Akpınar Hasan
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Afyonkarahisar Health Science University, Afyonkarahisar, Türkiye.
BMC Oral Health. 2025 Jun 5;25(1):922. doi: 10.1186/s12903-025-06294-7.
Recent advancements in Artificial Intelligence (AI) have transformed the healthcare field, particularly through chatbots like ChatGPT, OpenEvidence, and MediSearch. These tools analyze complex data to aid clinical decision-making, enhancing efficiency in diagnosis, treatment planning, and patient management. When applied in the "All-on-Four" dental implant concept, AI facilitates immediate prosthetic restorations and meets the demand for expert guidance. This integration boosts the long-term success of surgical outcomes by providing real-time support and improving patient education and postoperative satisfaction. This study aimed to evaluate the effectiveness of three AI-powered chatbots-ChatGPT 4.0, OpenEvidence, and MediSearch-in answering frequently asked questions regarding the All-on-Four dental implant concept.
This study investigated the response accuracy of three AI-powered chatbots to common queries about the All-on-Four dental implant concept. Using alsoasked.com, twenty pertinent questions-ten patient-focused and ten technical-were identified. Oral and maxillofacial surgeons evaluated the chatbot responses using a 5-point Likert scale. Statistical analysis was performed with the Kruskal-Wallis test, supplemented by pairwise Mann-Whitney U tests with Bonferroni correction, to assess the significance of differences among the chatbots' performances.
The Kruskal-Wallis test showed statistically significant differences between the three chatbots for both patient and technical questions (p < 0.01). Pairwise comparisons were evaluated using the Mann-Whitney U test. While significant differences were found among each chatbot for patient questions, no significant difference was observed between ChatGPT and MediSearch for technical questions (p = 0.158). When comparing responses of the same chatbot to patient and technical questions, it was found that MediSearch performed better in technical questions (p < 0.001).
Advancements in technology have made AI-powered chatbots an inevitable influence in specialized medical fields such as Oral, Maxillofacial Surgery. Our findings indicate that these chatbots can provide valuable information for patients undergoing medical procedures and serve as a resource for healthcare professionals.
人工智能（AI）的最新进展已经改变了医疗保健领域，特别是通过ChatGPT、OpenEvidence和MediSearch等聊天机器人。这些工具分析复杂数据以辅助临床决策，提高诊断、治疗计划和患者管理的效率。当应用于“全口四颗”牙种植概念时，人工智能有助于即刻进行修复，并满足对专家指导的需求。这种整合通过提供实时支持、改善患者教育和术后满意度，提高了手术结果的长期成功率。本研究旨在评估三款人工智能驱动的聊天机器人——ChatGPT 4.0、OpenEvidence和MediSearch——在回答有关“全口四颗”牙种植概念常见问题方面的有效性。
本研究调查了三款人工智能驱动的聊天机器人对有关“全口四颗”牙种植概念常见问题的回答准确性。通过alsoasked.com，确定了20个相关问题——10个以患者为中心的问题和10个技术问题。口腔颌面外科医生使用5点李克特量表评估聊天机器人的回答。采用Kruskal-Wallis检验进行统计分析，并辅以经Bonferroni校正的成对Mann-Whitney U检验，以评估聊天机器人表现之间差异的显著性。
Kruskal-Wallis检验显示，三款聊天机器人在患者问题和技术问题上均存在统计学显著差异（p < 0.01）。使用Mann-Whitney U检验进行成对比较。虽然在每个聊天机器人的患者问题之间发现了显著差异，但在ChatGPT和MediSearch的技术问题之间未观察到显著差异（p = 0.158）。当比较同一聊天机器人对患者问题和技术问题的回答时，发现MediSearch在技术问题上表现更好（p < 0.001）。
技术进步使人工智能驱动的聊天机器人在口腔颌面外科等专业医疗领域产生了不可避免的影响。我们的研究结果表明，这些聊天机器人可以为接受医疗程序的患者提供有价值的信息，并作为医疗保健专业人员的资源。
