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Development and design of implant success prediction tool: AI risk assessment for peri-implant disease prevention

dc.contributor.authorBornes, Rita
dc.contributor.authorMontero, Javier
dc.contributor.authorRosa, Nuno
dc.contributor.authorFonseca, Patrícia
dc.contributor.authorCorreia, André
dc.date.accessioned2026-07-01T14:57:28Z
dc.date.available2026-07-01T14:57:28Z
dc.date.issued2026-04-27
dc.description.abstractPeri-implant diseases remain a major cause of late implant failure, and current risk assessment tools show limited capacity to integrate prosthetic factors, salivary biomarkers and artificial intelligence-based prediction. This study aimed to develop the Implant Success Prediction Tool (ISPT), a multifactorial peri-implant risk stratification system structurally designed for modular integration with artificial neural networks and salivary omics data. ISPT development followed three main pillars: (1) incorporation of Implant Disease Risk Assessment (IDRA)-validated clinical vectors, including bleeding on probing percentage, number of sites with probing depth ≥ 5 mm, bone loss in relation to age, periodontitis susceptibility, supportive periodontal therapy and hygiene/compliance parameters; (2) qualitative usability testing of IDRA by implantologists, who identified elements to maintain, clarify or expand; and (3) alignment with a precision medicine framework, establishing collaboration with a salivary diagnostics laboratory SalivaTec (https://ciis.ucp.pt/salivatec) to enable systematic saliva collection and future deep phenotyping. The final ISPT structure comprises ten standardized risk vectors displayed in a colour-coded radial traffic-light diagram, integrating six adapted IDRA-derived vectors and four novel vectors: abutment height/angulation; saliva collection/deep phenotyping vector (“salivaomics”); foreign bodies, titanium particles and tribocorrosion; and other for occlusal loading and functional risk. The tool is conceptually prepared to function as a structured input matrix for artificial neural networks, supporting longitudinal training with combined clinical and salivary data to predict implant outcomes (peri-implant health, mucositis, peri-implantitis) over a minimum 5-year monitoring period. ISPT represents the first peri-implant risk assessment tool explicitly designed for modular integration of artificial intelligence and salivary omics data within a precision dentistry framework. Its standardised vectors, traffic-light visualisation and longitudinal validation methodology provide a scalable structure for future externally validated predictive models of implant success and failure.eng
dc.identifier.doi10.1007/s41894-026-00177-y
dc.identifier.other04b0b578-343c-4b3a-8c25-a567900244cb
dc.identifier.urihttp://hdl.handle.net/10400.14/58406
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSpringer Nature
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectDental implantseng
dc.subjectPeri-implantitiseng
dc.subjectArtificial intelligenceeng
dc.subjectRisk assessmenteng
dc.subjectPrecision dentistryeng
dc.subjectSalivary biomarkerseng
dc.titleDevelopment and design of implant success prediction tool: AI risk assessment for peri-implant disease prevention
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.issue1
oaire.citation.volume10
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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