Evaluation of Artificial Intelligent Systems Based Analysis in Dental Periapical Lesions – A Radiological Study

Background: This study evaluated AI-based analysis of dental periapical lesions using CBCT scans, conducted at the Department of Oral Medicine and Radiology, New Horizon Dental College, Bilaspur, Chhattisgarh. Method: A total of 500 CBCT scans were analyzed, with 400 scans used to train AI software...

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Main Authors: Giridhar Naidu, Ramanpal Singh Makkad, Fiza Khan, Pallavi Sinha, Swatantra Shrivastava, Narayan Prasad Tripathi, Dasharathraj K. Shetty, Sarthak Shastri, Ankita Shrivastava
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-06-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_2002_24
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author Giridhar Naidu
Ramanpal Singh Makkad
Fiza Khan
Pallavi Sinha
Swatantra Shrivastava
Narayan Prasad Tripathi
Dasharathraj K. Shetty
Sarthak Shastri
Ankita Shrivastava
author_facet Giridhar Naidu
Ramanpal Singh Makkad
Fiza Khan
Pallavi Sinha
Swatantra Shrivastava
Narayan Prasad Tripathi
Dasharathraj K. Shetty
Sarthak Shastri
Ankita Shrivastava
author_sort Giridhar Naidu
collection DOAJ
description Background: This study evaluated AI-based analysis of dental periapical lesions using CBCT scans, conducted at the Department of Oral Medicine and Radiology, New Horizon Dental College, Bilaspur, Chhattisgarh. Method: A total of 500 CBCT scans were analyzed, with 400 scans used to train AI software and 100 scans assessed by two radiologists to test the software’s performance. The AI classified lesions into periapical cysts, abscesses, or granulomas. Sensitivity, specificity, and accuracy were calculated. Result: Cysts were the largest lesions, with regular margins (99.09%) and significant cortical expansion (93.36%), causing teeth displacement (66.36%). Abscesses and granulomas predominantly affected the maxilla, showing moderate hypodensity (100%) with minimal structural changes. Radiologists achieved perfect agreement (0.98, P < .001) in 77% of scans. Manual machine learning AI achieved 100% accuracy, while deep learning AI demonstrated 84.62% accuracy, with moderate to substantial agreement for lesion dimensions. Conclusion: Manual machine learning AI showed superior accuracy compared to deep learning AI, demonstrating its potential for radiographic diagnosis of periapical lesions.
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spelling doaj-art-a5235afafffa40579801bd7b844e68342025-08-20T03:31:38ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-06-0117Suppl 2S1475S147710.4103/jpbs.jpbs_2002_24Evaluation of Artificial Intelligent Systems Based Analysis in Dental Periapical Lesions – A Radiological StudyGiridhar NaiduRamanpal Singh MakkadFiza KhanPallavi SinhaSwatantra ShrivastavaNarayan Prasad TripathiDasharathraj K. ShettySarthak ShastriAnkita ShrivastavaBackground: This study evaluated AI-based analysis of dental periapical lesions using CBCT scans, conducted at the Department of Oral Medicine and Radiology, New Horizon Dental College, Bilaspur, Chhattisgarh. Method: A total of 500 CBCT scans were analyzed, with 400 scans used to train AI software and 100 scans assessed by two radiologists to test the software’s performance. The AI classified lesions into periapical cysts, abscesses, or granulomas. Sensitivity, specificity, and accuracy were calculated. Result: Cysts were the largest lesions, with regular margins (99.09%) and significant cortical expansion (93.36%), causing teeth displacement (66.36%). Abscesses and granulomas predominantly affected the maxilla, showing moderate hypodensity (100%) with minimal structural changes. Radiologists achieved perfect agreement (0.98, P < .001) in 77% of scans. Manual machine learning AI achieved 100% accuracy, while deep learning AI demonstrated 84.62% accuracy, with moderate to substantial agreement for lesion dimensions. Conclusion: Manual machine learning AI showed superior accuracy compared to deep learning AI, demonstrating its potential for radiographic diagnosis of periapical lesions.https://journals.lww.com/10.4103/jpbs.jpbs_2002_24artificial intelligencecbct scansdeep learningperiapical lesions
spellingShingle Giridhar Naidu
Ramanpal Singh Makkad
Fiza Khan
Pallavi Sinha
Swatantra Shrivastava
Narayan Prasad Tripathi
Dasharathraj K. Shetty
Sarthak Shastri
Ankita Shrivastava
Evaluation of Artificial Intelligent Systems Based Analysis in Dental Periapical Lesions – A Radiological Study
Journal of Pharmacy and Bioallied Sciences
artificial intelligence
cbct scans
deep learning
periapical lesions
title Evaluation of Artificial Intelligent Systems Based Analysis in Dental Periapical Lesions – A Radiological Study
title_full Evaluation of Artificial Intelligent Systems Based Analysis in Dental Periapical Lesions – A Radiological Study
title_fullStr Evaluation of Artificial Intelligent Systems Based Analysis in Dental Periapical Lesions – A Radiological Study
title_full_unstemmed Evaluation of Artificial Intelligent Systems Based Analysis in Dental Periapical Lesions – A Radiological Study
title_short Evaluation of Artificial Intelligent Systems Based Analysis in Dental Periapical Lesions – A Radiological Study
title_sort evaluation of artificial intelligent systems based analysis in dental periapical lesions a radiological study
topic artificial intelligence
cbct scans
deep learning
periapical lesions
url https://journals.lww.com/10.4103/jpbs.jpbs_2002_24
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