Background/purpose
Artificial intelligence (AI) has made deep inroads into dentistry in the last few years. The aim of this systematic review was to identify the development of AI applications that are widely employed in dentistry and evaluate their performance in terms of diagnosis, clinical decision-making, and predicting the prognosis of the treatment.
Materials and methods
The literature for this paper was identified and selected by performing a thorough search in the electronic data bases like PubMed, Medline, Embase, Cochrane, Google scholar, Scopus, Web of science, and Saudi digital library published over the past two decades (January 2000–March 15, 2020).After applying inclusion and exclusion criteria, 43 articles were read in full and critically analyzed. Quality analysis was performed using QUADAS-2.
Results
AI technologies are widely implemented in a wide range of dentistry specialties. Most of the documented work is focused on AI models that rely on convolutional neural networks (CNNs) and artificial neural networks (ANNs). These AI models have been used in detection and diagnosis of dental caries, vertical root fractures, apical lesions, salivary gland diseases, maxillary sinusitis, maxillofacial cysts, cervical lymph nodes metastasis, osteoporosis, cancerous lesions, alveolar bone loss, predicting orthodontic extractions, need for orthodontic treatments, cephalometric analysis, age and gender determination.
Conclusion
These studies indicate that the performance of an AI based automated system is excellent. They mimic the precision and accuracy of trained specialists, in some studies it was found that these systems were even able to outmatch dental specialists in terms of performance and accuracy.
Background/purpose
In the recent years artificial intelligence (AI) has revolutionized in the field of dentistry. The aim of this systematic review was to document the scope and performance of the artificial intelligence based models that have been widely used in orthodontic diagnosis, treatment planning, and predicting the prognosis.
Materials and methods
The literature for this paper was identified and selected by performing a thorough search for articles in the electronic data bases like Pubmed, Medline, Embase, Cochrane, and Google scholar, Scopus and Web of science, Saudi digital library published over the past two decades (January 2000–February 2020). After applying the inclusion and exclusion criteria, 16 articles were read in full and critically analyzed. QUADAS-2 were adapted for quality analysis of the studies included.
Results
AI technology has been widely applied for identifying cephalometric landmarks, determining need for orthodontic extractions, determining the degree of maturation of the cervical vertebra, predicting the facial attractiveness after orthognathic surgery, predicting the need for orthodontic treatment, and orthodontic treatment planning. Most of these artificial intelligence models are based on either artificial neural networks (ANNs) or convolutional neural networks (CNNs).
Conclusion
The results from these reported studies are suggesting that these automated systems have performed exceptionally well, with an accuracy and precision similar to the trained examiners. These systems can simplify the tasks and provide results in quick time which can save the dentist time and help the dentist to perform his duties more efficiently. These systems can be of great value in orthodontics.
Background: Oral cancer requires early diagnosis and treatment to increase the chances of survival. This study aimed to develop an artificial neural network model that helps to predict the individuals' risk of developing oral cancer based on data on risk factors, systematic medical condition, and clinic-pathological features.Methods: A popular data mining algorithm artificial neural network was used for developing the artificial intelligence-based prediction model. A total of 29 variables that were associated with the patients were used for developing the model. The dataset was randomly split into the training dataset 54 (75%) cases and testing dataset 19 (25%) cases. All records and observations were reviewed by Board-certified oral pathologist.Results: A total of 73 patients met the eligibility criteria. Twenty-two (30.13%) were benign cases, and 51 (69.86%) were malignant cases. Thirty-seven were female, and 36 were male, with a mean age of 63.09 years. Our analysis displayed that the average sensitivity and specificity of ANN for oral cancer prediction based on the 10-fold cross-validation analysis was 85.71% (95% confidence interval [CI], 57.19-98.22) and 60.00% (95% CI, 14.66-94.73), respectively. The accuracy of ANN for oral cancer prediction was 78.95% (95% CI, 54.43-931.95).
Conclusion:Our results suggest that this machine-learning technique has the potential to help in oral cancer screening and diagnosis based on the datasets. The results demonstrate that the artificial neural network could perform well in estimating the probability of malignancy and improve the positive predictive value that could help to predict the individuals' risk of developing OC based on knowledge of their risk factors, systemic medical conditions, and clinic-pathological data.
K E Y W O R D Sartificial neural network, early detection, machine learning, oral cancer, prediction model
| INTRODUC TI ONOral cancer (OC) is the 11th most common cancer in the world, the estimated number of new cases of OC is around 657 000, which accounts for more than 330 000 deaths each year. 1 In Saudi Arabia, OC is the third most common malignancy, with lymphoma and leukemia at the first and second positions. 2 Oral squamous cell carcinoma is the most common type of OC. 3 The prevalence of oral cancer How to cite this article: Alhazmi A, Alhazmi Y, Makrami A, et al. Application of artificial intelligence and machine learning for prediction of oral cancer risk.
To prevent re-infection and provide a hermetic seal of the root canal system, an endodontist must aim to produce a void-free obturation. This review aimed to compare the completeness of root canal obturation between the two most prevalent methods—cold lateral condensation and warm gutta-percha techniques—using micro-CT (PROSPERO reg no. 249815). Materials and Methods: A search of Scopus, Embase, PubMed (Medline via PubMed), and Web of Science databases was done without any time restriction according to the PRISMA protocol. Articles that compared both techniques and were published in English were included. Data was extracted and the risk of bias was assessed using an adapted tool based on previous studies. Results: A total of 141 studies were identified by the search. Following the screening and selection of articles, 9 studies were included for review. Data was extracted manually and tabulated. Most studies had a moderate risk of bias. None determined operator skill in both methods before comparison. The data extracted from the included studies suggests that both techniques produce voids in the obturation. The thermoplasticized gutta-percha techniques may result in fewer voids compared to cold lateral condensation. Conclusion: Considering the limitations of the included studies, it was concluded that neither technique could completely obturate the root canal. Thermoplasticized gutta-percha techniques showed better outcomes despite a possible learning bias in favor of cold lateral condensation. Establishing operator skills before comparison may help reduce this bias.
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