Evidence map›Paper›PMID 41036891›Full record

ArticleJournal of applied oral science : revista FOB2025

Assessing the validity of ChatGPT-4o and Google Gemini Advanced when responding to frequently asked questions in endodontics.

Nicolás Dufey-Portilla, Ana Billik Frisman, Maximiliano Gallardo Robles, Fernando Peña-Bengoa, Consuelo Cabrera Ávila, Venkateshbabu Nagendrababu, Paul M H Dummer, Marc Garcia-Font, Francesc Abella Sans

Abstract readValidation Study
In one paragraph

Article in Journal of applied oral science : revista FOB, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Accuracy and Temporal Consistency of ChatGPT and Gemini in Responding to Textbook and Patient-Oriented Dental Bleaching Questions: A Multi-Session Comparative Study.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
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  3. Article
  4. Review
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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

9 authors.

Nicolás Dufey-PortillaUniversidad Andres Bello Department of Endodontics, School of Dentistry, Viña del Mar, Chile.ORCID http://orcid.org/0000-0001-5922-2757
Ana Billik FrismanAutonomous research, Viña del Mar, Chile.
Maximiliano Gallardo RoblesAutonomous research, Viña del Mar, Chile.
Fernando Peña-BengoaUniversidad Andres Bello Department of Endodontics, School of Dentistry, Viña del Mar, Chile.
Consuelo Cabrera ÁvilaUniversidad Andres Bello Department of Endodontics, School of Dentistry, Viña del Mar, Chile.
Venkateshbabu NagendrababuUniversity of Sharjah, College of Dental Medicine, Department of Restorative Dentistry, Sharjah, United Arab Emirates.
Paul M H DummerCardiff University, College of Biomedical and Life Sciences, School of Dentistry, Cardiff, United kingdom.ORCID http://orcid.org/0000-0002-0726-7467
Marc Garcia-FontUniversitat International de Catalunya, School of Dentistry, Department of Endodontics. Sant Cugat del Valles, Barcelona, Spain.ORCID http://orcid.org/0000-0002-1280-9611
Francesc Abella SansUniversitat International de Catalunya, School of Dentistry, Department of Endodontics. Sant Cugat del Valles, Barcelona, Spain.ORCID http://orcid.org/0000-0002-3500-3039

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artificial intelligence (AI) is transforming access to dental information via large language models (LLMs) such as ChatGPT and Google Gemini. Both models are increasingly being used in endodontics as a source of information for patients. Therefore, as developers release new versions, the validity of their responses must be continuously compared to professional consultations.

objectiveThis study aimed to evaluate the validity of the responses provided by the most advanced LLMs [Google Gemini Advanced (GGA) and ChatGPT-4o] to frequently asked questions (FAQs) in endodontics. METHODOLOGY: A cross-sectional analytical study was conducted in five phases. The top 20 endodontic FAQs submitted by users to chatbots and collected from Google Trends were compiled. In total, nine academically certified endodontic specialists with educational roles scored GGA and ChatGPT-4o responses to the FAQs using a five-point Likert scale. Validity was determined using high (4.5-5) and low (≥4) thresholds. The Fisher's exact test was used for comparative analysis.

resultsAt the low threshold, both models obtained 95% validity (95% CI: 75.1%- 99.9%; p=.05). At the high threshold, ChatGPT-4o achieved 35% (95% CI: 15.4%- 59.2%) and GGA, 40% (95% CI: 19.1%- 63.9%) validity (p=1).

conclusionsChatGPT-4o and GGA responses showed high validity under lenient criteria that significantly decreased under stricter thresholds, limiting their reliability as a stand-alone source of information in endodontics. While AI chatbots show promise to improve patient education in endodontics, their validity limitations under rigorous evaluation highlight the need for careful professional monitoring.

Indexed as

Artificial IntelligenceEndodonticsInternetSearch EngineCross-Sectional StudiesGenerative Artificial IntelligenceHumansReproducibility of ResultsSurveys and Questionnaires

Identifiers

PMID41036891
PMCPMC12674832

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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.