Artificial intelligence in endodontics: Data preparation, clinical applications, ethical considerations, limitations, and future directions.

Journal: International endodontic journal
PMID:

Abstract

Artificial intelligence (AI) is emerging as a transformative technology in healthcare, including endodontics. A gap in knowledge exists in understanding AI's applications and limitations among endodontic experts. This comprehensive review aims to (A) elaborate on technical and ethical aspects of using data to implement AI models in endodontics; (B) elaborate on evaluation metrics; (C) review the current applications of AI in endodontics; and (D) review the limitations and barriers to real-world implementation of AI in the field of endodontics and its future potentials/directions. The article shows that AI techniques have been applied in endodontics for critical tasks such as detection of radiolucent lesions, analysis of root canal morphology, prediction of treatment outcome and post-operative pain and more. Deep learning models like convolutional neural networks demonstrate high accuracy in these applications. However, challenges remain regarding model interpretability, generalizability, and adoption into clinical practice. When thoughtfully implemented, AI has great potential to aid with diagnostics, treatment planning, clinical interventions, and education in the field of endodontics. However, concerted efforts are still needed to address limitations and to facilitate integration into clinical workflows.

Authors

  • Hossein Mohammad-Rahimi
    Division of Artificial Intelligence Imaging Research, University of Maryland School of Dentistry, Baltimore, MD 21201, USA.
  • Fatemeh Sohrabniya
    Topic Group Dental Diagnostics and Digital Dentistry, ITU/WHO Focus Group AI on Health, Berlin, Germany.
  • Seyed AmirHossein Ourang
    Dentofacial Deformities Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Omid Dianat
    Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry, Baltimore, Maryland; Private Practice, Centreville Endodontics, Centreville, Virginia.
  • Anita Aminoshariae
    Department of Endodontics, Case School of Dental Medicine, Cleveland, Ohio. Electronic address: Axa53@case.edu.
  • Venkateshbabu Nagendrababu
    Department of Endodontics, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia.
  • Paul Michael Howell Dummer
    School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
  • Henry F Duncan
    Division of Restorative Dentistry, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland.
  • Ali Nosrat
    Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry, Baltimore, Maryland; Private Practice, Centreville Endodontics, Centreville, Virginia. Electronic address: Nosrat@umaryland.edu.