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Article ; Online: Using a Virtual Patient via an Artificial Intelligence Chatbot to Develop Dental Students' Diagnostic Skills.

Suárez, Ana / Adanero, Alberto / Díaz-Flores García, Víctor / Freire, Yolanda / Algar, Juan

International journal of environmental research and public health

2022 Volume 19, Issue 14

Abstract: Knowing how to diagnose effectively and efficiently is a fundamental skill that a good dental professional should acquire. If students perform a greater number of clinical cases, they will improve their performance with patients. In this sense, virtual ... ...

Abstract	Knowing how to diagnose effectively and efficiently is a fundamental skill that a good dental professional should acquire. If students perform a greater number of clinical cases, they will improve their performance with patients. In this sense, virtual patients with artificial intelligence offer a controlled, stimulating, and safe environment for students. To assess student satisfaction after interaction with an artificially intelligent chatbot that recreates a virtual patient, a descriptive cross-sectional study was carried out in which a virtual patient was created with artificial intelligence in the form of a chatbot and presented to fourth and fifth year dental students. After several weeks interacting with the AI, they were given a survey to find out their assessment. A total of 193 students participated. A large majority of the students were satisfied with the interaction (mean 4.36), the fifth year students rated the interaction better and showed higher satisfaction values. The students who reached a correct diagnosis rated this technology more positively. Our research suggests that the incorporation of this technology in dental curricula would be positively valued by students and would also ensure their training and adaptation to new technological developments.
MeSH term(s)	Artificial Intelligence ; Cross-Sectional Studies ; Curriculum ; Humans ; Software ; Students, Dental
Language	English
Publishing date	2022-07-18
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph19148735
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Unveiling the ChatGPT phenomenon: Evaluating the consistency and accuracy of endodontic question answers.

Suárez, Ana / Díaz-Flores García, Víctor / Algar, Juan / Gómez Sánchez, Margarita / Llorente de Pedro, María / Freire, Yolanda

International endodontic journal

2023 Volume 57, Issue 1, Page(s) 108–113

Abstract: Aim: Chatbot Generative Pre-trained Transformer (ChatGPT) is a generative artificial intelligence (AI) software based on large language models (LLMs), designed to simulate human conversations and generate novel content based on the training data it has ... ...

Abstract	Aim: Chatbot Generative Pre-trained Transformer (ChatGPT) is a generative artificial intelligence (AI) software based on large language models (LLMs), designed to simulate human conversations and generate novel content based on the training data it has been exposed to. The aim of this study was to evaluate the consistency and accuracy of ChatGPT-generated answers to clinical questions in endodontics, compared to answers provided by human experts. Methodology: Ninety-one dichotomous (yes/no) questions were designed and categorized into three levels of difficulty. Twenty questions were randomly selected from each difficulty level. Sixty answers were generated by ChatGPT for each question. Two endodontic experts independently answered the 60 questions. Statistical analysis was performed using the SPSS program to calculate the consistency and accuracy of the answers generated by ChatGPT compared to the experts. Confidence intervals (95%) and standard deviations were used to estimate variability. Results: The answers generated by ChatGPT showed high consistency (85.44%). No significant differences in consistency were found based on question difficulty. In terms of answer accuracy, ChatGPT achieved an average accuracy of 57.33%. However, significant differences in accuracy were observed based on question difficulty, with lower accuracy for easier questions. Conclusions: Currently, ChatGPT is not capable of replacing dentists in clinical decision-making. As ChatGPT's performance improves through deep learning, it is expected to become more useful and effective in the field of endodontics. However, careful attention and ongoing evaluation are needed to ensure its accuracy, reliability and safety in endodontics.
MeSH term(s)	Humans ; Artificial Intelligence ; Reproducibility of Results ; Software ; Clinical Decision-Making ; Dental Care
Language	English
Publishing date	2023-10-09
Publishing country	England
Document type	Journal Article
ZDB-ID	603734-3
ISSN	1365-2591 ; 0143-2885
ISSN (online)	1365-2591
ISSN	0143-2885
DOI	10.1111/iej.13985
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Unveiling the ChatGPT phenomenon: Evaluating the consistency and accuracy of endodontic question answers.

