ACCEPTANCE OF AI-ASSISTED DIAGNOSTIC RADIOGRAPHY IN DENTAL PRACTICE: A CROSS-SECTIONAL STUDY AMONG CLINICIANS
DOI:
https://doi.org/10.71000/kszd6f67Keywords:
Artificial Intelligence, Attitude of Health Personnel, Clinical Decision-Making, Dental Radiography, Diagnostic Imaging, General Practitioners, Technology Acceptance ModelAbstract
Background: Artificial intelligence (AI) is increasingly utilized in dental diagnostics, particularly in radiographic interpretation. Despite its demonstrated clinical potential, the successful implementation of AI in dental practice depends heavily on clinician acceptance, understanding, and trust.
Objective: To determine the acceptance, perceived benefits, and barriers to using AI-assisted radiographic interpretation tools among general dental practitioners in Lahore, Pakistan.
Methods: A cross-sectional survey was conducted over eight months among 412 general dental practitioners working in dental hospitals in Lahore. A structured, validated questionnaire based on the Technology Acceptance Model was used to assess attitudes toward AI tools. Data on perceived usefulness, ease of use, benefits, and barriers were collected. Descriptive statistics, independent t-tests, ANOVA, Pearson’s correlation, and multiple linear regression were used for data analysis. Ethical approval was obtained from the relevant Institutional Review Board (IRB).
Results: Among respondents, 79.1% agreed AI tools were useful, 68.2% found them easy to use, and 73.4% intended to adopt them in practice. Key perceived benefits included improved diagnostic accuracy (85.7%), faster image interpretation (80.6%), and reduced diagnostic errors (77.2%). Barriers included lack of training (74.8%), data privacy concerns (71.1%), and regulatory uncertainty (68.5%). Regression analysis revealed perceived usefulness (β = 0.46), ease of use (β = 0.38), and prior exposure to AI (β = 0.27) as significant predictors of acceptance (p < 0.001).
Conclusion: The findings highlight a generally positive attitude among dental practitioners toward AI-assisted radiographic tools, alongside the need for structured education and clear regulations to overcome adoption barriers.
References
Kaya E, Gunec HG, Gokyay SS, Kutal S, Gulum S, Ates HF. Proposing a CNN Method for Primary and Permanent Tooth Detection and Enumeration on Pediatric Dental Radiographs. J Clin Pediatr Dent. 2022;46(4):293-8.
Carvalho JS, Lotz M, Rubi L, Unger S, Pfister T, Buhmann JM, et al. Preinterventional Third-Molar Assessment Using Robust Machine Learning. J Dent Res. 2023;102(13):1452-9.
Ying S, Huang F, Shen X, Liu W, He F. Performance comparison of multifarious deep networks on caries detection with tooth X-ray images. J Dent. 2024;144:104970.
Raj R, Rajappa R, Murthy V, Osanlouy M, Lawrence D, Ganhewa M, et al. Observational Diagnostics: The Building Block of AI-Powered Visual Aid for Dental Practitioners. Bioengineering. 2024;12.
Okamura K, Yoshiura K. The missing link in image quality assessment in digital dental radiography. Oral Radiol. 2020;36(4):313-9.
Samaran R, L'Orphelin JM, Dreno B, Rat C, Dompmartin A. Interest in artificial intelligence for the diagnosis of non-melanoma skin cancer: a survey among French general practitioners. Eur J Dermatol. 2021;31(4):457-62.
Motmaen I, Xie K, Schönbrunn L, Berens J, Grunert K, Plum AM, et al. Insights into Predicting Tooth Extraction from Panoramic Dental Images: Artificial Intelligence vs. Dentists. Clin Oral Investig. 2024;28(7):381.
Achararit P, Manaspon C, Jongwannasiri C, Kulthanaamondhita P, Itthichaisri C, Chantarangsu S, et al. Impacted lower third molar classification and difficulty index assessment: comparisons among dental students, general practitioners and deep learning model assistance. BMC Oral Health. 2025;25(1):152.
Glick A, Clayton M, Angelov N, Chang J. Impact of explainable artificial intelligence assistance on clinical decision-making of novice dental clinicians. JAMIA Open. 2022;5.
Kolts RJ, Balaban CM, Zasso C, Reich R, Ryff B, Raina A. The Impact of Dental Artificial Intelligence for Radiograph Analysis. Compend Contin Educ Dent. 2023;44(1):e1-e4.
Hamdan MH, Tuzova L, Mol A, Tawil PZ, Tuzoff D, Tyndall DA. The effect of a deep-learning tool on dentists' performances in detecting apical radiolucencies on periapical radiographs. Dentomaxillofac Radiol. 2022;51(7):20220122.
Esmaeilyfard R, Bonyadifard H, Paknahad M. Dental Caries Detection and Classification in CBCT Images Using Deep Learning. Int Dent J. 2024;74(2):328-34.
Hung K, Yeung AWK, Tanaka R, Bornstein MM. Current Applications, Opportunities, and Limitations of AI for 3D Imaging in Dental Research and Practice. Int J Environ Res Public Health. 2020;17(12).
Parekh K, Gohel A. Augmented teaching of the next-generation-dentists in diagnosis of common dental diseases with the overjet artificial intelligence (AI) module. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2025.
Murad M, Tamimi F. Artificial intelligence: is it more accurate than endodontists in root canal therapy? Evid Based Dent. 2023;24(3):106-7.
Ueda D, Yamamoto A, Shimazaki A, Walston SL, Matsumoto T, Izumi N, et al. Artificial intelligence-supported lung cancer detection by multi-institutional readers with multi-vendor chest radiographs: a retrospective clinical validation study. BMC Cancer. 2021;21(1):1120.
Qahman MHM, Almowallad RA, Alluqmani RMR, Alluqmani RMR, Alghamdi RS, Al-Otaibi BAT, et al. Artificial Intelligence in Dental Radiology: Review of the Impacts on Diagnostic Accuracy and Nursing Practices. Journal of Ecohumanism. 2024.
Kale P, Seth N, Verma S, Varshney D, Sharma S. Artificial intelligence in dental imaging: A new era of precision and predictive diagnosis. IP International Journal of Maxillofacial Imaging. 2024.
Ghorai L, Lasune P. Artificial Intelligence (AI) In Dental Clinical Practice. IOSR Journal of Dental and Medical Sciences. 2024.
Winterhalter L, Kofler F, Ströbele D, Othman A, Von See C. AI-Assisted Diagnostics in Dentistry: An Eye-Tracking Study on User Behavior. Journal of Clinical and Experimental Dentistry. 2024;16.
Devlin H, Williams T, Graham J, Ashley M. The ADEPT study: a comparative study of dentists' ability to detect enamel-only proximal caries in bitewing radiographs with and without the use of AssistDent artificial intelligence software. Br Dent J. 2021;231(8):481-5.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Sadaf Akram, Naveed Iqbal, Sohail Ahmed Memon, Seema Shafiq, Muhammad Tameem Akhtar, Fatima Rehman (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.