Evidence map›Paper›PMID 40488605›Full record

ArticleDental traumatology : official publication of International Association for Dental Traumatology2025

Evaluation of the Performance of Artificial Intelligence Based Chatbots in Providing First Aid Information on Dental Trauma According to the ToothSOS Application.

Ecem Elif Çege, Hamide Cömert, Neşe Akal, Ayşegül Ölmez

Abstract readEvaluation Study
In one paragraph

Article in Dental traumatology : official publication of International Association for Dental Traumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. SOS Dental Trauma-An Artificial Intelligence Chatbot via WhatsApp for Guiding Patients After Dental Trauma.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Article
  4. Dental Traumatology in Contemporary Practice: From Evidence to Education and Clinical Practice.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Article
  5. Observational
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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.

Ecem Elif ÇegeDepartment of Paediatric Dentistry, Faculty of Dentistry, Karabuk University, Karabük, Turkey.ORCID 0000-0002-8314-1364
Hamide CömertDepartment of Paediatric Dentistry, Faculty of Dentistry, Lokman Hekim University, Ankara, Turkey.ORCID 0000-0002-9166-0244
Neşe AkalDepartment of Paediatric Dentistry, Faculty of Dentistry, Gazi University, Ankara, Turkey.ORCID 0000-0001-5516-4772
Ayşegül ÖlmezDepartment of Paediatric Dentistry, Faculty of Dentistry, Gazi University, Ankara, Turkey.ORCID 0000-0002-1996-9685

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to evaluate the performance of ChatGPT-4o and Gemini Advanced artificial intelligence-based chatbots (AI-based chatbots) in providing emergency intervention recommendations for dental trauma with intraoral photographs of patients diagnosed with traumatic dental injuries, and to assess their compatibility with emergency intervention recommendations in the ToothSOS application. MATERIAL AND

methodsIn this study, 80 intraoral photographs obtained from patients presenting with dental trauma were uploaded to two different AI-based chatbots (ChatGPT-4o and Gemini Advanced) and the responses generated by these systems were evaluated by four paediatric dentists. The evaluators scored the responses with a Modified Global Quality Score (GQS), referring to the English instructions of the ToothSOS application. In order to analyse the reliability of the responses, a total of three evaluation sessions were conducted 1 week apart.

resultsThe ChatGPT-4o performed better when all injury types were considered together (p = 0.012). It was found that the ChatGPT-4o performed much better in complicated crown fracture cases (p = 0.004) and the Gemini Advanced chatbot performed much better in critical dental injuries such as avulsion (p < 0.001).

conclusionsAI-based chatbots can be a helpful tool in the assessment of dental trauma. However, further development and expert validation are needed to improve their accuracy and consistency, especially in complex cases. Incorporating the International Association of Dental Traumatology (IADT) guidelines into the databases of these systems could improve the reliability of their recommendations. In addition, given the widespread use of AI-based chatbots in many fields, particularly health, they could contribute to public health by supporting access to accurate information.

Indexed as

Diagnosis, Computer-AssistedFirst AidGenerative Artificial IntelligenceTooth InjuriesHumansPhotography, Dentalartificial intelligenceChatGPTdental traumadentistryGemini

Identifiers

PMID40488605
PMCPMC12605821

What OpenQuestion holds

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LicenceCC BY
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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.