Evidence map›Paper›PMID 41466246›Full record

ArticleBMC medical education2025

Performance comparison of large language models on pediatric dentistry questions in the Turkish dentistry specialization examination.

Hatice Kübra Başkan, Beyhan Başkan

Abstract readComparative Study
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

2 authors.

Hatice Kübra BaşkanDepartment of Pediatric Dentistry, Faculty of Dentistry, Kahramanmaras Sutcu Imam University, Onikisubat, Kahramanmaras, Türkiye. kubrabaskan@ksu.edu.tr.ORCID http://orcid.org/0000-0002-4009-1096
Beyhan BaşkanDepartment of Endodontics, Faculty of Dentistry, Kahramanmaras Sutcu Imam University, Onikisubat, Kahramanmaras, Türkiye.ORCID http://orcid.org/0000-0002-2463-4011

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background/purposeThis study aimed to compare the performance of seven leading large language models (Gemini 2.5 Pro, Grok-4, GPT-5, Claude-4, Copilot, Perplexity, and GPT-4o) on pediatric dentistry questions from the Turkish Dentistry Specialization Examination (DUS), and to identify differences in their performance on information-based versus case-based question types. MATERIALS AND

methodsSeven large language models (Gemini 2.5 Pro, Grok-4, GPT-5, Claude-4, Copilot, Perplexity, and GPT-4o) were evaluated on 127 multiple-choice questions from the DUS pediatric dentistry question bank (2012-2021), classified by experts as information-based (n = 96) and case-based (n = 31). Questions were input in Turkish without modification, and responses were assessed against official answer keys.

resultsSignificant differences were observed in overall accuracy rates (p < 0.001). The highest overall accuracy was recorded for Gemini 2.5 Pro (94.5%; 120/127), while the lowest performance was seen with GPT-4o (63.0%; 80/127). For information-based questions, Gemini answered 92/96 correctly (95.8%) and GPT-4o 66/96 (68.7%); for case-based questions, Gemini answered 28/31 correctly (90.3%) and Perplexity 5/31 (16.1%). Pairwise Wilcoxon comparisons statistically supported Gemini's significant superiority over many models and the notably weak performance of GPT-4o and Perplexity on case-based questions (p < 0.001).

conclusionsLLMs can serve as effective "co‑pilots" for information retrieval and exam preparation in dental education but are currently unreliable for diagnostic and treatment decision‑making. Clinicians and students should use LLM outputs for review and learning while retaining final decisions based on professional experience, ethical responsibility, and patient‑centered judgment. Future research should evaluate and enhance LLMs' multimodal and visual‑data processing capabilities to improve clinical applicability.

Indexed as

Educational MeasurementLanguagePediatric DentistryHumansLarge Language ModelsTurkeyArtificial intelligenceDentistry specialization examinationLarge language modelsPediatric dentistryPerformance evaluation

Identifiers

PMID41466246
PMCPMC12751958

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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.