Suárez, Ana / Díaz-Flores García, Víctor / Algar, Juan / Sánchez, Margarita Gómez / de Pedro, María Llorente / Freire, Yolanda

International endodontic journal

2023 Volume 57, Issue 3, Page(s) 371–372

Language	English
Publishing date	2023-11-07
Publishing country	England
Document type	Letter
ZDB-ID	603734-3
ISSN	1365-2591 ; 0143-2885
ISSN (online)	1365-2591
ISSN	0143-2885
DOI	10.1111/iej.13998
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Knowledge, Attitudes, and Practices among Dental Practitioners Regarding Antibiotic Prescriptions for Pregnant and Breastfeeding Women in the Dominican Republic.

Aragoneses, Javier / Suárez, Ana / Rodríguez, Cinthia / Algar, Juan / Aragoneses, Juan Manuel

Antibiotics (Basel, Switzerland)

2021 Volume 10, Issue 6

Abstract: In this study, we aimed to explore the trends among dentists in the Dominican Republic of providing antibiotic prescriptions to pregnant/breastfeeding dental patients. A survey was conducted among 98 dentists, using a self-administered questionnaire, ... ...

Abstract	In this study, we aimed to explore the trends among dentists in the Dominican Republic of providing antibiotic prescriptions to pregnant/breastfeeding dental patients. A survey was conducted among 98 dentists, using a self-administered questionnaire, about their knowledge and attitudes regarding antibiotic usage in pregnant/lactating women and the translation of these into practice. The majority of the survey population were female dentists (63.3%) aged 45-54 years. A chi-square test showed statistically significant differences in the knowledge sources between older and younger dentists, with a minority having chosen scientific literature as a source (
Language	English
Publishing date	2021-06-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2681345-2
ISSN	2079-6382
ISSN	2079-6382
DOI	10.3390/antibiotics10060668
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Article: Trends in Antibiotic Self-Medication for Dental Pathologies among Patients in the Dominican Republic: A Cross-Sectional Study.

Aragoneses, Juan Manuel / Aragoneses, Javier / Rodríguez, Cinthia / Algar, Juan / Suárez, Ana

Journal of clinical medicine

2021 Volume 10, Issue 14

Abstract: The World Health Organisation has warned of the increase in antibiotic resistance, estimating that by 2050 it could become the leading cause of death worldwide. Several studies and literature reviews show a correlation between antibiotic use and ... ...

Abstract	The World Health Organisation has warned of the increase in antibiotic resistance, estimating that by 2050 it could become the leading cause of death worldwide. Several studies and literature reviews show a correlation between antibiotic use and bacterial resistance, with unnecessary broad-spectrum antibiotics, such as amoxicillin/clavulanic acid and azithromycin, being one of the main causative factors. An interview-based survey of 2160 participants was conducted to assess the prevalence in the practice of self-medication with antibiotics among dental patients in the Dominican Republic. A series of open-ended questions regarding self-medication and class of antibiotics were put to the patients. Over a third of the study population (39.7%) admitted to the practice of antibiotic self-medication. Most of the respondents (58.4%) who indulged in self-medication were females, and it was prevalent in the older adults between 32-42 years old (36%). There was a negative correlation between age and self-medication practice (
Language	English
Publishing date	2021-07-13
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm10143092
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Article: Oral Manifestations of COVID-19: Updated Systematic Review With Meta-Analysis.

Aragoneses, Javier / Suárez, Ana / Algar, Juan / Rodríguez, Cinthia / López-Valverde, Nansi / Aragoneses, Juan Manuel

Frontiers in medicine

2021 Volume 8, Page(s) 726753

Abstract: There is increasing evidence for oral lesions and manifestations of COVID-19. The aim of this meta-analysis was to investigate the types of oral manifestations of COVID-19 and their prevalence. PubMed/Medline, Scopus, Web of Science, and Google Scholar ... ...

