Evidence map›Paper›PMID 40830987›Full record

ArticleJournal of clinical periodontology2025

Developing Predictive Models for Periodontitis Progression Using Artificial Intelligence: A Longitudinal Cohort Study.

Camila Pinheiro Furquim, Lannawill Caruth, Ganesh Chandrasekaran, Andrew Cucchiara, Michael J Kallan, Lynn Martin, Magda Feres, Kyle Bittinger, Kimon Divaris, Joseph Glessner and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of clinical periodontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

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  18. Periodontal Medicine: The Past, the Present, the Future.Journal of periodontal research · 2025
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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

14 authors.

Camila Pinheiro FurquimDepartment of Basic & Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-9370-3156
Lannawill CaruthInstitute for Biomedical Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0009-0005-4100-5830
Ganesh ChandrasekaranDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0009-0008-6161-6921
Andrew CucchiaraDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-4004-3895
Michael J KallanCenter for Clinical Epidemiology and Biostatistics (CCEB), Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Lynn MartinDepartment of Basic & Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0009-0002-7926-1504
Magda FeresHarvard School of Dental Medicine, Boston, Massachusetts, USA.ORCID 0000-0002-2293-3392
Kyle BittingerChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-3472-5934
Kimon DivarisAdams School of Dentistry, University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0003-1290-7251
Joseph GlessnerChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-5131-2811
Alpdogan KantarciHarvard School of Dental Medicine, Boston, Massachusetts, USA.
William GiannobileHarvard School of Dental Medicine, Boston, Massachusetts, USA.ORCID 0000-0002-7102-9746
Shefali Setia VermaInstitute for Biomedical Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-5216-4670
Flavia TelesDepartment of Basic & Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-6945-9811

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Biomarkers of Periodontal Disease ProgressionU01DE021127 · NIDCR · ADA FORSYTH INSTITUTE, INC. · PI TELES, RICARDO P · 2010 to 2016
$16.2M
Defining Dysbiosis and Mechanisms of Periodontitis Progression and StabilityR01DE033033 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI Kyle Bittinger, Flavia Rocha Teles · 2024 to 2026
$1.8M
Center for Human Phenomic Science (CHPS) CTSA 2UL1TR001878-06CiPD-IBI Artificial Intelligence in Oral Health Innovation AwardIDEA Finalist Prize (UPenn CiPD)NCATS NIH HHS UL1 TR001878NIDCR NIH HHS R01 DE033033NIDCR NIH HHS U01 DE021127the National Institutes of Health/National Institute of Dental and Craniofacial Research R01DE033033-01A1the National Institutes of Health/National Institute of Dental and Craniofacial Research U01-DE021127 (NIH/NIDCR)UPenn Schoenleber Pilot Grant, the Josephine and Joseph Rabinowitz Research Award (Penn Dental Medicine)
6 · The paper itself

Abstract

aimTo construct predictive models of periodontitis progression by applying Machine Learning (ML) to baseline data from a study of periodontitis progression. MATERIALS AND

methodsLogistic regression (LR), multi-layer perceptron (MLP) and probabilistic graphic model (PGM) were utilised on data from a multi-centre longitudinal study in which periodontally healthy (n = 113) and periodontitis participants (n = 302) were examined bi-monthly for 12 months without treatment. Periodontal examination was performed, and salivary levels of 10 analytes were determined. Clinical and demographic parameters and analytes levels were input into the model. The performance of 14 models was compared using the area under the receiver operating characteristic curve (AUROC), and feature importance was assessed using SHapley Additive exPlanations (SHAP).

resultsThe PGM model (Clinical measures, saliva IL-1β, age, sex) demonstrated the best overall performance (AUROC = 0.88), compared to LR (AUROC = 0.72) and MLP (AUROC = 0.58). Although MLP had a lower Brier score (0.12), its sensitivity was 0, limiting its clinical utility. In contrast, PGM achieved a balanced sensitivity (0.55) and specificity (0.81). Feature importance analyses highlighted the number of deep periodontal pockets as a key driver of model predictions in both PGM and MLP.

conclusionsML models can predict periodontitis progression, supporting early detection strategies. Our integrative approach, combining clinical data with salivary biomarkers such as IL-1β, improved predictive accuracy.

Indexed as

Artificial IntelligencePeriodontitisAdultBiomarkersDisease ProgressionFemaleHumansInterleukin-1betaLogistic ModelsLongitudinal StudiesMachine LearningMaleMiddle AgedSalivaBiomarkersInterleukin-1betaartificial intelligencedisease progressionmachine learningperiodontitis

Identifiers

PMID40830987
PMCPMC12420084

What OpenQuestion holds

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LicenceCC BY-NC
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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.