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. 2022 Apr 19;12(5):1029. doi: 10.3390/diagnostics12051029

Table 1.

Summary of studies examining the use of artificial intelligence in dental diagnosis.

Study Algorithm Used Study Factor Modality Number of Input Data Performance Comparison Outcome
Lee J et al. (2018) [27] CNN Dental caries Periapical radiographs 600 Mean AUC—0.890 4 Dentists Deep CNN showed a considerably good performance in detecting dental caries in periapical radiographs.
Casalegno et al. (2019) [29] CNN Dental caries Near-infrared transillumination imaging 217 ROC of 83.6% for occlusal caries; ROC of 84.6% for proximal caries Dentists with clinical experience CNN showed increased speed and accuracy in detecting dental caries
Cantu et al. (2019) [30] CNN Dental caries Bitewing radiographs 141 Accuracy 0.80; sensitivity 0.75%; specificity 0.83%; 4 experienced dentists AI model was more accurate than dentists
Radke et al. (2003) [45] ANN Disk displacement Frontal plane jaw recordings from chewing 68 Accuracy 86.8%, specificity 100%, sensitivity 91.8% None The proposed model has an acceptable level of error and an excellent cost/benefit ratio.
Park YH et al. (2021) [31] ML Early childhood caries Demographic details, oral hygiene management details, maternal details 4195 AUROC between 0.774 and 0.785 Traditional regression model Both ML-based and traditional regression models showed favorable performance and can be used as a supporting tool.
Kuwana et al. (2021) [39] CNN Maxillary sinus lesions Panoramic radiographs 1174 Diagnostic accuracy, sensitivity, and specificity were 90–91%, 81–85% and 91–96% for maxillary sinusitis and 97–100%, 80–100% and 100% for maxillary sinus cysts. None The proposed deep learning model can be reliably used for detecting the maxillary sinuses and identifying lesions in them.
Murata et al. (2018) [37] CNN Maxillary sinusitis Panoramic radiographs 120 Accuracy 87.5%; sensitivity 86.7%; specificity 88.3% 2 experienced radiologists, 2 dental residents The AI model can be a supporting tool for inexperienced dentists
Kim et al. (2019) [38] CNN Maxillary sinusitis Water’s view radiographs 200 AUC of 0.93 for temporal; AUC of 0.88 for geographic external 5 radiologists the AI-based model showed statistically higher performance than radiologists.
Hung KF et al. (2022) [40] CNN maxillary sinusitis Cone-beam computed tomography 890 AUC for detection of mucosal thickening and mucous retention cyst was 0.91 and 0.84 in low dose, and 0.89 and 0.93 for high dose None The proposed model can accurately detect mucosal thickening and mucous retention cysts in both low and high-dose protocol CBCT scans.
Danks et al. (2021) [34] DNN symmetric hourglass architecture Periodontal bone loss Periapical radiographs 340 Percentage Correct Keypoints of 83.3% across all root morphologies Asymmetric hourglass architecture, Resnet The proposed system showed promising capability in localizing landmarks and periodontal bone loss and performed 1.7% better than the next best architecture.
Chang et al. (2020) [36] CNN Periodontal bone loss Panoramic radiographs 340 Pixel accuracy of 0.93; Jaccard index of 0.92; dice coefficient values of 0.88 for localization of periodontal bone. None The proposed model showed high accuracy and excellent reliability in the detection of periodontal bone loss and classification of periodontitis
Ozden et al. (2015) [18] ANN Periodontal disease Risk factors, periodontal data, and radiographic bone loss 150 Performance of SVM & DT was 98%; ANN was 46% SVM &DT SVM and DT showed good performance in the classification of periodontal disease while ANN had the worst performance
Devito et al. (2008) [26] ANN Proximal caries Bitewing radiograph 160 ROC curve area of 0.884 25 examiners ANN could improve the performance of diagnosing proximal caries.
Dar-Odeh et al. (2010) [20] ANN Recurrent aphthous ulcers Predisposing factor and RAU status 96 Accuracy of prediction for network 3 & 8 is 90%; 4,6 & 9 is 80%; 1& 7 is 70%; 2 & 5 is 60% None the ANN model seemed to use gender, hematologic and mycologic data, tooth brushing, fruit, and vegetable consumption for the prediction of RAU.
Hung M et al. (2019) [28] CNN Root caries Data set 5135 Accuracy 97.1%; Precision 95.1%; sensitivity 99.6%; specificity 94.3% Trained medical personnel Shows good performance and can be clinically implemented.
Iwasaki et al. (2015) [47] BBN Temporomandibular disorders Magnetic resonance imaging 590 Of the 11 BBN algorithms used path conditions using resubstitution validation and 10—fold cross-validation showed an accuracy of >99% necessary path condition, path condition, greedy search-and-score with Bayesian information criterion, Chow-Liu tree, Rebane-Pearl poly tree, tree augmented naïve Bayes model, maximum log-likelihood, Akaike information criterion, minimum description length, K2 and C4.5 The proposed model can be used to predict the prognosis of TMDs.
Orhan et al. (2021) [49] ML Temporomandibular disorders Magnetic resonance imaging 214 The performance accuracy for condylar changes and disk displacement are 0.77 and 0.74 logistic regression (LR), random forest (RF), decision tree (DT), k-nearest neighbors (KNN), XGBoost, and support vector machine (SVM) The proposed model using KNN and RF was found to be optimal for predicting TMJ pathologies
Diniz de lima et al. (2021) [50] ML Temporomandibular disorders Infrared thermography 74 Semantic and radiomic-semantic associated ML feature extraction methods and MLP classifier showed statistically good performance in detecting TMDs KNN, SVM, MLP ML model associated with infrared thermography can be used for the detection of TMJ pathologies
Bas B et al. (2012) [46] ANN TMJ internal derangements Clinical symptoms and diagnoses 219 Sensitivity and specificity for unilateral and anterior disk displacement with and without reduction were 80% & 95% and 69% & 91%; for bilateral and anterior disk displacement with and without reduction were 37% &100% and 100% & 89% respectively. Experienced surgeon The developed model can be used as a supportive diagnostic tool for the diagnoses of subtypes of TMJ internal derangements
Choi et al. (2021) [48] CNN TMJ osteoarthritis Panoramic radiographs 1189 Accuracy of 0.78, the sensitivity of 0.73, and specificity of 0.82 Oral and maxillofacial radiologist The developed model showed performance equivalent to experts and can be used in general practices where OMFR experts or CT is n
Fukuda et al. (2019) [33] CNN Vertical root fracture Panoramic radiograph 60 The precision of 0.93; Recall of 0.75 2 Radiologists and 1 Endodontist The CNN model was a promising supportive tool for the detection of vertical root fracture.