.1%), while Gemini depicted the lowest (48%).</p><p><strong>Conclusions: </strong>While ChatGPT-4o and Gemini offer promising results for regenerative endodontic clinical applications, they do not provide sufficient guidance. However, ChatGPT-4 with the PDF plugin could be a valuable tool for clinicians due to its high accuracy rate. Further research is needed to develop AI programs specifically designed for clinicians in the field of endodontics.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"53"},"PeriodicalIF":2.6,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}