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牙科中的人工智能:诊断与治疗应用的叙述性综述

Artificial Intelligence in Dentistry: A Narrative Review of Diagnostic and Therapeutic Applications.

作者信息

Gao Sizhe, Wang Xianyun, Xia Zhuoheng, Zhang Huicong, Yu Jun, Yang Fan

机构信息

Department of Stomatology, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.

School of Computer Science and Technology, Hangzhou Dianzi University, Hangzhou, Zhejiang, China.

出版信息

Med Sci Monit. 2025 Apr 8;31:e946676. doi: 10.12659/MSM.946676.

Abstract

Advancements in digital and precision medicine have fostered the rapid development of artificial intelligence (AI) applications, including machine learning, artificial neural networks (ANN), and deep learning, within the field of dentistry, particularly in imaging diagnosis and treatment. This review examines the progress of AI across various domains of dentistry, focusing on its role in enhancing diagnostics and optimizing treatment for oral diseases such as endodontic disease, periodontal disease, oral implantology, orthodontics, prosthodontic treatment, and oral and maxillofacial surgery. Additionally, it discusses the emerging opportunities and challenges associated with these technologies. The findings indicate that AI can be effectively utilized in numerous aspects of oral healthcare, including prevention, early screening, accurate diagnosis, treatment plan design assistance, treatment execution, follow-up monitoring, and prognosis assessment. However, notable challenges persist, including issues related to inaccurate data annotation, limited capability for fine-grained feature expression, a lack of universally applicable models, potential biases in learning algorithms, and legal risks pertaining to medical malpractice and data privacy breaches. Looking forward, future research is expected to concentrate on overcoming these challenges to enhance the accuracy and applicability of AI in diagnosing and treating oral diseases. This review aims to provide a comprehensive overview of the current state of AI in dentistry and to identify pathways for its effective integration into clinical practice.

摘要

数字医学和精准医学的进步推动了人工智能(AI)应用在牙科领域的快速发展,包括机器学习、人工神经网络(ANN)和深度学习,尤其是在影像诊断和治疗方面。本综述考察了AI在牙科各个领域的进展,重点关注其在增强口腔疾病(如牙髓病、牙周病、口腔种植学、正畸学、修复治疗以及口腔颌面外科)的诊断和优化治疗中的作用。此外,还讨论了与这些技术相关的新出现的机遇和挑战。研究结果表明,AI可有效地应用于口腔医疗保健的多个方面,包括预防、早期筛查、准确诊断、辅助治疗方案设计、治疗实施、随访监测和预后评估。然而,显著的挑战依然存在,包括数据标注不准确、细粒度特征表达能力有限、缺乏通用适用的模型、学习算法中存在潜在偏差以及与医疗事故和数据隐私泄露相关的法律风险。展望未来,预计未来的研究将集中于克服这些挑战,以提高AI在口腔疾病诊断和治疗中的准确性和适用性。本综述旨在全面概述牙科领域AI的现状,并确定将其有效整合到临床实践中的途径。

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本文引用的文献

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