Evidence map›Paper›PMID 40296000›Full record

ArticleBMC oral health2025

Evaluation of the performance of large language models in clinical decision-making in endodontics.

Yağız Özbay, Deniz Erdoğan, Gözde Akbal Dinçer

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 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Accuracy and Error Patterns of References Generated by Large Language Models in Endodontics: The Role of Prompt Design and Model Selection.Medical science monitor : international medical journal of experimental and clinical research · 2026
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  12. Comparative Evaluation of Polymeric and Metal Ultrasonic Tips for the Removal of Calcium Hydroxide From Root Canals.Medical science monitor : international medical journal of experimental and clinical research · 2026
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  20. Comparative evaluation of ChatGPT and Gemini in detecting external apical root resorption on panoramic radiographs of orthodontic patients : Artificial intelligence performance in detecting root resorption.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2025
    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

3 authors.

Yağız ÖzbayDepartment of Endodontics, Faculty of Dentistry, Karabük University, Karabük, Türkiye. yagiz_ozbay@hotmail.com.
Deniz ErdoğanPrivate Dentist, Ankara, Türkiye.
Gözde Akbal DinçerDepartment of Endodontics, Faculty of Dentistry, Okan University, İstanbul , Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence (AI) chatbots are excellent at generating language. The growing use of generative AI large language models (LLMs) in healthcare and dentistry, including endodontics, raises questions about their accuracy. The potential of LLMs to assist clinicians' decision-making processes in endodontics is worth evaluating. This study aims to comparatively evaluate the answers provided by Google Bard, ChatGPT-3.5, and ChatGPT-4 to clinically relevant questions from the field of Endodontics.

methods40 open-ended questions covering different areas of endodontics were prepared and were introduced to Google Bard, ChatGPT-3.5, and ChatGPT-4. Validity of the questions was evaluated using the Lawshe Content Validity Index. Two experienced endodontists, blinded to the chatbots, evaluated the answers using a 3-point Likert scale. All responses deemed to contain factually wrong information were noted and a misinformation rate for each LLM was calculated (number of answers containing wrong information/total number of questions). The One-way analysis of variance and Post Hoc Tukey test were used to analyze the data and significance was considered to be p < 0.05.

resultsChatGPT-4 demonstrated the highest score and the lowest misinformation rate (P = 0.008) followed by ChatGPT-3.5 and Google Bard respectively. The difference between ChatGPT-4 and Google Bard was statistically significant (P = 0.004).

conclusionChatGPT-4 provided more accurate and informative information in endodontics. However, all LLMs produced varying levels of incomplete or incorrect answers.

Indexed as

Artificial IntelligenceClinical Decision-MakingEndodonticsHumansLarge Language ModelsChatbotChat GPTEndodonticsEndodontologyLarge Language model

Identifiers

PMID40296000
PMCPMC12039063

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.