Evidence map›Paper›PMID 41914450›Full record

SynthesisClinical and experimental dental research2026

Artificial Intelligence in Dental Treatment Planning and Diagnostic Decision-Making: A Systematic Review and Meta-Analysis.

Mohammad Alabdulkareem, Momen Atieh, Ammar AbuMostafa, Khaled Aldalaan, Nada Alturki

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Clinical and experimental dental research, 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. Trial
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

5 authors.

Mohammad AlabdulkareemCollege of Medicine and Dentistry, Department of Restorative Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia.ORCID 0000-0002-7156-3463
Momen AtiehMohammed Bin Rashid University of Medicine and Health Sciences, Hamdan Bin Mohammed College of Dental Medicine, Dubai, United Arab Emirates.ORCID 0000-0003-4019-9491
Ammar AbuMostafaCollege of Medicine and Dentistry, Department of Restorative Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia.ORCID 0000-0002-7750-056X
Khaled AldalaanKing Abdullah specialized Hospital, National Guard, Qassim, Saudi Arabia.ORCID 0009-0000-6812-7444
Nada AlturkiGeneral Dentist, Private Dental Practice, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis systematic review and meta-analysis aimed to synthesize the available evidence on the use of AI in dental diagnostic decision-making and treatment planning, evaluating both diagnostic accuracy and its influence on clinical decision-making across different dental specialties and imaging modalities.

methodsA comprehensive search of MEDLINE, Embase, Cochrane CENTRAL, Web of Science, and Scopus was conducted from database inception to December 2025. Eligible studies evaluated AI algorithms used for dental diagnostic tasks or treatment planning and reported quantitative performance metrics or measurable decision-making outcomes. Random-effects meta-analyses were conducted to pool diagnostic performance measures.

resultsTwenty-seven studies involving 60,857 radiographic images were included. AI systems demonstrated a pooled sensitivity of 0.85 (95% CI: 0.76-0.91) and specificity of 0.94 (95% CI: 0.86-0.97). The pooled F1-score was 0.90 (95% CI: 0.77-0.96), and pooled precision was 0.88 (95% CI: 0.71-0.96). For segmentation tasks, the pooled Dice Similarity Coefficient was 0.89 (95% CI: 0.13-1.00). Substantial heterogeneity was observed across studies (I² > 95%). YOLO-based architectures achieved the highest performance for tooth detection and segmentation, with sensitivities approaching 99% and mean average precision exceeding 0.96. AI assistance also improved diagnostic efficiency and interobserver agreement while reducing diagnostic interpretation time.

conclusionsAI systems demonstrate strong diagnostic performance in dental imaging and decision support, particularly for tooth detection, segmentation, and pathology identification. However, substantial heterogeneity, retrospective study designs, and limited external validation highlight the need for rigorous prospective evaluation before widespread clinical implementation.

Indexed as

Artificial IntelligenceClinical Decision-MakingPatient Care PlanningAlgorithmsHumansSensitivity and Specificityartificial intelligenceclinical decision‐makingdeep learningdental diagnosticsdental imagingdiagnostic accuracymachine learningtreatment planning

Identifiers

PMID41914450
PMCPMC13140480

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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.