Abstract	There is increasing evidence for oral lesions and manifestations of COVID-19. The aim of this meta-analysis was to investigate the types of oral manifestations of COVID-19 and their prevalence. PubMed/Medline, Scopus, Web of Science, and Google Scholar databases were used to search for publications on oral manifestations in patients with PCR-confirmed COVID-19. A total of 310 records were selected, and 74 were included. Oral lesions in COVID-19 were classified according to their etiologies, including iatrogenic lesions caused by intubation and opportunistic infections. Of the included studies, 35 reported oral lesions probably caused by severe acute respiratory syndrome-Coronavirus-2 (SARS-CoV-2) infection. Meta-analysis of prevalence data on oral manifestations and aphthous lesions indicated high heterogeneity, while meta-analysis of xerostomia prevalence data revealed a pooled prevalence, with considerable heterogeneity. In conclusion, the meta-analysis yielded high heterogeneity between studies: oral lesions yielded a prevalence of 0.33 (95% CI 0.11-0.60), xerostomia lesions a prevalence of 0.44 (95% CI 0.36-0.52) and aphthous lesions 0.10 (95% CI 0.01-0.24). In addition, a gap in the evidence regarding the prevalence of oral lesions in COVID-19 was identified and the need for further observational studies focusing on this issue and on the causal relationships between oral lesions and COVID-19 was highlighted.
Language	English
Publishing date	2021-08-25
Publishing country	Switzerland
Document type	Systematic Review
ZDB-ID	2775999-4
ISSN	2296-858X
ISSN	2296-858X
DOI	10.3389/fmed.2021.726753
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Article: Antimicrobial Prescription Habits of Dentists Performing Dental Implant Treatments in Santo Domingo, Dominican Republic.

Aragoneses, Juan Manuel / Aragoneses, Javier / Brugal, Vanessa Arlette / Algar, Juan / Suarez, Ana

Antibiotics (Basel, Switzerland)

2020 Volume 9, Issue 7

Abstract: The use of antibiotics in implant treatments is controversial. The purpose of this research was to study the behaviors of Santo Domingo dentists who prescribe antimicrobials to patients for the placement of dental implants. A total of 99 dentists ... ...

Abstract	The use of antibiotics in implant treatments is controversial. The purpose of this research was to study the behaviors of Santo Domingo dentists who prescribe antimicrobials to patients for the placement of dental implants. A total of 99 dentists participated in the study. A share of 1.2% of dentists prescribed antimicrobials solely in the preoperative period, 8.6% after surgery, 44.4% before and after, 19.8% only in specific situations, and 25.9% did not prescribe at all. Amoxicillin was the predominant antimicrobial of choice. A cross-sectional, observational, survey-based study was conducted. The items studied were demographics, self-assessment of knowledge about antibiotics and when they are used, as well as their recommended dosage and duration, in healthy and non-allergic patients. Notable variability was found in the prescription behaviors of antimicrobials. Bridging gaps in knowledge on the subject could help to standardize prescription guidelines.
Language	English
Publishing date	2020-07-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2681345-2
ISSN	2079-6382
ISSN	2079-6382
DOI	10.3390/antibiotics9070376
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Article ; Online: Evaluation of the Current Knowledge About Bacterial Endocarditis Prevention Among General Dentists in the City of Santo Domingo, Dominican Republic.

Aragoneses, Juan Manuel / Aragoneses, Javier / Brugal, Vanessa Arlette / Algar, Juan / Suarez, Ana

Frontiers in public health

2020 Volume 8, Page(s) 585332

Abstract: Infective endocarditis (IE) is a life-threatening disease caused by bacterial adherence to the lining of the heart and heart valve, and it can be caused by bacterial contamination of the bloodstream during invasive dental procedures. The American Heart ... ...

Abstract	Infective endocarditis (IE) is a life-threatening disease caused by bacterial adherence to the lining of the heart and heart valve, and it can be caused by bacterial contamination of the bloodstream during invasive dental procedures. The American Heart Association (AHA) recommended guidelines for antibiotic prophylaxis in 2008 before invasive dental procedures; however, in the Dominican Republic, no official guidelines or regulations on this topic have been yet established. This study aimed to evaluate the current knowledge about bacterial endocarditis prevention among dentists in Santo Domingo. The study participants were dentists who attended a conference organized by Universidad Federico Henríquez y Carvajal (
MeSH term(s)	Antibiotic Prophylaxis ; Dentists ; Dominican Republic ; Endocarditis/epidemiology ; Endocarditis, Bacterial/epidemiology ; Humans ; United States
Language	English
Publishing date	2020-11-24
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2020.585332
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Article ; Online: Comparison of PathFile and ProFinder Systems to Create a Glide Path in Curved Root Canals.

