Evidence map›Paper›PMID 40234820›Full record

ArticleBMC oral health2025

Performance of artificial intelligence chatbots in responding to the frequently asked questions of patients regarding dental prostheses.

Hossein Esmailpour, Vanya Rasaie, Yasamin Babaee Hemmati, Mehran Falahchai

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

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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

4 authors.

Hossein EsmailpourSchool of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.
Vanya RasaieResearch Affiliate at Sydney Dental School, Faculty of Medicine and Health, Sydney, Australia.
Yasamin Babaee HemmatiDepartment of Orthodontics, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.
Mehran FalahchaiDepartment of Prosthodontics, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran. Mehran.falahchai@gmail.com.

Funding

Guilan University of Medical Sciences IR.GUMS.REC.1403.450
6 · The paper itself

Abstract

backgroundArtificial intelligence (AI) chatbots are increasingly used in healthcare to address patient questions by providing personalized responses. Evaluating their performance is essential to ensure their reliability. This study aimed to assess the performance of three AI chatbots in responding to the frequently asked questions (FAQs) of patients regarding dental prostheses.

methodsThirty-one frequently asked questions (FAQs) were collected from accredited organizations' websites and the "People Also Ask" feature of Google, focusing on removable and fixed prosthodontics. Two board-certified prosthodontists evaluated response quality using the modified Global Quality Score (GQS) on a 5-point Likert scale. Inter-examiner agreement was assessed using weighted kappa. Readability was measured using the Flesch-Kincaid Grade Level (FKGL) and Flesch Reading Ease (FRE) indices. Statistical analyses were performed using repeated measures ANOVA and Friedman test, with Bonferroni correction for pairwise comparisons (α = 0.05).

resultsThe inter-examiner agreement was good. Among the chatbots, Google Gemini had the highest quality score (4.58 ± 0.50), significantly outperforming Microsoft Copilot (3.87 ± 0.89) (P =.004). Readability analysis showed ChatGPT (10.45 ± 1.26) produced significantly more complex responses compared to Gemini (7.82 ± 1.19) and Copilot (8.38 ± 1.59) (P <.001). FRE scores indicated that ChatGPT's responses were categorized as fairly difficult (53.05 ± 7.16), while Gemini's responses were in plain English (64.94 ± 7.29), with a significant difference between them (P <.001).

conclusionsAI chatbots show great potential in answering patient inquiries about dental prostheses. However, improvements are needed to enhance their effectiveness as patient education tools.

Indexed as

Artificial IntelligenceDental ProsthesisComprehensionGenerative Artificial IntelligenceHumansArtificial intelligenceHealth literacyNatural Language processingPatient education as topicProsthodontics

Identifiers

PMID40234820
PMCPMC11998412

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.