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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 uppdaterad 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.

Studieöversikt

Detaljerad beskrivning

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.

Studietyp

Observationell

Inskrivning (Faktisk)

149

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Testmetod

Icke-sannolikhetsprov

Studera befolkning

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.

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / Kohort
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.
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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Sensitivity and specificity of the AI system in detecting gingival recession, compared to clinical probing measurements.
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
- Error in automated CEJ identification, compared to manual annotations.
Tidsram: 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

Samarbetspartners och utredare

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Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

15 juni 2025

Primärt slutförande (Faktisk)

15 januari 2026

Avslutad studie (Faktisk)

15 april 2026

Studieregistreringsdatum

Först inskickad

30 juni 2026

Först inskickad som uppfyllde QC-kriterierna

7 juli 2026

Första postat (Faktisk)

9 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

9 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

7 juli 2026

Senast verifierad

1 juli 2026

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • OMPDR-108-1r

Läkemedels- och apparatinformation, studiedokument

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Nej

Studerar en amerikansk FDA-reglerad produktprodukt

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produkt tillverkad i och exporterad från U.S.A.

Nej

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