Evidence map›Paper›PMID 39930399›Full record

ArticleBMC medical education2025

Performance of artificial intelligence on Turkish dental specialization exam: can ChatGPT-4.0 and gemini advanced achieve comparable results to humans?

Soner Sismanoglu, Belen Sirinoglu Capan

Abstract readComparative Study
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Educational Applications of ChatGPT in University-Based Dental Education. A Systematic Review.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
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  4. Accuracy and Temporal Consistency of ChatGPT and Gemini in Responding to Textbook and Patient-Oriented Dental Bleaching Questions: A Multi-Session Comparative Study.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
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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

2 authors.

Soner SismanogluFaculty of Dentistry, Department of Restorative Dentistry, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Belen Sirinoglu CapanFaculty of Dentistry, Department of Pediatric Dentistry, Istanbul University-Cerrahpasa, Istanbul, Turkey. belens90@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAI-powered chatbots have spread to various fields including dental education and clinical assistance to treatment planning. The aim of this study is to assess and compare leading AI-powered chatbot performances in dental specialization exam (DUS) administered in Turkey and compare it with the best performer of that year.

methodsDUS questions for 2020 and 2021 were directed to ChatGPT-4.0 and Gemini Advanced individually. DUS questions were manually entered into AI-powered chatbot in their original form, in Turkish. The results obtained were compared with each other and the year's best performers. Candidates who score at least 45 points on this centralized exam are deemed to have passed and are eligible to select their preferred department and institution. The data was statistically analyzed using Pearson's chi-squared test (p < 0.05).

resultsChatGPT-4.0 received 83.3% correct response rate on the 2020 exam, while Gemini Advanced received 65% correct response rate. On the 2021 exam, ChatGPT-4.0 received 80.5% correct response rate, whereas Gemini Advanced received 60.2% correct response rate. ChatGPT-4.0 outperformed Gemini Advanced in both exams (p < 0.05). AI-powered chatbots performed worse in overall score (for 2020: ChatGPT-4.0, 65,5 and Gemini Advanced, 50.1; for 2021: ChatGPT-4.0, 65,6 and Gemini Advanced, 48.6) when compared to overall scores of the best performer of that year (68.5 points for year 2020 and 72.3 points for year 2021). This poor performance also includes the basic sciences and clinical sciences sections (p < 0.001). Additionally, periodontology was the clinical specialty in which both AI-powered chatbots achieved the best results, the lowest performance was determined in the endodontics and orthodontics.

conclusionAI-powered chatbots, namely ChatGPT-4.0 and Gemini Advanced, passed the DUS by exceeding the threshold score of 45. However, they still lagged behind the top performers of that year, particularly in basic sciences, clinical sciences, and overall score. Additionally, they exhibited lower performance in some clinical specialties such as endodontics and orthodontics.

Indexed as

Artificial IntelligenceEducational MeasurementEducation, DentalGenerative Artificial IntelligenceHumansTurkeyAIArtificial IntelligenceChatGPTDentistryGeminiLarge Language models

Identifiers

PMID39930399
PMCPMC11809121

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.