{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T02:45:46Z","timestamp":1791859546148,"version":"4.3.4"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare the prognostic performance of an artificial intelligence (AI) model with that of experienced clinicians in predicting tooth loss over a 10\u2010year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>An AI model trained on structured clinical and radiographic data was compared with 12 periodontists and 11 general dentists (GDs), who independently assigned prognostic scores (0\u201310 scale) to 300 teeth with known 10\u2010year outcomes. AI and clinician performance were evaluated under a fixed threshold and group\u2010specific optimal thresholds. Accuracy, sensitivity, specificity, predictive values, area under the receiver operating characteristic curve and calibration were used for comparison.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Using the fixed threshold (score &gt;\u20095\u2009=\u2009survival), clinicians achieved higher overall accuracy than AI (75.6% periodontists, 74.9% GDs, 69.2% AI;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), with sensitivity low and comparable across groups (14.7%\u201322.7%). Using group\u2010specific optimal thresholds, AI achieved the highest accuracy for all\u2010cause tooth loss (67.5%) and performed comparably to GDs for periodontitis\u2010related tooth loss (76.2% vs. 76.3%). Calibration was substantially worse for AI (Brier score 0.247) than for periodontists and GDs (0.171, 0.170). Individually, AI performance overlapped with that of several clinicians.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinicians outperformed AI under a fixed threshold, but AI performance was comparable to clinicians using optimal thresholds, situating AI within the range of experienced clinicians despite modest overall predictive ability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.70191","type":"journal-article","created":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T00:57:06Z","timestamp":1787360226000},"page":"1712-1721","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Can Artificial Intelligence Match Human Expertise in Long\u2010Term Periodontal Prognosis? A Comparative Accuracy Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5983-6517","authenticated-orcid":false,"given":"Pablo Antonio","family":"L\u00f3pez\u2010Galindo","sequence":"first","affiliation":[{"name":"Department of Periodontics and Preventive Dentistry University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5647-4414","authenticated-orcid":false,"given":"Giuseppe","family":"Troiano","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery LUM University  Casamassima Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2081-6651","authenticated-orcid":false,"given":"Matteo","family":"Serroni","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Preventive Dentistry University of Pittsburgh  Pittsburgh Pennsylvania USA"},{"name":"Periodontology Unit, Department of Innovative Technologies in Medicine &amp; Dentistry University \u2018G. D'Annunzio\u2019 of Chieti\u2010Pescara  Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5387-1753","authenticated-orcid":false,"given":"Debora R.","family":"Dias","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Preventive Dentistry University of Pittsburgh  Pittsburgh Pennsylvania USA"},{"name":"Department of Dentistry State University of Maringa  Maringa Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4102-1759","authenticated-orcid":false,"given":"Pasquale","family":"Santamar\u00eda","sequence":"additional","affiliation":[{"name":"Periodontology Unit, Centre for Host\u2010Microbiome Interactions, Faculty of Dentistry, Oral and Craniofacial Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7750-5010","authenticated-orcid":false,"given":"Luigi","family":"Nibali","sequence":"additional","affiliation":[{"name":"Periodontology Unit, Centre for Host\u2010Microbiome Interactions, Faculty of Dentistry, Oral and Craniofacial Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5763-0201","authenticated-orcid":false,"given":"Gustavo","family":"Avila\u2010Ortiz","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Infection, and Immunity Harvard School of Dental Medicine, Harvard University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3029-8130","authenticated-orcid":false,"given":"Andrea","family":"Ravid\u00e0","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Preventive 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