Evidence map›Paper›PMID 41680781›Full record

ArticleBMC oral health2026

Assessing the accuracy, reliability, quality, and readability of artificial intelligence chatbots in patient education: insights from zirconia crowns.

Nihan Kaya Acar, Fatih Sengul, Enes Bardakci, Peris Celikel

Abstract read
In one paragraph

Article in BMC oral health, 2026. 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
  2. Article
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.

Nihan Kaya AcarDepartment of Prosthodontics, Faculty of Dentistry, Medipol University, Ankara, Türkiye.ORCID 0000-0002-6291-9157
Fatih SengulDepartment of Pedodontics, Faculty of Dentistry, Ataturk University, Erzurum, Türkiye.ORCID 0000-0001-6087-148X
Enes BardakciDepartment of Pediatric Dentistry, Faculty of Dentistry, Harran University, Sanliurfa, Turkey.ORCID 0009-0007-8557-2946
Peris CelikelDepartment of Pediatric Dentistry, Faculty of Dentistry, Ataturk University, Erzurum, 25240, Türkiye. celikelperis@gmail.com.ORCID 0000-0002-1807-4281

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to conduct a comparative evaluation of the accuracy, reliability, quality, and readability of chatbot-generated responses from five widely used artificial intelligence (AI) chatbots when addressing frequently asked questions (FAQs) on zirconia and pediatric zirconia crowns.

methodsTwenty FAQs on zirconia crowns were derived from two Google searches (“frequently asked questions about zirconia” and “frequently asked questions about pediatric zirconia”). Five chatbots (ChatGPT-5, ChatGPT-4o, Gemini-2.5 Flash, DeepSeek-V3, and Microsoft Copilot) were queried independently, and responses were anonymized and evaluated. Accuracy was rated on a 5-point Likert scale, reliability using a modified DISCERN tool, quality with the Global Quality Scale (GQS), and readability using the Flesch Reading Ease Score (FRES). Statistical analyses included Mann−Whitney U and Kruskal−Wallis tests, with intraclass correlation coefficients (ICC) used for inter-rater reliability.

resultsInter-rater agreement was strong (ICC: 0.78 − 0.98). Gemini achieved the highest scores in accuracy, quality, and reliability (p < 0.001), while ChatGPT-4o, ChatGPT-5, and DeepSeek demonstrated superior readability. Microsoft Copilot scored lowest across domains, particularly in reliability and readability. No significant differences emerged between prosthodontic and pediatric evaluations, except for higher GQS ratings for DeepSeek in pediatric dentistry (p = 0.035).

conclusionGemini showed the highest accuracy, reliability, and quality, indicating its strong potential for clinician use in generating evidence-aligned information. ChatGPT-4o, ChatGPT-5, and DeepSeek offered more readable outputs suitable for explanations. Given the substantial between-platform variability, clinicians should critically appraise and, when necessary, adapt chatbot responses to ensure alignment with current evidence before recommending them to patients.

Indexed as

Artificial IntelligenceComprehensionCrownsPatient Education as TopicZirconiumHumansReproducibility of ResultsZirconiumzirconium oxideDental restorationsEstheticsPatient informationPediatric dentistryProsthodontics

Identifiers

PMID41680781
PMCPMC13005407

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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.