J Periodontal Implant Sci.  2024 Feb;54(1):3-12. 10.5051/jpis.230016000810.5051/jpis.2300160008.

Deep-learning performance in identifying and classifying dental implant systems from dental imaging: a systematic review and meta-analysis

Affiliations
  • 1Department of Oral Medicine & Radiology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  • 2Department of Biostatistics, Bapuji Dental College & Hospital, Davengere, Karnataka, India
  • 3Department of Periodontology, Faculty of Dentistry, University of Kyrenia, Kyrenia, Cyprus
  • 4Department of Periodontology, College of Dentistry and Institute of Oral Bioscience, Jeonbuk National University, Jeonju, Korea
  • 5Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea

Abstract

Deep learning (DL) offers promising performance in computer vision tasks and is highly suitable for dental image recognition and analysis. We evaluated the accuracy of DL algorithms in identifying and classifying dental implant systems (DISs) using dental imaging. In this systematic review and meta-analysis, we explored the MEDLINE/ PubMed, Scopus, Embase, and Google Scholar databases and identified studies published between January 2011 and March 2022. Studies conducted on DL approaches for DIS identification or classification were included, and the accuracy of the DL models was evaluated using panoramic and periapical radiographic images. The quality of the selected studies was assessed using QUADAS-2. This review was registered with PROSPERO (CRDCRD42022309624). From 1,293 identified records, 9 studies were included in this systematic review and meta-analysis. The DL-based implant classification accuracy was no less than 70.75% (95% confidence interval [CI], 65.6%–75.9%) and no higher than 98.19 (95% CI, 97.8%–98.5%). The weighted accuracy was calculated, and the pooled sample size was 46,645, with an overall accuracy of 92.16% (95% CI, 90.8%–93.5%). The risk of bias and applicability concerns were judged as high for most studies, mainly regarding data selection and reference standards. DL models showed high accuracy in identifying and classifying DISs using panoramic and periapical radiographic images. Therefore, DL models are promising prospects for use as decision aids and decision-making tools; however, there are limitations with respect to their application in actual clinical practice.

Keyword

Artificial intelligence; Deep learning; Dental implants; Dental radiography; Systematic reviewv
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