About this trial
This study aims to evaluate the influence of artificial intelligence (AI) on the decision-making process for intervention after caries lesion detection. Participants will be dentists working in the Netherlands randomly divided into two groups. Dentists will be divided into two groups and receive a set of bitewing radiographs, which first will be evaluated with or without AI support according to their group. Participants will examine caries lesions on the radiographs and formulate treatment plans accordingly. Then, after a wash-out period of one month, the same radiographs, but in the opposite condition of AI support and again formulate treatment suggestions according to the present caries lesions.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Graduated, practising dentists.
At least three years of experience
Disqualifiers
Retired dentists.
Specialized practitioners (e.g., orthodontists and oral surgeons) if their typical practice does not involve routine caries diagnostics and treatment planning.
Trial design
Crossover
Treatments tested in this trial
Artificial intelligence in diagnosis
Diagnostic testAI-based diagnostic programs have proved to enhance diagnostic performance, however research on its effects on treatment decisions is scarce. In contrast to other studies focusing on AI's accuracy or the resulting increase in dentists' accuracy, this study aims to investigate the differences in dentists' treatment recommendations when supported by AI versus when they are not during caries detection.
Treatment groups
Trial outcomes
Primary outcomes
Treatment decisions: Compare the treatment recommendations of dentists for caries lesions detected with and without AI support.
The given options will be "no treatment", "non-invasive treatment" (fluoride varnish, polishing, sealing), and "restoration". Participants' answers will be compared to a reference standard.
Secondary outcomes
Diagnostic Accuracy in Caries Detection
RA0: No radiolucency - No visible caries. RA1: Radiolucency confined to the outer half of enamel - Enamel caries. RA2: Radiolucency extending to the inner half of enamel but not reaching dentin - Moderate enamel caries. RA3: Radiolucency extending into the outer third of dentin - Dentin caries. RA4: Radiolucency extending into the middle of dentin - Advanced dentin caries. RA5: Radiolucency extending into the inner third of dentin - Severe dentin caries. Participants' answers will be compared to a reference standard.
Sponsors and contacts
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Radboud University Medical Center
Lead sponsor
Prime Dental Alliance Eindhoven
Collaborator
This trial is not recruiting at the moment. You can still explore other options: