Table 5. Main features of surveyed studies using machine learning algorithms in endodontics and cariology.
Dentistry field | Application | Data set | Machine learning algorithms | Performance |
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Endodontics | Localization of the lesser apical foramen using X-ray feature extraction procedures and then processing data using an artificial neural network as a decision-making system Saghiri et al. [85] (2012) |
50 single-rooted mandibular incisors and second premolars with curvatures <30° in the apical region, extracted for orthodontic or periodontal reasons | ANNsa | Success rate: 93% |
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Location of the minor apical foramen using feature extraction procedures from radiographs (a cadaver study) Saghiri et al. [86] (2012) |
50 single-rooted teeth from 19 male cadavers; age range 49-73 years | ANNs | Success rate: 96%, CIb: 90.57–101.43; P<0.001 | |
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Diagnosis of vertical root fracture (an ex vivo study) Kositbowornchai et al. [87] (2013) |
200 digital radiographic images of extracted human premolar teeth with single root (50 sound and 150 vertical root fractures) | ANNs | Sec: 98%, Spd: 90.5%, accuracy: 95.7% | |
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Diagnosis of the number of the distal roots of mandibular first molars Hiraiwa et al. [88] (2019) |
Panoramic radiographs of 760 mandibular first molars from 400 patients | CNNse | Accuracy:86.9% | |
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Detection of vertical root fracture on panoramic radiograph using neural network system Fukuda et al. [89] (2019) |
300 panoramic images containing a total of 330 teeth with clearly visible fracture lines | CNNs | Recall: 0.75, precision: 0.93, F-measure: 0.83 | |
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Diagnosis of periapical pathosis on CBCTf images Orhan et al. [49] (2020) |
Images of 153 periapical lesions obtained from 109 patients | CNNs | Recall: 0.89, precision:0.95, F-measure: 0.93 | |
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Cariology | Approximal caries diagnosis using a computer-assisted diagnostic system Araki et al. [26] (2010) |
100 approximate surfaces of 50 human teeth extracted (first and second maxillary premolars) | ANNs | AUCg:: Inner half enamel caries, 0.691±0.048; dentine caries, 0.745±0.088; all caries, 0.662±0.061 |
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Diagnosis of dental caries on periapical radiographs Lee et al. [27] (2018) |
3000 periapical radiographic images | CNNs | Premolar and molar model-Se: 81.0 % (74.5-86.1), Sp: 83.0 % (76.5-88.1), accuracy: 82.0% (75.5-87.1), PPVh: 82.7% (76.1-87.9), NPVi: 81.4 (75.0-86.4), AUC: 0.845 (95% CI 0.790-0.901) | |
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Develop models for identification of root caries risk Hung et al. [28] (2019) |
5135 individuals; mean age (±SDj): 46,6 ± 18,1 years | SVMk, XGBoostl, Random forest, k-NNm, LRn | Se, Sp, accuracy, precision, AUC: SVM: 0.996, 0.943, 0.97, 0.951, 0.997; XGBoost: 1.000, 0.889, 0.947, 0.908, 0.987; Random forest:1.000, 0.875, 0.941, 0.947, 0.999; k?NN: 0.971, 0.679, 0.832, 0.769, 0.881; LR: 0.771, 0.711, 0.742, 0.742, 0.818 | |
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Detection of caries lesions on bitewing radiographs images Cantu et al. [29] (2020) |
3686 bitewing radiographs | CNNs | Se:0.75, Sp: 0.83, accuracy: 0.80, PPV: 0.70, NPV: 0.86, F-measure: 0.73 | |
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Diagnosis of dental caries on digital periapical radiographs Geetha et al. [30] (2020) |
105 images derived from intra-oral digital radiography | BPNNo | Accuracy: 0.971, AUC: 0.987 | |
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Caries risk prediction in geriatric people Liu et al. [31] (2020) |
1144 geriatrics; range age 65-74 years | GRNNp | Se: 91.41% (training set), 85.16% (test set); Sp: 72.38% (training set), 70.27% (test set); AUC: 0.777 | |
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Detect caries lesions in near-infrared-light transillumination images Schwendicke et al. [32] (2020) |
226 extracted posterior permanent human teeth (113 premolars, 113 molars) | CNNs | AUC: 0.74 (0.66-0.82), Se: 0.59 (0.47-0.70), Sp: 0.76 (0.68-0.84), PPV: 0.63 (0.51-0.74), NPV: 0.73 (0.65-0.80) | |
Evaluation of cost effectiveness in detection of proximal caries on bitewing radiographs using AI Schwendicke et al. [90] (2020) |
3686 bitewing radiographs | CNNs | Accuracy: 0.80; P<0.05, ICERq: –13.9 euro/year |
ANN: Artificial neural networks;
CI: Confidence interval;
Se: Sensibility;
Sp: Specificity;
CNN: Convolutional neural networks;
CBCT: Cone beam computed tomography;
AUC: Area under receiver operating;
PPV: Positive predictive value;
NPV: Negative predictive value;
SD: Standard deviation;
SVM: Support vector machine;
XGBoost: Extreme gradient boosting;
k-NN: k-nearest neighbors;
LR: Logistic regression;
BPNN: Back propagation neural networks;
GRNN: General regression neural network;
ICER: Incremental cost-effectiveness ratio.