Evidence map›Paper›PMID 41975344›Full record

ArticleBMC oral health2026

Large language models' performances regarding common patient questions about broken endodontic instruments: a comparative analysis of ChatGPT-5.2, Gemini 3 and DeepSeek V3.2 in accuracy, consistency and readability.

Meltem Sümbüllü, Elham Othman Adam, Emine Araz Altun, Hakan Arslan

Abstract readComparative Study
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

4 authors.

Meltem SümbüllüDepartment of Endodontics, Faculty of Dentistry, Atatürk University, Erzurum, Türkiye. meltem_endo@hotmail.com.ORCID 0000-0002-2647-7988
Elham Othman AdamDepartment of Endodontics, Faculty of Dentistry, Atatürk University, Erzurum, Türkiye.
Emine Araz AltunDepartment of Endodontics, Faculty of Dentistry, Atatürk University, Erzurum, Türkiye.
Hakan ArslanDepartment of Endodontics, Faculty of Dentistry, İstanbul Medeniyet University, İstanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to evaluate and compare the performance of patient education materials generated by five widely used chatbots, ChatGPT-5.2, ChatGPT-5.2 Plus, Gemini 3.0, Gemini 3.0 Plus and DeepSeek V3.2, on answering questions related to broken endodontic instruments in root canals. MATERIALS AND

methodsTwenty-two questions were formulated by two endodontists, each with eight years of experience in instrument removal procedures, based on their clinical expertise and educational materials from the American Association of Endodontists (AAE). The questions were posed to the chatbots over a period of five days, at three different times each day (morning, afternoon, and evening). Two blinded evaluators independently assessed responses for accuracy using a 1-5 scale. Disagreements on scoring were resolved through evidence-based discussions. Coefficient of variation (CV) was calculated to evaluate the consistency of repeated responses for each chatbot. Readability was evaluated using the Flesch Kincaid Reading Ease Score, Flesch Kincaid Grade Level, and SMOG Indices.

resultsSignificant differences in accuracy were found among the chatbots (p < 0.05), with ChatGPT-5.2 demonstrating lower accuracy than the other models (p < 0.001). Accuracy was higher on day 2 than on the other days (p < 0.001). Consistency scores differed significantly among models (p < 0.05), with Gemini 3 Plus and DeepSeek V3.2 showing higher consistency than ChatGPT-5.2. Readability analysis indicated that ChatGPT-5.2 Plus generated more readable responses, whereas Gemini and DeepSeek V3.2 required higher reading grade levels.

conclusionLarge language models (LLMs)-based chatbots showed model-dependent differences in accuracy, consistency, and readability. While Gemini 3, Gemini 3 Plus and DeepSeek V3.2 performed better in terms of accuracy and consistency, ChatGPT-5.2 and ChatGPT-5.2 Plus provided more readable content, highlighting the need for cautious and selective use of these tools in patient education.

Indexed as

Large Language ModelsPatient Education as TopicComprehensionHumansArtificial intelligenceBroken endodontic instrumentsChatGPTDeepSeekGeminiLarge language models

Identifiers

PMID41975344
PMCPMC13217691

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.