Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-Dong, Gangnam-Gu, Seoul, Republic of Korea.
BMC Oral Health. 2022 Dec 7;22(1):571. doi: 10.1186/s12903-022-02614-3.
Assessing the time required for tooth extraction is the most important factor to consider before surgeries. The purpose of this study was to create a practical predictive model for assessing the time to extract the mandibular third molar tooth using deep learning. The accuracy of the model was evaluated by comparing the extraction time predicted by deep learning with the actual time required for extraction.
A total of 724 panoramic X-ray images and clinical data were used for artificial intelligence (AI) prediction of extraction time. Clinical data such as age, sex, maximum mouth opening, body weight, height, the time from the start of incision to the start of suture, and surgeon's experience were recorded. Data augmentation and weight balancing were used to improve learning abilities of AI models. Extraction time predicted by the concatenated AI model was compared with the actual extraction time.
The final combined model (CNN + MLP) model achieved an R value of 0.8315, an R-squared value of 0.6839, a p-value of less than 0.0001, and a mean absolute error (MAE) of 2.95 min with the test dataset.
Our proposed model for predicting time to extract the mandibular third molar tooth performs well with a high accuracy in clinical practice.
评估拔牙所需的时间是手术前最重要的考虑因素。本研究旨在使用深度学习创建一种评估下颌第三磨牙拔牙时间的实用预测模型。通过将深度学习预测的拔牙时间与实际拔牙所需时间进行比较,评估模型的准确性。
共使用 724 张全景 X 射线图像和临床数据进行人工智能(AI)预测拔牙时间。记录了年龄、性别、最大张口度、体重、身高、从切口开始到缝合开始的时间以及外科医生的经验等临床数据。使用数据扩充和权重平衡来提高 AI 模型的学习能力。比较串联 AI 模型预测的拔牙时间与实际拔牙时间。
最终的组合模型(CNN+MLP)在测试数据集上的 R 值为 0.8315,R-squared 值为 0.6839,p 值小于 0.0001,平均绝对误差(MAE)为 2.95 分钟。
我们提出的预测下颌第三磨牙拔牙时间的模型在临床实践中具有较高的准确性和良好的性能。