ArticleDiagnostics (Basel, Switzerland)2023
Determinants of Clinical Decision Making under Uncertainty in Dentistry: A Scoping Review.
Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07461324 (Systematic Risk Assessment Prior to Oral Surgery), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Systematic Risk Assessment Prior to Oral Surgery
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- AI in orthodontic treatment planning: a systematic review comparing learning approaches.BMC oral health · 2026Pooled it
- Fuzzy Logic and Fuzzy-Based Artificial Intelligence in Dentistry: A Systematic Review.Diagnostics (Basel, Switzerland) · 2026Review
- Automated Prognostic Evaluation of First Permanent Molar Extractions Using YOLOv8 with Oriented Bounding Boxes on Pediatric Panoramic Radiographs.Diagnostics (Basel, Switzerland) · 2026Article
- Reasoning behind discrepancies in periodontal diagnosis and classification: A mixed-methods analysis.Journal of periodontology · 2026Observational
- Feasibility of Large Language Model-Based Standardized Virtual Patients to Support Clinical Decision-Making Training in Operative Dentistry: Mixed Methods Study.JMIR formative research · 2026Article
- Multilevel Determinants of Engagement in Lifelong Learning in Orthodontics From Formal to AI-Supported Approaches: Development of a Conceptual Framework Through a Qualitative Study.JMIR medical education · 2026Article
- The role of social media in parents' approaches to dental treatment procedures under general anesthesia and sedation: a cross-sectional survey in Turkey.BMC oral health · 2026Article
- Managing diagnostic uncertainty in primary care: a mixed-methods study of family physicians' experiences in Türkiye.BMC primary care · 2026Article
- A scoping review of crowdsourcing and collective intelligence in oral healthcare.BMC oral health · 2026Article
- Shades of knowledge: awareness among Brazilian dentists on non- and microinvasive approaches for tooth discoloration.Journal of applied oral science : revista FOB · 2026Observational
- A conceptual clinical reasoning framework for early syndromic recognition in dental practice.Frontiers in oral health · 2026Review
- Patient Preferences for Direct versus Indirect Dental Veneers: Associations with Durability, Socioeconomic Status, and Satisfaction.Patient preference and adherence · 2026Article
- Clinical Reasoning Uncertainty in Veterinary Medical Encounters with a Clinical Example.Veterinary sciences · 2025Review
- Development and validation of the participation in treatment decision-making scale for adults with malocclusion (PTDMS-AM).BMC oral health · 2025Article
- Exploring the Associations of Cultural Sensitivity, Technology, and Patient Empowerment with Patient-Centered Care: A Mixed-Methods Study in UAE Rehabilitation Healthcare Centers.Journal of general internal medicine · 2025Article
- Knowledge, attitudes and preferences of parents/guardians regarding dental treatment of their children's primary teeth: a questionnaire cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025Article
- A Cross-Sectional Survey Assessing the Factors Influencing Dentists' Decisions on Post-Endodontic Prosthetic Crown Restoration.Journal of clinical medicine · 2025Article
- Implementation of Chief Complaint-Based Clinical Reasoning Training in Periodontal Internships.International dental journal · 2025Article
- Observational Diagnostics: The Building Block of AI-Powered Visual Aid for Dental Practitioners.Bioengineering (Basel, Switzerland) · 2024Review
- Accuracy of Treatment Recommendations by Pragmatic Evidence Search and Artificial Intelligence: An Exploratory Study.Diagnostics (Basel, Switzerland) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Clinical decision-making for diagnosing and treating oral and dental diseases consolidates multiple sources of complex information, yet individual clinical judgements are often made intuitively on limited heuristics to simplify decision making, which may lead to errors harmful to patients. This study aimed at systematically evaluating dental practitioners' clinical decision-making processes during diagnosis and treatment planning under uncertainty. A scoping review was chosen as the optimal study design due to the heterogeneity and complexity of the topic. Key terms and a search strategy were defined, and the articles published in the repository of the National Library of Medicine (MEDLINE/PubMed) were searched, selected, and analysed in accordance with PRISMA-ScR guidelines. Of the 478 studies returned, 64 relevant articles were included in the qualitative synthesis. Studies that were included were based in 27 countries, with the majority from the UK and USA. Articles were dated from 1991 to 2022, with all being observational studies except four, which were experimental studies. Six major recurring themes were identified: clinical factors, clinical experience, patient preferences and perceptions, heuristics and biases, artificial intelligence and informatics, and existing guidelines. These results suggest that inconsistency in treatment recommendations is a real possibility and despite great advancements in dental science, evidence-based practice is but one of a multitude of complex determinants driving clinical decision making in dentistry. In conclusion, clinical decisions, particularly those made individually by a dental practitioner, are potentially prone to sub-optimal treatment and poorer patient outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.