Artificial Intelligence in Oral and Maxillofacial Surgery: Bridging the Gap between Technology and Clinical Practice a Narrative Review


Authors : Dr. Amar Singh; Dr. Aswathy Haridas; Dr. Vandana Shenoy; Dr. Mohamed Afradh

Volume/Issue : Volume 9 - 2024, Issue 10 - October


Google Scholar : https://tinyurl.com/2vyvcj4h

Scribd : https://tinyurl.com/3ud6vwtw

DOI : https://doi.org/10.38124/ijisrt/IJISRT24OCT105

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Objective: To provide a comprehensive overview of current applications and future prospects of artificial intelligence (AI) in oral and maxillofacial surgery (OMFS), while critically analyzing implementation challenges and exploring potential advancements.  Methods A systematic literature review was conducted using PubMed/MEDLINE and Embase databases, encompassing English-language articles up to December 30, 2023. Search terms combined OMFS and AI concepts, with database-specific syntax employed.  Results AI applications in OMFS span multiple domains, including image analysis, surgical planning, intraoperative guidance, and clinical decision support. Deep learning models have demonstrated high accuracy in detecting mandibular fractures, performing cephalometric analyses, and classifying maxillofacial pathologies. AI-enhanced surgical planning and robotic systems show promise in improving precision and outcomes across various OMFS procedures. However, challenges persist in data quality, clinical validation, and seamless workflow integration.  Conclusions AI technologies have the potential to significantly enhance diagnostic accuracy, surgical precision, and treatment outcomes in OMFS. Future research directions include developing multimodal AI systems, advancing AI-powered surgical navigation, and exploring federated learning approaches. Successful implementation of AI in OMFS practice will require collaborative efforts among clinicians, researchers, engineers, and policymakers to address technical, ethical, and regulatory challenges. As these hurdles are overcome, AI is poised to become an integral part of OMFS, augmenting surgical capabilities and elevating patient care standards.

Keywords : Artificial Intelligence, Oral and Maxillofacial Surgery, Deep Learning, Surgical Planning, Image Analysis.

References :

