THE DIGITAL PROTOCOL DEVELOPMENT AND EFFECTIVENESS EVALUATION FOR COMPLEX DENTAL TREATMENT

The work is devoted to the development of a protocol for digital planning of dental treatment with the use of high-precision instruments and confirmation of its clinical effectiveness. A detailed analysis of the diagnostic and planning resources of dental treatment was carried out at the first stage of this study to optimize and structure them into a single digital complex. The analysis of cone-beam computed tomography results was provided with the artificial intelligence technology called Diagnocat. We compared the automated software report with the description of the radiographic scans of the same patients for the validation of artificial intelligence compiled by dental experts, who have continuous record of service in the specialty for more than 10 years in the specialization. To confirm the clinical effectiveness of the developed digital dental planning, 109 patients were examined who demanded aesthetic porcelain restorations in the maxillary arch. The study included 48 patients, randomly divided into a study group and a control group of 24 patients. At the end of the prototype, all patients were surveyed to assess the quality of life and satisfied dental treatment using OHIP-14 (Oral Health Impact Profile) questionnaire. In total, according to the results of the report analysis compiled by an expert group and a software based on artificial intelligence, 439 pathologies were identified in 638 teeth. The obtained results of the CBCT (cone-beam computed tomography) analysis give grounds to draw conclusions about the obvious superiority of artificial intelligence technology in terms of the time spent on diagnostics and the quality of dental patient radiological description. Summarizing the results of the questionnaire survey based on the OHIP-14 questionnaire, we can conclude that the quality of life of patients has doubled according to the results of the digital dental treatment planning complex.