{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:51:52Z","timestamp":1791305512229,"version":"4.3.1"},"reference-count":28,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Caries Res"],"abstract":"<jats:p>Introduction: Dental caries management requires iterative clinical reasoning, yet treatment thresholds and intervention pathways vary considerably among dentists despite established evidence-based frameworks. This study aimed to examine how dentists integrate AI-supported diagnostic outputs into clinical reasoning in cariology, and how socio-technical conditions shape this process. Methods: Semi-structured interviews were conducted with 20 dentists from diverse specialties and practice settings in T\u00fcrkiye. Interviews were developed and analyzed using the COM-B model and theoretical domain framework to identify capability-, opportunity-, and motivation-related determinants of AI adoption. Results: Reflexive thematic analysis revealed three interrelated patterns: (1) AI as a cognitive partner enhancing diagnostic confidence and preventive orientation; (2) structural and economic barriers limiting equitable access and shaping reliance on algorithmic outputs; and (3) ethical and professional concerns, including trust, liability, and surveillance, influencing the extent to which AI recommendations are accepted or resisted. Conclusion: Rather than directly shifting diagnostic thresholds, AI integration appears to reconfigure the socio-technical conditions under which clinical judgments are formed. Understanding these contextual determinants is essential for responsible and equitable AI implementation in cariology.<\/jats:p>","DOI":"10.1159\/000552728","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:00:37Z","timestamp":1786982437000},"page":"1-15","source":"Crossref","is-referenced-by-count":0,"title":["How Artificial Intelligence Reshapes Clinical Decision Thresholds in Cariology: A Qualitative Study of Dentists"],"prefix":"10.1159","author":[{"given":"Nevra","family":"Karam\u00fcft\u00fco\u011flu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u015eafak","family":"Etike","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilge","family":"Ers\u00f6z","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cenkhan","family":"Bal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-021-3732-2"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-15-S1-S9"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-019-0678-8"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.13192"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1875-595x.1999.tb00503.x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1159\/000538619"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/jdd.12762"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1159\/000546194"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2025.106092"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s11282-021-00577-9"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3390\/bioengineering11090936"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520915714"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191710928"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12051083"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3390\/children12111517"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocae209"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2025.1403047"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.2196\/69678"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12030937"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-023-00773-3"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.2196\/76709"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-7-37"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12677"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1080\/2159676x.2019.1628806"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.3390\/oral5040090"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.3390\/a17120567"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10081612"}],"container-title":["Caries Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000552728","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:01:31Z","timestamp":1791302491000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000552728"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,17]]},"references-count":28,"URL":"https:\/\/doi.org\/10.1159\/000552728","archive":["Portico"],"relation":{},"ISSN":["0008-6568","1421-976X"],"issn-type":[{"value":"0008-6568","type":"print"},{"value":"1421-976X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,17]]}}}