Resumo
Objetivo: Comparar o uso de modelos de inteligência artificial (IA) para detectar, reabsorção óssea e peri‑implantite em pacientes portadores de implantes dentários por meio de exames de imagem. Métodos: Trata-se de uma revisão sistemática que seguiu o rotocolo PRISMA com busca em bases de dados indexadas (Scopus, Web of Science, PubMed/MEDLINE, SciELO, Google Acadêmico e IEEE Xplore) nos últimos 10 anos. Foi realizada a remoção de duplicatas e triagem por títulos, resumos e leitura na íntegra dos artigos encontrados. Resultados: Dezesseis estudos preencheram os critérios; a maioria utilizou redes neuronais convolucionais (CNN) para segmentação automática de implantes e mensuração da perda óssea, com acurácia entre 70 % e 97 %. Modelos de aprendizado de máquina com dados clínicos ou radiológicos tiveram desempenho variável. Consideraçôes finais: Técnicas de IA demonstram alta acurácia na detecção de reabsorção óssea peri‑implantar, embora a generalização seja limitada pelo tamanho das bases de dados, heterogeneidade metodológica e necessidade de padronização de protocolos.
Referências
ALGHAIHAB A, et al. Automatic detection of radiographic alveolar bone loss in bitewing and periapical intraoral radiographs using deep learning technology: a preliminary evaluation. Diagnostics (Basel), 2025; 15(5): 576.
CANULLO L, et al. Distinguishing predictive profiles for patient-based risk assessment and diagnostics of plaque-induced, surgically and prosthetically triggered peri-implantitis. Clinical Oral Implants Research, 2016; 27(9): 1098-1105.
CHA J-Y, et al. Peri-implant bone-loss measurement using a region-based convolutional neural network on dental periapical radiographs. Journal of Clinical Medicine, 2021; 10(5): 1009.
DASHTI M, et al. Advancement and application of deep learning on detection of peri-implantitis: a narrative review. Advances in Artificial Intelligence and Machine Learning, 2024; 4(2): 2290-2301.
DUJIC H, et al. Automatized detection of periodontal bone loss on periapical radiographs by vision transformer networks. Diagnostics (Basel), 2023; 13(23): 3562.
ELGARBA BM, et al. Deep learning-based segmentation of dental implants on cone-beam computed-tomography images: a validation study. Journal of Dentistry, 2023; 137: 104639.
GAO X, et al. Risk factors and prediction model of peri-implantitis in postoperative periodontitis patients. American Journal of Translational Research, 2024; 16(9): 4741-4750.
HA S-R, et al. A pilot study using machine-learning methods about factors influencing prognosis of dental implants. The Journal of Advanced Prosthodontics, 2018; 10(6): 395-400.
KANG I, et al. Impact of considering bone remodelling in risk assessment of mandibular implant-supported bridges. Journal of Computational Design and Engineering, 2025; 12(2): 14-26.
KHUBRANI YH, et al. Detection of periodontal bone loss and periodontitis from 2D dental radiographs via machine learning and deep learning: systematic review employing APPRAISE-AI and meta-analysis. Dentomaxillofacial Radiology, 2025; 54(2): 89-108.
KIBCAK E, et al. Deep learning-driven segmentation of dental implants and peri-implantitis detection in orthopantomographs: a novel diagnostic tool. The Journal of Evidence-Based Dental Practice, 2025; 25: 102058.
KIM J, et al. DeNTNet: deep neural transfer network for the detection of periodontal bone loss using panoramic dental radiographs. Scientific Reports, 2019; 9: 17615.
KURT-BAYRAKDAR D, et al. Deep-learning detection of periodontal bone-loss patterns and furcation defects in panoramic radiographs. BMC Oral Health, 2024; 24: 217.
LEE J-H, et al. Performance of artificial-intelligence-based diagnosis and classification of peri-implantitis compared with periodontal-surgeon assessment: a pilot study of panoramic radiograph analysis. Journal of Periodontal & Implant Science, 2025; 55(3): e18.
LEE W-F, et al. Establishing a novel deep-learning model for detecting peri-implantitis. Journal of Dental Sciences, 2024; 19(2): 1165-1173.
LIU M, et al. A pilot study of a deep-learning approach to detect marginal bone loss around implants. BMC Oral Health, 2022; 22(1): 11.
MAMENO T, et al. Predictive modeling for peri-implantitis by using machine-learning techniques. Scientific Reports, 2021; 11(1): 11090.
MUGRI MH, et al. Accuracy of artificial-intelligence models in detecting peri-implant bone loss: a systematic review. Diagnostics (Basel), 2025; 15(6): 655.
PAGE MJ, et al. The PRISMA statement: an updated guideline for reporting systematic reviews. BMJ, [s.d.].
PAPANTONOPOULOS, G. et al. Prediction of individual implant bone levels and the existence of implant “phenotypes”. Clinical Oral Implants Research, 2016; 27(11): e144-e153.
SOTTO-MAIOR BS, et al. Evaluation of bone remodeling around single dental implants of different lengths: a mechanobiological numerical simulation and validation using clinical data. Computer Methods in Biomechanics and Biomedical Engineering, 2015; 18(15): 1629-1635.
TROIANO G, et al. Can radiomic features extracted from intra-oral radiographs predict physiological bone remodelling around dental implants? A hypothesis-generating study. Journal of Clinical Periodontology, 2023; 50(7): 932-941.
VERA M, et al. Artificial-intelligence techniques for automatic detection of peri-implant marginal bone remodeling in intraoral radiographs. Journal of Digital Imaging, 2023; 36(5): 2259-2277.
ZHANG C, et al. Deep-learning-based dental-implant failure prediction from periapical and panoramic films. Quantitative Imaging in Medicine and Surgery, 2023; 13(2): 935-945.
