Artificial Intelligence Versus Conventional Digital Design for Fixed Dental Prosthesis

February 19, 2026 updated by: Tarek Adham Saad Ahmed El-Shammaa, October University for Modern Sciences and Arts

Accuracy Assessment of Artificial Intelligence Versus Conventional Digital Design for Fixed Dental Prosthesis: (An Invitro Study)

This in vitro study aims to evaluate the accuracy of an Artificial Intelligence (AI)-based automatic design system for fixed dental prosthesis (FDP) compared with conventional computer-aided design (CAD) software. Digital scans of teeth requiring fixed dental prosthesis will be collected and used to generate prosthetic designs using two approaches: human-designed CAD restorations and AI-generated restorations.

The primary outcome is design accuracy assessed using 3D superimposition and Intersection over Union (IOU) percentage. Secondary outcomes include margin detection performance measured using F1 score, precision, and recall. A total sample size of 438 scans will be analyzed.

The study will determine whether AI-generated prosthesis designs demonstrate comparable accuracy to conventional digital designs.

Study Overview

Detailed Description

This study is designed as an in vitro comparative study to assess the accuracy and performance of an Artificial Intelligence (AI)-based automatic design system for fixed dental prosthesis (FDP) in comparison with conventional computer-aided design (CAD) software.

Digital scans of patients requiring fixed dental prosthesis will be collected from the production laboratory of the Faculty of Dentistry. Eligible scans will include adults aged 18-65 years with damaged teeth requiring FDP and adequate occlusal anatomy for analysis.

The AI workflow consists of three sequential phases: training (60%), validation (10%), and testing (30%). The AI model will be trained using natural spatial tooth morphology and historical human-designed FDP datasets. The conventional group will consist of FDPs manually designed by experienced dental professionals using CAD software.

Primary Outcome:

The primary outcome is crown design accuracy measured using 3D superimposition analysis and quantified using Intersection over Union (IOU) percentage.

Secondary Outcome:

Margin detection accuracy will be assessed using F1 score, precision, and recall metrics.

Statistical analysis will be performed using MedCalc software (Version 22). Continuous variables will be presented as mean, root mean square, and standard deviation. Comparisons between groups will be conducted using paired t-test with a significance level set at P ≤ 0.05 (two-tailed).

The null hypothesis states that there will be no statistically significant difference between AI-designed and human-designed fixed dental prostheses.

Study Type

Interventional

Enrollment (Estimated)

1000

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Giza, Egypt
        • Recruiting
        • MSA university
        • Contact:
          • Modern Sciences and Arts MSA October University for Modern Sciences and Arts
          • Phone Number: 002-0216672
          • Email: info@msa.edu.eg

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Adults aged 18-65 years Patients with a damaged tooth requiring a fixed dental prosthesis Available digital intraoral scans Adequate occlusal anatomy for analysis of opposing teeth

Exclusion Criteria:

  • Incomplete or poor-quality digital scans Severe occlusal abnormalities affecting analysis Patients outside the specified age range

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Diagnostic
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: Human-Designed Fixed Dental Prosthesis (Conventional CAD)
Fixed dental prostheses will be designed manually using conventional CAD software by experienced dental professionals based on occlusal anatomy and patient-specific scan data. The designs will serve as the control comparator to evaluate accuracy against AI-generated designs using 3D superimposition analysis.
Fixed dental prostheses will be digitally designed using conventional computer-aided design (CAD) software by experienced dental professionals. Designs will be based on occlusal anatomy and patient-specific intraoral scan data. These manually generated digital designs will serve as the comparator for evaluating accuracy against AI-generated designs using 3D superimposition and quantitative accuracy analysis.
Other Names:
  • Human Digital Design
Other: AI-Designed Fixed Dental Prosthesis
Fixed dental prostheses will be automatically generated using an artificial intelligence-based design system. The AI model will be trained, validated, and tested using occlusal scan datasets and historical human-designed prostheses. The generated designs will be evaluated for accuracy using 3D superimposition and Intersection over Union (IoU) analysis.
An artificial intelligence-based automated design system will generate fixed dental prosthesis designs using deep learning algorithms. The AI model will be trained (60%), validated (10%), and tested (30%) on occlusal scan datasets and historical human-designed prostheses. Generated designs will be evaluated for accuracy and marginal precision using 3D superimposition and Intersection over Union (IoU) analysis.
Other Names:
  • AI Crown Design Model

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Accuracy of AI-Designed Fixed Dental Prosthesis Compared to Human-Designed Prosthesis
Time Frame: Immediately after crown design generation (at time of digital analysis)
Accuracy will be assessed by superimposing AI-generated crown designs and human-designed crowns using 3D imaging software. The Intersection over Union (IOU) percentage will be calculated to evaluate morphological agreement and occlusal fit between the two design approaches.
Immediately after crown design generation (at time of digital analysis)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Margin Detection Performance of AI System
Time Frame: Immediately after digital crown design generation
Margin detection accuracy will be evaluated using F1 score, precision, and recall metrics to assess the AI model's ability to accurately identify preparation margins compared to human-designed reference models.
Immediately after digital crown design generation

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

  • Wu Z et al., 2024 Comparison of the Efficacy of Artificial Intelligence-Powered Software in Crown Design: An In Vitro Study. International Dental Journal. 2024.
  • Ding H et al., 2023 Morphology and mechanical performance of dental crown designed by 3D-DCGAN. Dental Materials. 2023.
  • Chau RCW et al., 2024 Accuracy of artificial intelligence-designed single-molar dental prostheses: A feasibility study. Journal of Prosthetic Dentistry. 2024.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 15, 2025

Primary Completion (Estimated)

April 2, 2026

Study Completion (Estimated)

June 17, 2026

Study Registration Dates

First Submitted

February 19, 2026

First Submitted That Met QC Criteria

February 19, 2026

First Posted (Actual)

February 25, 2026

Study Record Updates

Last Update Posted (Actual)

February 25, 2026

Last Update Submitted That Met QC Criteria

February 19, 2026

Last Verified

June 1, 2025

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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