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    Assessing the Potential Role of Artificial Intelligence in Medication-Related Osteonecrosis of the Jaw Information Sharing
    (W B Saunders Co-Elsevier Inc, 2024) Çoban, Elif; Altay, Berkan
    Background: Artificial Intelligence, by answering questions about disease prevention strategies, can contribute to making diseases more treatable in their early stages. Purpose: This study aims to evaluate the quality of patient information by assessing the responses of the Chat Generative Pretrained Transformer (ChatGPT, Open AI, USA) artificial intelligence model to questions related to medication-related osteonecrosis of the jaw (MRONJ). Study Design, Setting, Sample: The study was prospective cross-sectional design. The study was conducted within the Department of Oral and Maxillofacial Surgery. The study's questions were prepared by an experienced oral and maxillofacial surgeon and directed to the artificial intelligence platform. The responses were evaluated by oral and maxillofacial surgeons using the Global Quality Scale (GQS). Predictor Variable: The predictor variable is question type. A total of 120 questions were categorized into six groups, which encompassed general information about MRONJ (Group 1), queries from patients about to initiate medication therapy (Group 2), questions from patients currently undergoing medication treatment (Group 3), inquiries from patients who had completed medication usage (Group 4), general treatment-related information (Group 5), and case scenarios (Group 6). Main Outcome Variables: The main variable is the GQS score. The GQS rates the quality of information and its utility for the patients. The scores are as follows: Score 1: Poor quality, Score 2: Generally poor quality, Score 3: Moderate quality, Score 4: Good quality, Score 5: Excellent quality. Covariates: Not applicable. Analyses: Kruskal-Wallis and Mann-Whitney U tests were applied for intragroup and intergroup analyses. The statistical significance level was determined as P < .05 and P < .01. Results: The average score for all questions was calculated to be 3.9 +/- 0.8, which is above the moderate quality threshold. Group 1 had a mean score of 3.4 +/- 1.1; group 2 had 4.1 +/- 0.7; group 3 had 3.8 +/- 0.8; group 4 had 4.3 +/- 0.6; group 5 had 4.2 +/- 0.7; and group 6 had 4.1 +/- 0.5. The variations in mean scores among these groups did not exhibit statistical significance (P > .05). Conclusion and Relevance: The artificial intelligence model has generated responses of moderate quality to questions about MRONJ. The use of the artificial intelligence platform may assist in patients gaining a fundamental understanding of MRONJ. (c) 2024 American Association of Oral and Maxillofacial Surgeons
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    The Association of Social Media Videos and Patients' Preoperative Anxiety
    (W B Saunders Co-Elsevier Inc, 2024) Altay, Berkan; Kale, Şeyma; Basiry, Mohammad Nabi; Çoban, Elif
    Background: Impacted tooth extraction is regarded as one of the dental procedures that induces the highest levels of dental anxiety. Purpose: The study purpose was to measure and compare anxiety levels in patients undergoing 3rd molar extraction between those who did or did not view videos related to 3rd molar operations. Study Design, Setting, and Sample: This prospective cohort study was conducted on patients who presented to the Department of Oral and Maxillofacial Surgery. The study included patients without any systemic comorbidities who had a indication for the extraction of impacted mandibular third molars. Patients who had previously undergone impacted tooth extractions were excluded from the study. Predictor Variables: The predictor variable was exposure to 3rd molar operation videos on social media. The subjects were grouped into categories; group 1, patients who watched videos and group 2, patients who did not watch videos. Outcome Variables: The main outcome variables are state anxiety (S-anxiety) scores and trait anxiety (T-anxiety) scores. Anxiety scores were measured 1 week before the surgery and on the day of the surgery. Covariates: Age, sex, education level, and whether the video contained animated or real surgical images were used as covariates. Analyses: For normally distributed continuous variables, group means were compared using Student's t-test, while nonnormally distributed variables were compared using the Mann-Whitney U test. A P value of <.05 was considered statistically significant. Results: The sample consisted of 60 patients, with 68.3% female and 31.7% male. In group 1, S-anxiety scores on the surgery day (44.8 +/- 10.38) were higher than 1 week before (37.76 +/- 8.92), and T-anxiety scores on the surgery day (78.23 +/- 5.25) were higher than 1 week before (74.8 +/- 5.54). In group 2, S-anxiety scores on the surgery day (35.9 +/- 11.27) were higher than 1 week before (32.3 +/- 9.53), and T-anxiety scores on the surgery day (79.16 +/- 6.32) were higher than 1 week before (75.76 +/- 5.55). S-anxiety scores of group 1 were statistically higher than group 2 in both conditions (P < .05), but there was no statistically significant difference between the groups in terms of T-anxiety scores (P > .05). Conclusion and Relevance: Watching videos before the operation may be associated with patients' anxiety levels. (c) 2023 American Association of Oral and Maxillofacial Surgeons