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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 oppdatert av: 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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert 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.

Studietype

Observasjonsmessig

Registrering (Faktiske)

149

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

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

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Nei

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Kohorter og intervensjoner

Gruppe / Kohort
Intervensjon / 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.
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.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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
Tiltaksbeskrivelse
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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

15. juni 2025

Primær fullføring (Faktiske)

15. januar 2026

Studiet fullført (Faktiske)

15. april 2026

Datoer for studieregistrering

Først innsendt

30. juni 2026

Først innsendt som oppfylte QC-kriteriene

7. juli 2026

Først lagt ut (Faktiske)

9. juli 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

9. juli 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

7. juli 2026

Sist bekreftet

1. juli 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • OMPDR-108-1r

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

produkt produsert i og eksportert fra USA

Nei

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