Table 29 Blinded expert diagnostic performance comparison.
Pathology category | DentoSMART-LDM expert accuracy (95% CI) | Traditional method expert accuracy (95% CI) | Improvement (95% CI) | Expert confidence gain (95% CI) | Cohen’s d | t-statistic | p-value | Number needed to enhance |
|---|---|---|---|---|---|---|---|---|
Early dental caries | 91.7% (89.4–94.0) | 73.4% (70.2–76.6) | + 18.3% (14.8–21.8) | + 24.7% (20.1–29.3) | 1.34 | 12.67 | < 0.001 | 5.5 |
Advanced dental caries | 96.2% (94.7–97.7) | 87.9% (85.8–90.0) | + 8.3% (5.9–10.7) | + 12.1% (8.7–15.5) | 0.89 | 8.94 | < 0.001 | 12.0 |
Periodontal disease | 93.8% (91.9–95.7) | 79.6% (76.8–82.4) | + 14.2% (11.1–17.3) | + 19.3% (15.2–23.4) | 1.12 | 10.83 | < 0.001 | 7.0 |
Apical periodontitis | 89.4% (86.8–92.0) | 71.2% (67.9–74.5) | + 18.2% (14.3–22.1) | + 22.8% (18.1–27.5) | 1.28 | 11.94 | < 0.001 | 5.5 |
Root resorption | 84.6% (81.4–87.8) | 62.8% (58.7–66.9) | + 21.8% (17.1–26.5) | + 28.4% (22.9–33.9) | 1.52 | 14.23 | < 0.001 | 4.6 |
Bone pathology | 87.3% (84.5–90.1) | 68.9% (65.2–72.6) | + 18.4% (14.2–22.6) | + 25.2% (20.1–30.3) | 1.41 | 13.12 | < 0.001 | 5.4 |
Cysts/tumors | 82.1% (78.6–85.6) | 59.7% (55.1–64.3) | + 22.4% (17.3–27.5) | + 31.6% (25.8–37.4) | 1.67 | 15.84 | < 0.001 | 4.5 |
Overall average | 89.3% (88.2–90.4) | 71.9% (70.5–73.3) | + 17.4% (15.8–19.0) | + 23.4% (21.2–25.6) | 1.32 | 22.47 | < 0.001 | 5.7 |
