Evidence map›Paper›PMID 42363128›Full record

ArticleBMC oral health2026

Comparative assessment of the accuracy of different artificial intelligence models in answering analytical and knowledge-based questions in oral and maxillofacial radiology and oral and maxillofacial surgery.

Erçin Samunahmetoglu, Arzum Yilmaz

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. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Erçin SamunahmetogluOral and Maxillofacial Radiology Department, Faculty of Dentistry, Yozgat Bozok University, Çapanoğlu, Cemil Çiçek Bv No : 217/1, Yozgat, 66100 , Türkiye. ercin.samunahmetoglu@bozok.edu.tr.
Arzum YilmazOral and Maxillofacial Surgery Department, Faculty of Dentistry, Gazi University, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence models are increasingly used in healthcare education; however, their ability to handle both factual knowledge and analytical clinical reasoning in dentistry remains unclear. This study aimed to compare the accuracy of different AIs in answering knowledge-based and analytical multiple-choice questions in Oral and Maxillofacial Radiology (OMFR) and Oral and Maxillofacial Surgery (OMFS), and to evaluate performance differences according to cognitive task type.

methodsThis cross-sectional comparative study analyzed 258 multiple-choice questions from the Turkish Dental Specialty Examination (DUS) conducted between 2012 and 2021 (202 knowledge-based, 56 analytical). Five AI models (ChatGPT-5.2 Go, ChatGPT-5.2 Plus, DeepSeek V3, Claude Sonnet 4.5, and Gemini 3 Flash) answered all questions under default settings in a single session. Accuracy rates were compared using Chi-square and Kruskal-Wallis tests with Bonferroni correction. Inter-model agreement and reliability were assessed using Cohen's kappa and the intraclass correlation coefficient (ICC) (α = 0.05).

resultsSignificant differences among models were observed in knowledge-based questions (p = 0.048), analytical questions (p = 0.032), and overall accuracy (p = 0.006). Gemini achieved the highest accuracy in knowledge-based questions, while Claude demonstrated the lowest performance. Although a general difference was detected in analytical questions, pairwise comparisons did not show clear model superiority. Overall performance largely reflected success in knowledge-based tasks. Agreement analysis showed low kappa values (κ = 0.226-0.339) but moderate ICC levels (0.597-0.728).

conclusionsAIs demonstrate strong factual recall but remain limited in analytical clinical reasoning tasks. While these models may serve as supportive tools in dental education, their use as independent clinical decision-making systems is not yet reliable.

Indexed as

Artificial IntelligenceEducation, DentalRadiologySurgery, OralCross-Sectional StudiesEducational MeasurementHumansReproducibility of ResultsTurkeyArtificial IntelligenceDiagnostic Decision MakingExamination PerformanceKnowledge Recall

Identifiers

PMID42363128
PMCPMC13617685

What OpenQuestion holds

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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.