Question · asked by 1 review

AI systems for caries detection/segmentation on dental X-ray images (predominantly convolutional neural networks; also ANNs, DNNs, DCNN, FCNN, SVMs, decision trees, random forests; e.g. EfficientNet, ResNet, AlexNet) vs Human dentists / trained dental professionals or traditional radiographic interpretation (reference standard / reference models): Diagnostic accuracy (prevalence of accuracy)

Population
Patients undergoing dental X-ray (radiographic) imaging for caries detection
Intervention
AI systems for caries detection/segmentation on dental X-ray images (predominantly convolutional neural networks; also ANNs, DNNs, DCNN, FCNN, SVMs, decision trees, random forests; e.g. EfficientNet, ResNet, AlexNet)
Comparison
Human dentists / trained dental professionals or traditional radiographic interpretation (reference standard / reference models)
Outcome
Diagnostic accuracy (prevalence of accuracy)

On digital bitewing X-rays, AI accuracy was around 80% (single study, narrow CI; ungraded subgroup, numeric estimate not precisely readable).

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 4 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
AI systems for caries detection/segmentation on dental X-ray images (predominantly convolutional neural networks; also ANNs, DNNs, DCNN, FCNN, SVMs, decision trees, random forests; e.g. EfficientNet, ResNet, AlexNet) vs Human dentists / trained dental professionals or traditional radiographic interpretation (reference standard / reference models)
Diagnostic accuracy (prevalence of accuracy) · Patients undergoing dental X-ray (radiographic) imaging for caries detection · Dental radiography (digital periapical, bitewing, panoramic; OCT/micro-CT in one study); studies 2017-2023 across China, South Korea, Brazil, Turkey, France, USA, UK, Taiwan, Germany, India, Netherlands, Digital bitewing X-rays (Fig 4a)
On digital bitewing X-rays, AI accuracy was around 80% (single study, narrow CI; ungraded subgroup, numeric estimate not precisely readable).
Accuracy of artificial intelligence in caries detection: a systematic review and meta-analysis. (2025) All outcomes
~801 studyGRADE not reported
AI systems for caries detection/segmentation on dental X-ray images (predominantly convolutional neural networks; also ANNs, DNNs, DCNN, FCNN, SVMs, decision trees, random forests; e.g. EfficientNet, ResNet, AlexNet) vs Human dentists / trained dental professionals or traditional radiographic interpretation (reference standard / reference models)
Diagnostic accuracy (prevalence of accuracy) · Patients undergoing dental X-ray (radiographic) imaging for caries detection · Dental radiography (digital periapical, bitewing, panoramic; OCT/micro-CT in one study); studies 2017-2023 across China, South Korea, Brazil, Turkey, France, USA, UK, Taiwan, Germany, India, Netherlands, Periapical X-rays (Fig 4c)
On periapical X-rays, AI accuracy was around 76% (wide CI; ungraded subgroup, numeric estimate not precisely readable).
Accuracy of artificial intelligence in caries detection: a systematic review and meta-analysis. (2025) All outcomes
~76Not reportedGRADE not reported
AI systems for caries detection/segmentation on dental X-ray images (predominantly convolutional neural networks; also ANNs, DNNs, DCNN, FCNN, SVMs, decision trees, random forests; e.g. EfficientNet, ResNet, AlexNet) vs Human dentists / trained dental professionals or traditional radiographic interpretation (reference standard / reference models)
Diagnostic accuracy (prevalence of accuracy) · Patients undergoing dental X-ray (radiographic) imaging for caries detection · Dental radiography (digital periapical, bitewing, panoramic; OCT/micro-CT in one study); studies 2017-2023 across China, South Korea, Brazil, Turkey, France, USA, UK, Taiwan, Germany, India, Netherlands, Digital panoramic X-rays (Fig 4b)
On digital panoramic X-rays, AI accuracy was around 70% (single study, wide CI; ungraded subgroup, numeric estimate not precisely readable).
Accuracy of artificial intelligence in caries detection: a systematic review and meta-analysis. (2025) All outcomes
~701 studyGRADE not reported
AI systems for caries detection/segmentation on dental X-ray images (predominantly convolutional neural networks; also ANNs, DNNs, DCNN, FCNN, SVMs, decision trees, random forests; e.g. EfficientNet, ResNet, AlexNet) vs Human dentists / trained dental professionals or traditional radiographic interpretation (reference standard / reference models)
Diagnostic accuracy (prevalence of accuracy) · Patients undergoing dental X-ray (radiographic) imaging for caries detection · Dental radiography (digital periapical, bitewing, panoramic; OCT/micro-CT in one study); studies 2017-2023 across China, South Korea, Brazil, Turkey, France, USA, UK, Taiwan, Germany, India, Netherlands, Overall (all X-ray types pooled)
Across 14 studies, AI showed high diagnostic accuracy for caries detection on dental X-rays (pooled OR ~2.72), with substantial heterogeneity (I2=88%) and no GRADE rating (ungraded).
Accuracy of artificial intelligence in caries detection: a systematic review and meta-analysis. (2025) All outcomes
OR 2.72 [14.65, 14.65]14 studiesGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Accuracy of artificial intelligence in caries detection: a systematic review and meta-analysis.
2025 All outcomes
Up to January 2024 (data collected up to January 2024; electronic search completed 19 May 2023, final search included research up to January 2024)35Not applicable

Studies behind the findings

The primary studies the full-text reviews tie to this outcome. Reviews with headline outcomes only do not list them here.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.