Evidence map›Paper›PMID 41792697›Full record

ArticleBMC oral health2026

Effect of language difference and time on the accuracy of artificial intelligence chatbots responses to questions about vital pulp therapy.

Emine Şimşek, Mine Büker

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

2 authors.

Emine ŞimşekDepartment of Endodontics, Faculty of Dentistry, Mersin University, Yenişehir, Mersin, 33110, Turkey. eminesimsek@mersin.edu.tr.ORCID 0000-0001-9195-2012
Mine BükerDepartment of Endodontics, Faculty of Dentistry, Mersin University, Yenişehir, Mersin, 33110, Turkey.ORCID 0000-0003-4833-4547

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence–based chatbots are increasingly being used as supportive tools in healthcare for accessing and interpreting medical information. However, variations in language and temporal updates may influence the accuracy and consistency of the information they provide. This study aimed to evaluate the effects of language difference (Turkish and English) and time (10 days) on the accuracy of responses provided by six different artificial intelligence (AI) chatbots (ChatGPT, ChatGPT-4o, ChatGPT-5, Gemini, Microsoft Copilot, and Perplexity) to questions related to vital pulp therapy.

methodsTwenty questions were prepared in accordance with the clinical guidelines of the American Association of Endodontists (AAE) and were presented to each model in both Turkish and English three times a day (morning, noon, and evening) over a 10-day period. A total of 7,200 responses were collected. The responses were classified as correct or incorrect by two independent researchers. The accuracy rates of the groups were analyzed using descriptive statistics, and Chi-square tests to compare correct versus incorrect response ratios.

resultsMicrosoft Copilot achieved the highest accuracy rate (87.3%), while Perplexity showed the lowest (77.2%). When evaluated by language, ChatGPT-4o performed best in Turkish questions (83.8%), whereas Microsoft Copilot demonstrated the highest accuracy in English questions (87.3%). The time variable had no statistically significant effect on accuracy.

conclusionsThese results indicate that AI chatbots can serve as supportive tools in clinical decision-making processes; however, language differences and model-dependent performance variations should be carefully considered.

Indexed as

Artificial IntelligenceLanguageGenerative Artificial IntelligenceHumansIntelligent SystemsTime FactorsTurkeyAccuracyArtificial intelligenceChatbotVital pulp therapy

Identifiers

PMID41792697
PMCPMC13077940

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LicenceCC BY-NC-ND
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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.