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  2. Vinayahalingam S, van Nistelrooij N, van Ginneken B, et al. Detection of mandibular fractures on panoramic radiographs using deep learning. Sci Rep. 2022;12:19596.
  3. Wang X, Xu Z, Tong Y, et al. Detection and classification of mandibular fracture on CT scan using deep convolutional neural network. Clin Oral Investig. 2022;26:4593-4601.
  4. Wang CW, Huang CT, Lee JH, et al. A benchmark for comparison of dental radiography analysis algorithms. Med Image Anal. 2016;31:63-76.
  5. Arık SÖ, Ibragimov B, Xing L. Fully automated quantitative cephalometry using convolutional neural networks. J Med Imaging (Bellingham). 2017;4:014501.
  6. Miragall MF, Knoedler S, Kauke-Navarro M, et al. Face the Future—Artificial Intelligence in Oral and Maxillofacial Surgery. J Clin Med. 2023;12:6843.
  7. Rasteau S, Ernenwein D, Savoldelli C, Bouletreau P. Artificial intelligence for oral and maxillo-facial surgery: A narrative review. J Stomatol Oral Maxillofac Surg. 2022;123:276-282.
  8. Santer, M.; Kloppenburg, M.; Gottfried, T.M.; Runge, A.; Schmutzhard, J.; Vorbach, S.M.; Mangesius, J.; Riedl, D.; Mangesius, S.; Widmann, G.; et al. Current Applications of Artificial Intelligence to Classify Cervical Lymph Nodes in Patients with Head and Neck Squamous Cell Carcinoma—A Systematic Review. Cancers 2022, 14, 5397
  9. Revilla-León M, Gómez-Polo M, Vyas S, et al. Artificial intelligence applications in implant dentistry: A systematic review. J Prosthet Dent. 2021:S0022-3913(21)00272-9.
  10. Yoo, J.H.; Yeom, H.G.; Shin, W.; Yun, J.P.; Lee, J.H.; Jeong, S.H.; Lim, H.J.; Lee, J.; Kim, B.C. Deep learning based prediction of extraction difficulty for mandibular third molars. Sci. Rep. 2021, 11, 1954.
  11. Yin, C.; Qian, B.; Wei, J.; Li, X.; Zhang, X.; Li, Y.; Zheng, Q. Automatic Generation of Medical Imaging Diagnostic Report with Hierarchical Recurrent Neural Network. In Proceedings of the 2019 IEEE International Conference on Data Mining (ICDM), Beijing, China, 8–11 November 2019
  12. Jaemsuwan S, Arunjaroensuk S, Kaboosaya B, et al. Comparison of the accuracy of implant position among freehand implant placement, static and dynamic computer-assisted implant surgery in fully edentulous patients: A non-randomized prospective study. Int J Oral Maxillofac Surg. 2023;52:264-271.
  13. Balaban C, Inam W, Kennedy R, Faiella R. The Future of Dentistry: How AI is Transforming Dental Practices. Compend Contin Educ Dent. 2021;42:14-17.
  14. Pham TD, Holmes SB, Coulthard P. A review on artificial intelligence for the diagnosis of fractures in facial trauma imaging. Front Artif Intell. 2023;6:1278529.
  15. Chen, H.; Zhang, Y.; Kalra, M.K.; Lin, F.; Chen, Y.; Liao, P.; Zhou, J.; Wang, G. Low-Dose CT with a Residual Encoder-Decoder Convolutional Neural Network. IEEE Trans. Med. Imaging 2017, 36, 2524–2535.
  16. Vinayahalingam S, van Nistelrooij N, van Ginneken B, et al. Detection of mandibular fractures on panoramic radiographs using deep learning. Sci Rep. 2022;12:19596.
  17. Wang X, Xu Z, Tong Y, et al. Detection and classification of mandibular fracture on CT scan using deep convolutional neural network. Clin Oral Investig. 2022;26:4593-4601.
  18. Wang CW, Huang CT, Lee JH, et al. A benchmark for comparison of dental radiography analysis algorithms. Med Image Anal. 2016;31:63-76.
  19. Arık SÖ, Ibragimov B, Xing L. Fully automated quantitative cephalometry using convolutional neural networks. J Med Imaging (Bellingham). 2017;4:014501.
  20. Miragall MF, Knoedler S, Kauke-Navarro M, et al. Face the Future—Artificial Intelligence in Oral and Maxillofacial Surgery. J Clin Med. 2023;12:6843.
  21. Rasteau S, Ernenwein D, Savoldelli C, Bouletreau P. Artificial intelligence for oral and maxillo-facial surgery: A narrative review. J Stomatol Oral Maxillofac Surg. 2022;123:276-282.
  22. Santer, M.; Kloppenburg, M.; Gottfried, T.M.; Runge, A.; Schmutzhard, J.; Vorbach, S.M.; Mangesius, J.; Riedl, D.; Mangesius, S.; Widmann, G.; et al. Current Applications of Artificial Intelligence to Classify Cervical Lymph Nodes in Patients with Head and Neck Squamous Cell Carcinoma—A Systematic Review. Cancers 2022, 14, 5397
  23. Revilla-León M, Gómez-Polo M, Vyas S, et al. Artificial intelligence applications in implant dentistry: A systematic review. J Prosthet Dent. 2021:S0022-3913(21)00272-9.
  24. Yoo, J.H.; Yeom, H.G.; Shin, W.; Yun, J.P.; Lee, J.H.; Jeong, S.H.; Lim, H.J.; Lee, J.; Kim, B.C. Deep learning based prediction of extraction difficulty for mandibular third molars. Sci. Rep. 2021, 11, 1954.
  25. Yin, C.; Qian, B.; Wei, J.; Li, X.; Zhang, X.; Li, Y.; Zheng, Q. Automatic Generation of Medical Imaging Diagnostic Report with Hierarchical Recurrent Neural Network. In Proceedings of the 2019 IEEE International Conference on Data Mining (ICDM), Beijing, China, 8–11 November 2019
  26. Jaemsuwan S, Arunjaroensuk S, Kaboosaya B, et al. Comparison of the accuracy of implant position among freehand implant placement, static and dynamic computer-assisted implant surgery in fully edentulous patients: A non-randomized prospective study. Int J Oral Maxillofac Surg. 2023;52:264-271.
  27. Balaban C, Inam W, Kennedy R, Faiella R. The Future of Dentistry: How AI is Transforming Dental Practices. Compend Contin Educ Dent. 2021;42:14-17.
  28. Pham TD, Holmes SB, Coulthard P. A review on artificial intelligence for the diagnosis of fractures in facial trauma imaging. Front Artif Intell. 2023;6:1278529.

Objective: To provide a comprehensive overview of current applications and future prospects of artificial intelligence (AI) in oral and maxillofacial surgery (OMFS), while critically analyzing implementation challenges and exploring potential advancements.  Methods A systematic literature review was conducted using PubMed/MEDLINE and Embase databases, encompassing English-language articles up to December 30, 2023. Search terms combined OMFS and AI concepts, with database-specific syntax employed.  Results AI applications in OMFS span multiple domains, including image analysis, surgical planning, intraoperative guidance, and clinical decision support. Deep learning models have demonstrated high accuracy in detecting mandibular fractures, performing cephalometric analyses, and classifying maxillofacial pathologies. AI-enhanced surgical planning and robotic systems show promise in improving precision and outcomes across various OMFS procedures. However, challenges persist in data quality, clinical validation, and seamless workflow integration.  Conclusions AI technologies have the potential to significantly enhance diagnostic accuracy, surgical precision, and treatment outcomes in OMFS. Future research directions include developing multimodal AI systems, advancing AI-powered surgical navigation, and exploring federated learning approaches. Successful implementation of AI in OMFS practice will require collaborative efforts among clinicians, researchers, engineers, and policymakers to address technical, ethical, and regulatory challenges. As these hurdles are overcome, AI is poised to become an integral part of OMFS, augmenting surgical capabilities and elevating patient care standards.

Keywords : Artificial Intelligence, Oral and Maxillofacial Surgery, Deep Learning, Surgical Planning, Image Analysis.

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