Alfaraj Amal, Nagai Toshiki, AlQallaf Hawra, Lin Wei-Shao
Department of Prosthodontics and Dental Implantology, College of Dentistry, King Faisal University, Al Ahsa 31982, Saudi Arabia.
Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, IN 46202, USA.
Dent J (Basel). 2024 Dec 27;13(1):13. doi: 10.3390/dj13010013.
This review aims to explore the applications of artificial intelligence (AI) in prosthodontics and implant dentistry, focusing on its performance outcomes and associated ethical concerns. Following the PRISMA guidelines, a search was conducted across databases such as PubMed, Medline, Web of Science, and Scopus. Studies published between January 2022 and May 2024, in English, were considered. The Population (P) included patients or extracted teeth with AI applications in prosthodontics and implant dentistry; the Intervention (I) was AI-based tools; the Comparison (C) was traditional methods, and the Outcome (O) involved AI performance outcomes and ethical considerations. The Newcastle-Ottawa Scale was used to assess the quality and risk of bias in the studies. Out of 3420 initially identified articles, 18 met the inclusion criteria for AI applications in prosthodontics and implant dentistry. The review highlighted AI's significant role in improving diagnostic accuracy, treatment planning, and prosthesis design. AI models demonstrated high accuracy in classifying dental implants and predicting implant outcomes, although limitations were noted in data diversity and model generalizability. Regarding ethical issues, five studies identified concerns such as data privacy, system bias, and the potential replacement of human roles by AI. While patients generally viewed AI positively, dental professionals expressed hesitancy due to a lack of familiarity and regulatory guidelines, highlighting the need for better education and ethical frameworks. AI has the potential to revolutionize prosthodontics and implant dentistry by enhancing treatment accuracy and efficiency. However, there is a pressing need to address ethical issues through comprehensive training and the development of regulatory frameworks. Future research should focus on broadening AI applications and addressing the identified ethical concerns.
本综述旨在探讨人工智能（AI）在口腔修复学和种植牙科中的应用，重点关注其性能结果和相关伦理问题。遵循PRISMA指南，在PubMed、Medline、Web of Science和Scopus等数据库中进行了检索。纳入了2022年1月至2024年5月期间发表的英文研究。研究对象（P）包括在口腔修复学和种植牙科中应用AI的患者或拔除的牙齿；干预措施（I）是基于AI的工具；对照（C）是传统方法，结果（O）涉及AI的性能结果和伦理考量。使用纽卡斯尔-渥太华量表评估研究的质量和偏倚风险。在最初识别出的3420篇文章中，有18篇符合口腔修复学和种植牙科中AI应用的纳入标准。该综述强调了AI在提高诊断准确性、治疗计划和假体设计方面的重要作用。AI模型在牙种植体分类和预测种植结果方面显示出高准确性，尽管在数据多样性和模型通用性方面存在局限性。关于伦理问题，五项研究确定了数据隐私、系统偏差以及AI可能取代人类角色等问题。虽然患者总体上对AI持积极看法，但牙科专业人员由于缺乏熟悉度和监管指南而表示犹豫，这凸显了加强教育和建立伦理框架的必要性。AI有潜力通过提高治疗准确性和效率来彻底改变口腔修复学和种植牙科。然而，迫切需要通过全面培训和制定监管框架来解决伦理问题。未来的研究应侧重于扩大AI的应用范围并解决已确定的伦理问题。
