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    Evaluation of ChatGPT-4's performance on pediatric dentistry questions: accuracy and completeness analysis
    (Bmc, 2025) Sezer, Berkant; Okutan, Alev Eda
    BackgroundThis study aimed to evaluate the accuracy and completeness of Chat Generative Pre-trained Transformer-4 (ChatGPT-4) responses to frequently asked questions (FAQs) posed by patients and parents, as well as curricular questions related to pediatric dentistry. Additionally, it sought to determine whether the ChatGPT-4's performance varied across different question topics.MethodsResponses from ChatGPT-4 to 30 FAQs by patients and parents and 30 curricular questions covering six pediatric dentistry topics (fissure sealants, fluoride, early childhood caries, oral hygiene practices, development of dentition and occlusion, and pulpal therapy) were evaluated by 30 pediatric dentists. Accuracy was rated using a five-point Likert scale, while completeness was assessed via a three-point scale, capturing distinct aspects of response quality. Statistical analyses included Fisher's Exact test, Mann-Whitney U test, Kruskal-Wallis test, and Bonferroni-adjusted post hoc comparisons.ResultsChatGPT-4's responses demonstrated high overall accuracy across all question types. Mean accuracy scores were 4.21 +/- 0.55 for FAQs and 4.16 +/- 0.70 for curricular questions, indicating that responses were generally rated as good to excellent by pediatric dentists, with no statistically significant difference between the two groups (p = 0.942). Completeness scores were moderate overall, with means of 2.51 +/- 0.40 (median: 3) and 2.61 +/- 1.53 (median: 3) for FAQs and curricular questions, respectively (p = 0.563), reflecting a generally acceptable response coverage. Accuracy scores for curricular questions varied significantly by topic (p = 0.007), with the highest score for fissure sealants (4.45 +/- 0.62; median: 5) and the lowest for pulpal therapy (3.93 +/- 0.93; median: 4).ConclusionFrom a clinical perspective, ChatGPT-4 demonstrates promising accuracy and acceptable completeness in pediatric dental communication. However, its performance in certain curricular areas-particularly fluoride and pulpal therapy-warrants cautious interpretation and requires professional oversight.
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    Retrospective evaluation of traction time for impacted dilacerated maxillary central incisors in mixed dentition
    (Elsevier, 2023) Şen Yavuz, Betül; Yılmaz, Ahu; Haznedaroğlu, Eda; Sezer, Berkant; Okutan, Alev Eda; Sezgin, Batın Ilgıt; Özçelik, Mert
    Purposes This study aimed to contribute to understanding the factors affecting the time of traction treatment of impacted dilacerated maxillary central incisors. Methods This retrospective study included children aged 8 – 11 years with a history of trauma, who applied to the pediatric dentistry clinics of Marmara University, School of Dentistry, between December 2013 and December 2019, and were treated for unilateral impacted dilacerated maxillary upper central incisors. Children's age, sex, digital panoramic radiographs, cone-beam computed tomography, and intraoral photographs were retrieved from electronic dental health records. The effects of children's age, sex, the direction of impacted teeth, distance of the teeth to the top of the alveolar crest, and root dilaceration level on traction time were analyzed by Mann-Whitney U test and Spearman's rank correlation coefficient test. Results The inverse position of the incisors significantly increased the traction time (P = 0.012). However, the traction time did not differ according to the sex of the children (P = 0.707) or the level of root dilaceration (P = 0.429). No correlation was observed between the traction time and the age of children (P = 0.644) or the distance of the incisors from the top of the alveolar crest (P = 0.397). Conclusions In cases of the forced eruption of for the impacted dilacerated maxillary central incisors, the direction of the teeth should be evaluated when deciding on the treatment plan, as it may affect the treatment time.