Evidence map›Paper›PMID 40055718›Full record

SynthesisBMC oral health2025

Accuracy of artificial intelligence-based segmentation in maxillofacial structures: a systematic review.

Manea Alahmari, Maram Alahmari, Abdulmajeed Almuaddi, Hossam Abdelmagyd, Kumuda Rao, Zaid Hamdoon, Mohammed Alsaegh, Nallan C S K Chaitanya, Shishir Shetty

Erratum issuedAbstract readSystematic Review
In one paragraph

Synthesis in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. Trueness of artificial intelligence-based, manual, and global thresholding segmentation protocols for human mandibles.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Manea AlahmariCollege of Dentistry, King Khalid University, Abha, Saudi Arabia.
Maram AlahmariArmed Forces Hospital Southern Region, Khamis Mushait, Saudi Arabia.
Abdulmajeed AlmuaddiCollege of Dentistry, King Khalid University, Abha, Saudi Arabia.
Hossam AbdelmagydCollege of Dentistry, Suez Canal University, Ajman, United Arab Emirates.
Kumuda RaoAB Shetty Memorial Institute of Dental Sciences, Nitte (Deemed to be University), Mangalore, India.
Zaid HamdoonCollege of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Mohammed AlsaeghCollege of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Nallan C S K ChaitanyaCollege of Dental Sciences, RAK Medical and Health Sciences University, Ras-Al-Khaimah, United Arab Emirates.
Shishir ShettyCollege of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates. shishirshettyomr@gmail.com.ORCID http://orcid.org/0000-0002-8097-6024

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this review was to evaluate the accuracy of artificial intelligence (AI) in the segmentation of teeth, jawbone (maxilla, mandible with temporomandibular joint), and mandibular (inferior alveolar) canal in CBCT and CT scans. MATERIALS AND

methodsArticles were retrieved from MEDLINE, Cochrane CENTRAL, IEEE Xplore, and Google Scholar. Eligible studies were analyzed thematically, and their quality was appraised using the JBI checklist for diagnostic test accuracy studies. Meta-analysis was conducted for key performance metrics, including Dice Similarity Coefficient (DSC) and Average Surface Distance (ASD).

resultsA total of 767 non-duplicate articles were identified, and 30 studies were included in the review. Of these, 27 employed deep-learning models, while 3 utilized classical machine-learning approaches. The pooled DSC for mandible segmentation was 0.94 (95% CI: 0.91-0.98), mandibular canal segmentation was 0.694 (95% CI: 0.551-0.838), maxilla segmentation was 0.907 (95% CI: 0.867-0.948), and teeth segmentation was 0.925 (95% CI: 0.891-0.959). Pooled ASD values were 0.534 mm (95% CI: 0.366-0.703) for the mandibular canal, 0.468 mm (95% CI: 0.295-0.641) for the maxilla, and 0.189 mm (95% CI: 0.043-0.335) for teeth. Other metrics, such as sensitivity and precision, were variably reported, with sensitivity exceeding 90% across studies.

conclusionAI-based segmentation, particularly using deep-learning models, demonstrates high accuracy in the segmentation of dental and maxillofacial structures, comparable to expert manual segmentation. The integration of AI into clinical workflows offers not only accuracy but also substantial time savings, positioning it as a promising tool for automated dental imaging.

Indexed as

Artificial IntelligenceCone-Beam Computed TomographyDeep LearningHumansMandibleMaxillaTomography, X-Ray ComputedToothArtificial intelligenceDentalDental canalJawsSegmentationTemporomandibular joint

Identifiers

PMID40055718
PMCPMC11887095

What OpenQuestion holds

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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.