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Evaluation of the responses from different chatbots to frequently asked patient questions about impacted canines Cover

Evaluation of the responses from different chatbots to frequently asked patient questions about impacted canines

Open Access
|Sep 2025

Figures & Tables

Figure 1.

Flowchart of the study.
Flowchart of the study.

Questions used in the study

Questions
1What is impacted tooth?
2What are the most common impacted tooth in humans?
3What is the frequency of canine impaction?
4What is the most common cause of canine impaction?
5What are the signs of impacted canine tooth?
6Do impacted canines have to be removed?
7What age do you treat impacted canine?
8Can an impacted canine come down on its own?
9What happens if impacted canine tooth is left untreated ?
10If impacted canine is left untreated, what would be the side effects?
11Who does the treatment for impacted canine teeth?
12How is the decision made whether to extract or maintain an impacted tooth?
13Should I have orthodontic treatment to treat impacted canine?
14How does the orthodontic treatment for impacted canine is done?
15What problems can occur during the treatment of impacted canine?
16Does treatment of impacted canine can be done with braces?
17Does treatment of impacted canine can be done with aligners?
18Can impacted canine tooth erupt on its own?
19Can impacted canine tooth erupt with jaw expansion?
20Can all impacted canine teeth be saved with orthodontic treatment?
21How long does it take to erupt an impacted canine?
22Does orthodontic treatment of impacted canine tooth cause pain?
23Is x-ray necessary for impacted canine tooth treatment?
24How is impacted canine tooth exposure surgery done?
25Who does the canine tooth exposure surgery?
26What is closed technique for impacted canine?
27What is gold chain in impacted canine treatment?
28How long does it take to recover from impacted canine exposure surgery?
29How is oral care performed after the canine exposure surgery?
30Does impacted tooth exposure surgery cause pain?
31When can I return to work and school after impacted canine exposure surgery?
32Does orthodontic treatment to bring an impacted canine into position cause damage to the tooth?
33Does another tooth regrow after treatment of impacted tooth?
34Will my teeth shift after the orthodontic treatment of an impacted canine tooth?
35How is retention done after impacted canine tooth treatment?

Modified DISCERN, Likert and AOI index scores of ChatGPT, Claude and Gemini

ChatGPTClaudeGemini
Mean ± SDMedian (Min-Max)Mean ± SDMedian (Min-Max)Mean ± SDMedian (Min-Max) P value
Modified Discern Score28.13 ± 2.8329.00 (20.00-32.00)29.70 ± 3.0831.00 (23.00-33.00)33.66 ± 2.6434.00 (28.00-38.00)ChatGPT vs ClaudeChatGPT vs GeminiClaude vs Gemini
0.3850.028*0.011*
Likert Score4.76 ± 0.435.00 (4.00-5.00)4.71 ±0.475.00 (3.50-5.00)4.66 ± 0.475.00 (4.00-5.00) 0.61
AOI Index8.67 ±0.559.00 (7.00-9.00)8.37 ± 0.789.00 (6.00-9.00)8.1 1 ± 0.848.00 (6.00-10.00)ChatGPT vs ClaudeChatGPT vs GeminiClaude vs Gemini
0.042*0.036*0.360

Flesch-Kincaid Readilibity Scores, Flesch-Kincaid Grade Levels and word counts of ChatGPT, Claude and Gemini

ChatGPTClaudeGemini
Mean ± SDMedian (Min-Max)Mean ± SDMedian (Min-Max)Mean ± SDMedian (Min-Max) P value
Flesch-Kincaid Reading Ease Score37.89 ± 8.0836.90 (14.80-51.00)35.46 ± 10.4736.30 (5.70-51.10)40.19 ± 9.8538.40 (18.30-62.40)0.121
Flesch-Kincaid Grade Level12.99 ± 1.7013.30 (9.70-17.50)l2.64 ± 1.3912.40 (10.40-15.90)12.44 ± 1.8312.60 (8.40-15.90)0.377
Word Count239.74 ± 114.21237.00 (64.00-490.00)185.89 ±49.91181.00 (95.00-285.00)219.29 ± 96.54187.00 (65.00-430.00)ChatGPT vs ClaudeClaude vs. GeminiChatGPT vs. Gemini
0.019*0.001*0.041*

The Modified DISCERN, Likert Scoring, AOI Index, FRES and FKGL

MODIFIED DISCERN
QuestionsScoring (Minimum-maximum)
1. Are the aims clear?1-5
2. Does it achieve its aims?1-5
3. Is it relevant?1-5
4. Is it clear what sources of information were used to compile the publication?1-5
5. Is it clear when the information used or reported in the publication was produced?1-5
6. Is it balanced and unbiased?1-5
7. Does it provide details of additional sources of support and information?1-5
8. Does it refer to areas of uncertanity?1-5
Total Modified DİSCERN Score8-40 (Poor (8–15 point), moderate (16–31 point), or good (32–40 point))
LIKERT Scale
ParameterScore
The chatbot’s answers are completely incorrect1
The chatbot’s answers contain more incorrect items than correct items2
The chatbot’s answers contain an equal balance of correct and incorrect items3
The chatbot’s answers contain more correct items than incorrect items4
The chatbot’s answers are completely correct5
AOI INDEX
ItemDefinitionScore (minimum-maximum)
Factual accuracyThe response aligns with known facts, data, or established knowledge on the subject0-2
CorroborationThe response is based on evidence from textbooks, studies, or guidelines0-2
ConsistencyThe response is internally consistent and does not contain contradictory 2 statements0-2
Clarity and specificityThe response is clear and specific, avoiding vague or ambiguous language0-2
RelevanceThe response directly addresses and adheres to the question or topic posed0-2
Total AOI scoreThe sum of all scores0-10
FLESCH KINCAID READABILITY
Flesh Reading Ease ScoreGrade LevelReading level
90-1005Very Easy
80-906Easy
70-807Fairly Easy
60-708-9Standard and/or Plain
50-6010-12Fairly Difficult
30-50CollegeDifficult
0-30College GradVery Difficult
DOI: https://doi.org/10.2478/aoj-2025-0020 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
Language: English
Page range: 288 - 300
Submitted on: Mar 1, 2025
Accepted on: May 1, 2025
Published on: Sep 1, 2025
Published by: Australian Society of Orthodontists Inc.
In partnership with: Paradigm Publishing Services
Publication frequency: 1 times per year

© 2025 Elif Gökçe Erkan Acar, Başak Arslan Avan, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution 4.0 License.