Alfayate, Ruth Pérez / Mercade, Montse / Rojas, Jorge Vera / Luaña, Roberto Estévez / Pereda, Ana Antoranz / Algar, Juan / Cabello, Rafael Cisneros

European endodontic journal

2018 Volume 3, Issue 1, Page(s) 61–65

Abstract: Objective: Root canal shaping is as important as irrigation and filling when attempting to obtain a high success rate in endodontic treatment. The creation of a glide path before the use of rotary instruments reduces the risk of posterior iatrogenic ... ...

Abstract	Objective: Root canal shaping is as important as irrigation and filling when attempting to obtain a high success rate in endodontic treatment. The creation of a glide path before the use of rotary instruments reduces the risk of posterior iatrogenic errors. The objective of the present study was to evaluate instrumentation time and root canal transport after using 2 different glide path rotary systems. Methods: In total, 60 mesiobuccal root canals of mandibular molars, with curvature angles between 11° and 82°, were standardized to measure 15 mm. The specimens were divided into 2 groups, depending on their angles of curvature (11º-38º and 39º-82º), and further divided into 4 groups (n=15). Two groups were instrumented using the PathFile system and the other 2 using the ProFinder system. The angle and radius of curvature were measured at the most abrupt angle of curvature before and after instrumentation. Both measurements were analyzed and compared using AutoCAD software to determine canal transportation. Curvature angles were compared using Student's t test and the radii of curvature using the Wilcoxon test. The time for instrumentation was also evaluated using Student's t tests. Results: There were no statistically significant differences between the two systems with respect to root canal transport (P>0.05); however, the ProFinder system took a longer time to create a glide path (P=0.004). Conclusion: Both systems were equally effective in creating a glide path; however, the PathFile system proved to be faster than the ProFinder system.
Language	English
Publishing date	2018-03-06
Publishing country	Turkey
Document type	Journal Article
ISSN	2548-0839
ISSN (online)	2548-0839
DOI	10.14744/eej.2018.75047
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Article ; Online: Los Servicios de Inteligencia en la Transición

de Peñaranda y Algar, Juan María

Arbor : Ciencia, Pensamiento y Cultura, Vol CLXXX, Iss 709, Pp 99-

2005 Volume 119

Abstract: En el desarrollo de nuestra Transición política tuvieron un importante protagonismo los Servicios de Información españoles. Entre ellos, los mejor considerados como de «Inteligencia» eran los vinculados, durante aquellos años, a la Presidencia del ... ...

Abstract	En el desarrollo de nuestra Transición política tuvieron un importante protagonismo los Servicios de Información españoles. Entre ellos, los mejor considerados como de «Inteligencia» eran los vinculados, durante aquellos años, a la Presidencia del Gobierno en la persona de su Presidente: la Tercera Sección del Alto Estado Mayor (AEM), la Organización Contrasubversiva Nacional (OCN) y el Servicio Central de Documentación (SECED). El presente artículo se refiere al periodo comprendido entre los años 1968 en que se monta la Organización «Conde» -germen de la OCN- y 1977 en que terminan su vida oficial la Tercera Sección AEM y el SECED para constituir conjuntamente el nuevo Centro Superior de Información de la Defensa (CESID)…
Keywords	Social sciences (General) ; H1-99 ; Social Sciences ; H ; DOAJ:Social Sciences ; Science (General) ; Q1-390 ; Science ; Q ; DOAJ:Science (General) ; DOAJ:Science General
Language	Spanish
Publishing date	2005-01-01T00:00:00Z
Publisher	Consejo Superior de Investigaciones Científicas - Consejo Superior de Investigaciones Científicas
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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