Evidence map›Paper›PMID 42449302›Full record

ArticleBMC oral health2026

Quality, completeness, readability, and response time of AI chatbots in the management of deep caries and pulp exposure: a bilingual comparative study.

Ecem Karakoyunlu, Gubina Mıdoglu, Kübra Gürler, Yagmur Eda Gültekin Öztürk, Koray Yılmaz

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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ecem KarakoyunluFaculty of Dentistry, Department of Endodontics, Cukurova University, Adana, Turkey.
Gubina MıdogluFaculty of Dentistry, Department of Endodontics, Cukurova University, Adana, Turkey. drdtgubina@gmail.com.
Kübra GürlerFaculty of Dentistry, Department of Endodontics, Cukurova University, Adana, Turkey.
Yagmur Eda Gültekin ÖztürkTopraklık Dental Hospital, Ankara, Turkey.
Koray YılmazFaculty of Dentistry, Department of Endodontics, Cukurova University, Adana, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence (AI) chatbots are being increasingly used to obtain health-related information; however, the quality, completeness, readability, and consistency of AI-generated responses across different languages remain insufficiently investigated in endodontics, particularly regarding the management of deep caries and pulp exposure.

methodsThirty open-ended questions were developed on the basis of the 2019 European Society of Endodontology (ESE) position statement and the current literature. The questions were submitted in English and Turkish to ChatGPT-4o, ChatGPT-5, Consensus Pro, and Perplexity Pro. The responses were independently evaluated by two blinded endodontists via the modified DISCERN (mDISCERN), the Global Quality Score (GQS), and a three-point completeness scale. Readability was assessed via the Flesch Reading Ease Score (FRES) for English responses and the Ateşman Readability Index for Turkish responses. Data were analyzed using two-way analysis of variance (ANOVA), intraclass correlation coefficient (ICC) analysis, and post hoc multiple comparisons.

resultsAI chatbots and language significantly affected readability and response time (p < 0.05). Turkish responses demonstrated higher readability scores, particularly for the ChatGPT-4o and ChatGPT-5. Perplexity generated the shortest response times, whereas Consensus had the longest response times. The quality scores (mDISCERN and GQS) were significantly influenced by the AI model but not by language. Consensus achieved the highest quality ratings in both languages.

conclusionsAI model selection had a greater influence on response quality than language did. Consensus achieved the highest expert-rated quality and completeness scores, whereas Perplexity generated the fastest responses. These findings highlight the importance of carefully selecting AI tools when seeking evidence-based endodontic information across different languages.

Indexed as

Artificial IntelligenceComprehensionDental CariesEndodonticsMultilingualismHumansArtificial intelligenceChatGPTConsensusDeep cariesPerplexityPulp exposure

Identifiers

PMID42449302
PMCPMC13647515

What OpenQuestion holds

Textmetadata
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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.