Evidence map›Paper›PMID 42399936›Full record

ArticleBMC oral health2026

A comparative evaluation of large language models in diagnosis and treatment planning in restorative dentistry.

Ebru İrem Teke, Ayşenur Güngör Borsöken

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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0cells of the map it votes in
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

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

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.

Ebru İrem TekeDepartment of Restorative Dentistry, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey. irem.tabakcioglu97@gmail.com.
Ayşenur Güngör BorsökenDepartment of Restorative Dentistry, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWith the advancement of artificial intelligence (AI), large language models (LLMs) have become an alternative source of information in dentistry. These LLMs, which can be trained on large data sets, can answer medical questions and provide references, but they can pose problems in terms of ethics and accurate information. This research aims to evaluate the accuracy of five different LLMs in diagnosis and treatment planning in the field of restorative dentistry. METHODOLOGY: The 20 most common cases encountered in a restorative dentistry clinic were formulated into questions. The validity of the questions was assessed using the Lawshe Content Validity Index. The questions were posed to five different LLMs: ChatGPT-5, Deepseek V3.2, Claude Sonnet 4.5, Microsoft Copilot, and Google Gemini 3 Flash. Each model was asked to create a diagnosis and treatment plan for each case. The responses were evaluated by 42 restorative dentistry specialists using a Likert Scale. Additionally, the accuracy of the references provided in the responses was evaluated by the article authors. The obtained data were analyzed using the non-parametric Kruskal-Wallis test, and the Dunn multiple comparison test was applied in cases where significant differences were detected.

resultsStatistically significant differences were found between the models for 15 out of 20 questions (p < 0.05). A significant difference was also found in terms of total median scores (p < 0.001), with Google Gemini 3 Flash (median:83) and ChatGPT-5 (median:81) achieving the highest scores. Reference quality was evaluated using a four-category framework. Claude Sonnet 4.5 and Google Gemini 3 Flash demonstrated the highest proportions of accurate and relevant references (85.7% and 84.2%, respectively), while DeepSeek V3.2 exhibited the highest fabrication rate (55.6%).

conclusionsBased on specialist-evaluated response quality, no model demonstrated consistent and superior performance across all clinical scenarios. LLMs appear to have potential as supplementary information resources for clinicians in restorative dentistry; however, their clinical integration, impact on patient outcomes, and real-world usability remain to be established in future research.

Indexed as

Dental Restoration, PermanentLarge Language ModelsPatient Care PlanningHumansArtificial intelligenceLarge language modelRestorative dentistry

Identifiers

PMID42399936
PMCPMC13602757

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.