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Development of an Artificial Intelligence-Based Clinical Image Model for Detection, Classification, and Management Recommendations of Anterior Gingival Recession

7. juli 2026 opdateret af: Abeer Rashed Murshed, Al-Azhar University
This study aims to develop and evaluate an artificial intelligence-based clinical image model for the detection, classification, and management recommendations of anterior gingival recession. The study will utilize clinical images of patients presenting with gingival recession to train and validate a machine learning model capable of accurately identifying and classifying the condition according to established clinical criteria. In addition, the model will provide preliminary treatment recommendations based on the severity and type of recession. This is a diagnostic and model-development study designed to support clinicians in improving the accuracy and consistency of diagnosis and treatment planning for gingival recession in the anterior region.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This study is designed to develop and validate an artificial intelligence (AI)-based clinical image analysis model for the detection, classification, and management recommendation of anterior gingival recession. Gingival recession is a common periodontal condition characterized by apical displacement of the gingival margin, which may lead to aesthetic concerns, dentinal hypersensitivity, and increased risk of root caries.

Clinical intraoral images of patients presenting with anterior gingival recession will be collected following standardized imaging protocols. The dataset will be used to train, validate, and test a machine learning model capable of identifying the presence of gingival recession and classifying its severity and/or type according to established periodontal classification systems.

The AI model will also be designed to generate preliminary management recommendations based on the detected class, supporting clinical decision-making. Model performance will be evaluated using standard metrics such as accuracy, sensitivity, specificity, precision, recall, and area under the receiver operating characteristic curve (AUC-ROC).

The study is observational in nature with a diagnostic and model-development component. All patient data will be anonymized to ensure confidentiality, and ethical approval will be obtained prior to data collection. The final output is intended to support clinicians in improving diagnostic consistency and treatment planning efficiency for anterior gingival recession.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

149

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Egypten
      • Cairo, Egypten
        • Faculty of Dental Medicine for Girls, Al-Azhar University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

The study population will consist of adult patients presenting with gingival recession affecting anterior teeth and attending the outpatient clinics of the Faculty of Dental Medicine for Girls, Al-Azhar University. Participants with clinically visible anterior gingival recession and adequate clinical photographs suitable for image analysis will be included in the study.

Beskrivelse

Inclusion Criteria:

  • Patients aged 18 years or older
  • Presence of at least one anterior tooth exhibiting gingival recession classified according to the Cairo classification system (RT1, RT2, or RT3). - The gingival margin must be clearly visible.
  • High-quality images (good focus, lighting, and resolution) are required.
  • Clinically visible and intact cementoenamel junction (CEJ).

Exclusion Criteria:

  • Presence of cervical restorations or fixed prostheses that interfere with CEJ identification.
  • Patients undergoing active orthodontic treatment.
  • Pregnant individuals, due to hormonal changes affecting gingival tissues.
  • Images with poor photographic quality.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Gingival Recession Patients
This group consists of patients presenting with anterior gingival recession. Clinical intraoral images will be collected from eligible participants and used for the development and validation of an artificial intelligence-based classification model. The dataset includes cases with varying degrees and types of gingival recession according to established clinical classification criteria. No therapeutic intervention will be performed as part of the study, and all images will be analyzed for diagnostic and classification purposes only.
Diagnostisk test: Artificial Intelligence-Based Clinical Image Analysis Model
An artificial intelligence-based clinical image model will be developed and evaluated using standardized clinical photographs of anterior teeth presenting with gingival recession. The model will be trained to detect the presence of gingival recession, classify lesions according to the Cairo classification system (RT1, RT2, and RT3), and generate preliminary management recommendations based on the identified classification. The system's performance will be assessed by comparing its diagnostic and classification outputs with expert clinical assessments.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Sensitivity and specificity of the AI system in detecting gingival recession, compared to clinical probing measurements.
Tidsramme: Through study completion, an average of 6 months

-Primary Outcome 1

Outcome Measure: Sensitivity and specificity of the AI system for detecting gingival recession compared with clinical probing measurements.

Primary Outcome 2

Outcome Measure: Agreement between the AI system and expert clinicians in classifying gingival recession according to the Cairo classification, assessed using Cohen's kappa coefficient.
Through study completion, an average of 6 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
- Error in automated CEJ identification, compared to manual annotations.
Tidsramme: Immediately after AI analysis of the clinical images
  • Error in automated CEJ identification, compared to manual annotations.
  • Concordance rate between AI-generated treatment recommendations and those proposed by experienced periodontists.
Immediately after AI analysis of the clinical images

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Al-Azhar University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

15. juni 2025

Primær færdiggørelse (Faktiske)

15. januar 2026

Studieafslutning (Faktiske)

15. april 2026

Datoer for studieregistrering

Først indsendt

30. juni 2026

Først indsendt, der opfyldte QC-kriterier

7. juli 2026

Først opslået (Faktiske)

9. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

9. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

7. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • OMPDR-108-1r

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Placeringer

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