Evidence map›Paper›PMID 37117096›Full record

ArticleInternational dental journal2023

Accuracy of Artificial Intelligence-Based Photographic Detection of Gingivitis.

Reinhard Chun Wang Chau, Guan-Hua Li, In Meei Tew, Khaing Myat Thu, Colman McGrath, Wai-Lun Lo, Wing-Kuen Ling, Richard Tai-Chiu Hsung, Walter Yu Hang Lam

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International dental journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07187453 (Improving Gum Health Among Older Adults in Hong Kong Through Artificial Intelligence-Based Mobile Health for Personalized Oral Hygiene Instruction), which is not on this map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
18.0field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT07187453 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Improving Gum Health Among Older Adults in Hong Kong Through Artificial Intelligence-Based Mobile Health for Personalized Oral Hygiene Instruction

TypeinterventionalSponsorThe University of Hong KongRan2025 to 2026Enrolled88ConditionsGum Inflammation, Periodontal Diseases, Oral Hygiene, Oral HealthArmsPersonalized Oral Hygiene Advice using AI assisted mHealth Tool by Non-Dental Personnel
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  9. Beyond the Drill: Can Digital Gadgets Redefine the Future of Dental Education?European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
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  19. [Applications and perspectives of artificial intelligence in periodontology].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Reinhard Chun Wang ChauFaculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, China.
Guan-Hua LiSchool of Information Engineering, Guangdong University of Technology, Guangzhou, China.
In Meei TewFaculty of Dentistry, The National University of Malaysia, Kuala Lumpur, Malaysia.
Khaing Myat ThuFaculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, China.
Colman McGrathFaculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, China.
Wai-Lun LoDepartment of Computer Science, Hong Kong Chu Hai College, Hong Kong Special Administrative Region, China.
Wing-Kuen LingSchool of Information Engineering, Guangdong University of Technology, Guangzhou, China.
Richard Tai-Chiu HsungFaculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, China; School of Information Engineering, Guangdong University of Technology, Guangzhou, China; Department of Computer Science, Hong Kong Chu Hai College, Hong Kong Special Administrative Region, China. Electronic address: richardhsung@chuhai.edu.hk.
Walter Yu Hang LamFaculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, China; Musketeers Foundation Institute of Data Science, The University of Hong Kong, Hong Kong Special Administrative Region, China. Electronic address: retlaw@hku.hk.
University of Hong Kong · HKGuangdong University of Technology · CNHong Kong Chu Hai College · HKNational University of Malaysia · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesGingivitis is one of the most prevalent plaque-initiated dental diseases globally. It is challenging to maintain satisfactory plaque control without continuous professional advice. Artificial intelligence may be used to provide automated visual plaque control advice based on intraoral photographs.

methodsFrontal view intraoral photographs fulfilling selection criteria were collected. Along the gingival margin, the gingival conditions of individual sites were labelled as healthy, diseased, or questionable. Photographs were randomly assigned as training or validation datasets. Training datasets were input into a novel artificial intelligence system and its accuracy in detection of gingivitis including sensitivity, specificity, and mean intersection-over-union were analysed using validation dataset. The accuracy was reported according to STARD-2015 statement.

resultsA total of 567 intraoral photographs were collected and labelled, of which 80% were used for training and 20% for validation. Regarding training datasets, there were total 113,745,208 pixels with 9,270,413; 5,711,027; and 4,596,612 pixels were labelled as healthy, diseased, and questionable respectively. Regarding validation datasets, there were 28,319,607 pixels with 1,732,031; 1,866,104; and 1,116,493 pixels were labelled as healthy, diseased, and questionable, respectively. AI correctly predicted 1,114,623 healthy and 1,183,718 diseased pixels with sensitivity of 0.92 and specificity of 0.94. The mean intersection-over-union of the system was 0.60 and above the commonly accepted threshold of 0.50.

conclusionsArtificial intelligence could identify specific sites with and without gingival inflammation, with high sensitivity and high specificity that are on par with visual examination by human dentist. This system may be used for monitoring of the effectiveness of patients' plaque control.

Indexed as

Dental PlaqueGingivitisArtificial IntelligenceHumansArtificial intelligenceCommunity dentistryDeep learningGingivitisNeural networks, computerPeriodontal diseases

Identifiers

PMID37117096
PMCPMC10509417
OpenAlexW4367042729

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.