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Minerva Stomatologica 2020 Oct 23

DOI: 10.23736/S0026-4970.20.04416-7

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

A new software architecture proposal for an evidence-based Decision Support System in dentistry

Giuseppe LO GIUDICE 1 , Angelo S. LIZIO 1, Roberto LO GIUDICE 2

1 Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy; 2 Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy


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BACKGROUND: in dentistry, clinical problems could be resolved using many therapeutic approaches that may results in very different therapies. In order to choose the best option, a good evaluation of therapy long-term survival and success rate is mandatory. The routine use of a decision support analysis software is nowadays limited due to the lack of software’s flexibility especially when a variety of possible therapeutic option are present. The aim of this research is to develop a new algorithm model for a Decision Support System software to give diagnosis support in dentistry.
METHODS: Beta tests were designed to study the computer software in different clinical situations based on clinical data. The therapeutic options can be conservative/endodontic or extractive/prosthetic therapies. In two of clinical situation selected could be possible to choose both therapies.
RESULTS: in clinical situations tested, the DDS software correctly identified the several therapeutic options.When multiple treatments were possible the beta test showed an output mask that correctly showed a range of options with their corresponding survival and success rate.
CONCLUSIONS: The software architecture proposed by the Authors is technically feasible, can support the clinician choices based on scientific evidences and up-to-date references and gain informed consent based on data easily understandable for the patient.


KEY WORDS: Decision support system; Software; Dental caries; Implant prosthesis; Preventive dentistry

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