Abstract

BackgroundThe aim of this study was to evaluate the success of the artificial intelligence (AI) system in implant planning using three-dimensional cone-beam computed tomography (CBCT) images.MethodsSeventy-five CBCT images were included in this study. In these images, bone height and thickness in 508 regions where implants were required were measured by a human observer with manual assessment method using InvivoDental 6.0 (Anatomage Inc. San Jose, CA, USA). Also, canals/sinuses/fossae associated with alveolar bones and missing tooth regions were detected. Following, all evaluations were repeated using the deep convolutional neural network (Diagnocat, Inc., San Francisco, USA) The jaws were separated as mandible/maxilla and each jaw was grouped as anterior/premolar/molar teeth region. The data obtained from manual assessment and AI methods were compared using Bland–Altman analysis and Wilcoxon signed rank test.ResultsIn the bone height measurements, there were no statistically significant differences between AI and manual measurements in the premolar region of mandible and the premolar and molar regions of the maxilla (p > 0.05). In the bone thickness measurements, there were statistically significant differences between AI and manual measurements in all regions of maxilla and mandible (p < 0.001). Also, the percentage of right detection was 72.2% for canals, 66.4% for sinuses/fossae and 95.3% for missing tooth regions.ConclusionsDevelopment of AI systems and their using in future for implant planning will both facilitate the work of physicians and will be a support mechanism in implantology practice to physicians.

Highlights

  • The aim of this study was to evaluate the success of the artificial intelligence (AI) system in implant planning using three-dimensional cone-beam computed tomography (CBCT) images

  • Panoramic and intraoral radiographs are used still in dental implant practices to provide an overview of the jaws and to create a preliminary idea; but these radiographic techniques are insufficient for detailed implant planning [4, 8, 9]

  • The AI system was unable to perform 80 of bone height measurements and 15 of bone thickness measurements

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Summary

Introduction

The aim of this study was to evaluate the success of the artificial intelligence (AI) system in implant planning using three-dimensional cone-beam computed tomography (CBCT) images. Kurt Bayrakdar et al BMC Med Imaging (2021) 21:86 computed tomography (CT) and cone-beam computed tomography (CBCT) which offer three-dimensional (3D) information to surgeons are currently used as an alternative to these conventional techniques [9]. CBCT devices developed for dentomaxillofacial imaging, have more affordable prices and smaller device sizes than CT devices. It offers high-quality images at a lower radiation dose and short scanning time [4, 9, 10]. The physician’s knowledge, skills, and experience in the interpretation of CBCT images play very great roles in performing detailed implant planning [12]

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