Evidence map›Paper›PMID 41229082›Full record

ArticleJournal of dental education2026

Generative Artificial Intelligence-Driven Clinical Case Simulation in Temporomandibular Disorder Education: ChatGPT Versus Real Patients.

Paula Rodrigues-Pereira, Maria Amália Pereira Dias-Calças, Alex Moreira Mélo, Melissa de Oliveira Melchior, Lucas Gaspar Ribeiro, Antônio Pazin-Filho, Jardel Francisco Mazzi-Chaves, Laís Valencise Magri

Abstract read
In one paragraph

Article in Journal of dental education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
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

8 authors.

Paula Rodrigues-PereiraDepartamento de Odontologia Restauradora, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo (FORP/USP), Ribeirão Preto, São Paulo, Brazil.
Maria Amália Pereira Dias-CalçasDepartamento de Odontologia Restauradora, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo (FORP/USP), Ribeirão Preto, São Paulo, Brazil.
Alex Moreira MéloDepartamento de Odontologia Restauradora, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo (FORP/USP), Ribeirão Preto, São Paulo, Brazil.
Melissa de Oliveira MelchiorDepartamento de Odontologia Restauradora, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo (FORP/USP), Ribeirão Preto, São Paulo, Brazil.
Lucas Gaspar RibeiroDepartamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP/USP), Ribeirão Preto, São Paulo, Brazil.
Antônio Pazin-FilhoDepartamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP/USP), Ribeirão Preto, São Paulo, Brazil.
Jardel Francisco Mazzi-ChavesDepartamento de Odontologia Restauradora, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo (FORP/USP), Ribeirão Preto, São Paulo, Brazil.
Laís Valencise MagriDepartamento de Odontologia Restauradora, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo (FORP/USP), Ribeirão Preto, São Paulo, Brazil.

Funding

Coordination for the Improvement of Higher Education Personnel (CAPES)
6 · The paper itself

Abstract

backgroundTemporomandibular disorders (TMDs) and orofacial pain (OFP) demand advanced diagnostic and clinical reasoning skills in dental education. Traditional simulations with real patients face limitations in availability and standardization. Generative artificial intelligence (GAI), such as ChatGPT-3.5, has emerged as a potential tool for clinical training.

methodsThis blinded, cross-sectional, crossover study involved 30 undergraduate dental students, each completing two simulated cases: one with ChatGPT-3.5 and one with standardized real patients. Cases were developed and validated by TMD/OFP specialists via the Delphi method and incorporated into the AI through structured prompts. Quantitative parameters (such as responses, word count, follow-up questions, reformulations, and diagnostic accuracy) and qualitative aspects (such as empathy, clarity, and relevant information) were analyzed.

resultsGAI simulations provided higher information density (231 vs.167 relevant units; p < 0.001) and clearer reasoning flow. Students interacting with real patients asked more follow-up questions (p = 0.004) and required more reformulations (p = 0.011), indicating more adaptive communication. Diagnostic accuracy did not differ significantly (p > 0.05). Relevant information correlated positively with diagnostic accuracy (r = 0.484; p = 0.007), whereas total word count correlated negatively (r = -0.386; p = 0.035).

conclusionsChatGPT-3.5 matched real patient simulations in diagnostic reasoning for TMD/OFP. Combining GAI's scalability and standardization with real patient variability may optimize clinical competency training.

Indexed as

Artificial IntelligenceEducation, DentalGenerative Artificial IntelligencePatient SimulationTemporomandibular Joint DisordersClinical CompetenceCross-Over StudiesCross-Sectional StudiesFemaleHumansartificial intelligenceChatGPT‐3.5clinical simulationdental educationorofacial paintemporomandibular disorders

Identifiers

PMID41229082
PMCPMC13489165

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.