Evidence map›Paper›PMID 40254962›Full record

ArticleJournal of periodontology2025

Machine learning-assisted prediction of clinical responses to periodontal treatment.

Balazs Feher, Eduardo H de Souza Oliveira, Poliana Mendes Duarte, Andreas A Werdich, William V Giannobile, Magda Feres

Abstract read
In one paragraph

Article in Journal of periodontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  16. Periodontal Medicine: The Past, the Present, the Future.Journal of periodontal research · 2025
    Article
  17. [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
  18. Article
  19. Article
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

6 authors.

Balazs FeherDepartment of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-4386-6237
Eduardo H de Souza OliveiraDepartment of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-5823-6591
Poliana Mendes DuarteDepartment of Periodontology, University of Florida, Gainesville, Florida, USA.ORCID https://orcid.org/0000-0001-8872-5943
Andreas A WerdichCore for Computational Biomedicine, Department for Biomedical Informatics, Blavatnik Institute, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-1222-1180
William V GiannobileDepartment of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-7102-9746
Magda FeresDepartment of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-2293-3392

Funding

ZINC STATUS AND T CELL DISORDER IN MILD HUMAN ZINC DEFICIENCYM01RR001032 · NCRR · BETH ISRAEL DEACONESS MEDICAL CENTER · PI MANTZOROS, CHRISTOS S · 1985 to 2008
$32.3M
YOGA INDUCED CHANGES IN BRAIN GABA LEVELSM01RR000533 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI HOLICK, MICHAEL F. · 1985 to 2008
$19.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025771 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CENTER, DAVID M. · 2008 to 2011
$17.6M
TREATMENT OF PERIODONTAL INFECTIONSP01DE012861 · NIDCR · FORSYTH INSTITUTE · PI SOCRANSKY, SIGMUND S · 1999 to 2003
$4.7M
Harvard School of Dental Medicine Collaborative Clinical Practice-based REsearch Program for DENTal Schools (H-CREDENT)U01DE033239 · NIDCR · HARVARD MEDICAL SCHOOL · PI WILLIAM V GIANNOBILE · 2023 to 2026
$3.5M
MICROBIAL ASSOCIATIONS IN PERIODONTAL HEALTH AND DISEASER01DE012108 · NIDCR · FORSYTH INSTITUTE · PI HAFFAJEE, ANNE DENISE · 1998 to 2006
$2.7M
Efficacy of Combined Periodontal Therapies in BraziliansR03TW006269 · FIC · FORSYTH INSTITUTE · PI HAFFAJEE, ANNE DENISE · 2004 to 2006
$137k
Conselho Nacional de Desenvolvimento Científico e TecnológicoCoordenação de Aperfeiçoamento de Pessoal de Nível SuperiorFIC NIH HHS 1R03TW006269-01A1FIC NIH HHS 5R03TW006269-02FIC NIH HHS 5R03TW006269-03FIC NIH HHS R03 TW006269Fundação de Amparo à Pesquisa do Estado de São Paulo 2007/55291-9Fundação de Amparo à Pesquisa do Estado de São Paulo 2009/17677-8Fundação de Amparo à Pesquisa do Estado de São Paulo 2011/14872-4Fundação de Amparo à Pesquisa do Estado de São Paulo 2011/23034-2Fundação de Amparo à Pesquisa do Estado de São Paulo 2013/01072-5Harvard Medical School Dean's Innovation Award FP-0034428NCRR NIH HHS M01 RR000533NCRR NIH HHS M01 RR001032NCRR NIH HHS UL1 RR025771NIDCR NIH HHS P01 DE012861NIDCR NIH HHS R01 DE012108NIDCR NIH HHS U01 DE033239NIH | National Institute of Dental and Craniofacial Research DE033239-01NIH | National Institute of Dental and Craniofacial Research DE12108NIH | National Institute of Dental and Craniofacial Research DE12861NIH | National Institute of Dental and Craniofacial Research RR025771Osteology Foundation 22-005World Health Organization 001
6 · The paper itself

Abstract

backgroundPeriodontitis is among the most prevalent chronic inflammatory conditions globally, and is associated with bone resorption, tooth loss, and systemic complications. While its treatment is largely standardized, individual outcomes vary, with some patients experiencing further disease progression despite adherence.

methodsWe developed a machine learning (ML) approach to predict individual outcomes 1 year post-treatment using retrospectively assessed baseline parameters. We trained a Random Forest model on 18 demographic, clinical, microbiological, and treatment-related features of 414 patients from randomized clinical trials (RCTs) in South America. We subsequently performed internal testing, interpretability analysis, and external testing on a second dataset of 78 patients from previous RCTs in North America and Europe exhibiting less severe disease.

resultsIn internal testing, the ML model achieved an area under the receiver operator characteristics curve (AUROC) of 0.93, an area under the precision-recall curve (AUPRC) of 0.90, an F

conclusionsOur study indicates that an ML-based approach can assist in predicting individual responses to periodontal treatment. Prospective validation is needed for clinical application. PLAIN LANGUAGE SUMMARY: Using comprehensive data from patients with periodontitis, an inflammatory condition of the tooth-supporting tissues, a machine learning model was trained to predict how well patients might respond to different treatments after 1 year. The model was externally tested in patient populations from 2 continents different from the training dataset. The results suggest that with further research and refinement, this tool could eventually become a valuable asset in personalizing treatment plans for improved patient outcomes.

Indexed as

Machine LearningPeriodontitisAdultFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicRetrospective StudiesTreatment Outcomeartificial intelligencemachine learningperiodonticspredictive medicinetreatment outcome

Identifiers

PMID40254962
PMCPMC12671691

What OpenQuestion holds

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Registered trials

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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.