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Decision support systems
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Jeremiah
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A rules-/fuzzy logic-based system to provide dentists with
orthodontic treatment plans for cases suitable for
treatment by general dental practitioners with a knowledge
of removable orthodontic techniques
(see also Orthoplanner)
| developed by |
clinical domains |
keywords |
| Department of Engineering
Mathematics and the Department of Child Dental Health,
University of Bristol. Development was funded by a UK MRC
Grant. |
Orthodontics, treatment |
rules, fuzzy logic |
| location |
commissioned |
status |
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Program made commercially available in 1992 |
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| description |
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Fifty per cent of the orthodontic treatment (treatment
to correct teeth which do not fit together as they should)
which is undertaken in the United Kingdom is carried out by
general dental practitioners whose only experience in
orthodontics was a basic training during their
undergraduate curriculum. Nevertheless there are a
significant proportion of cases (25%) which are suitable
for treatment by such practitioners using removable
orthodontic appliances. The latter have the advantage that
they can be removed from the mouth for adjustment and
cleaning but have the disadvantage that the range of tooth
movements they can carry out to correct dental malocclusion
is restricted to simple tipping of teeth.
Whilst the mechanical side of treatment is relatively
straightforward, success depends upon adopting an
appropriate treatment plan. Studies have shown that less
that half the treatment plans adopted by practitioners are
ideal and this considerably compromises the standard of
result which is obtained. Jeremiah has been shown to
improve on the ability of practitioners to select cases for
suitable for treatment with removable orthodontic
appliances and to identify those requiring referral for
more specialised treatment.
The program was being updated from DOS to a Windows
environment. (Surprisingly, until very recently (1997), most
dental practice management software was DOS based).
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| references |
Stephens CD, Mackin N.
The Validation of an Orthodontic Expert System
Rulebase for Fixed Appliance Treatment Planning Europe J
Orthod 20: 569-578.
[]
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"
"
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Brown ID, Erritt SJ, Adams SR, Sims-Williams JH, Stephens
CD, (1991) The initial use of a computer controlled expert
system in the planning of Class II division 1 malocclusion.
British Journal of Orthodontics, 18: 1-7.
[]
[]
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"
"
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Mackin N, Stephens CD, (1997). Development and testing of
a fuzzy expert system - an example in orthodontics in
proceedings of fuzzy logic: applications and future
directions, pp61-71. Unicom Seminars Ltd, Uxbridge,
Middlesex.
[]
[]
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"
"
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Richmond S, Shaw WC, Stephens CD, O'Brien KD, Brooke PH,
Roberts C, Andrews M, (1993) Orthodontics in the General
Dental Service of England and Wales: a critical assessment
of standards.
British Dental Journal, 174: 315-329.
[]
[]
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"
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Sims-Williams JH, Brown ID, Matthewman A, Stephens CD,
(1987) A computer controlled expert system for orthodontic
advice.
British Dental Journal, 163: 161-169.
[]
[]
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"
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Sims-Williams JH, Mackin N, Stephens CD, (1994) Lessons
learnt from the development of an orthodontic expert system
in Neural networks in medicine and healthcare.
Ifeachor CD, Rosen KG (eds), pp410-414, University of Plymouth.
[]
[]
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"
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Stephens CD, Drage KD, Richmond S, Shaw WC, Roberts CT,
Andrews M, (1993). Consultant opinion on orthodontic
treatment plans devised by dental practitioners: a pilot
study.
Journal of Dentistry, 21: 355-359.
[]
[]
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"
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Stephens CD Mackin N, Sims-Williams JH, (1996) The
development and validation of an orthodontic expert system.
British Journal of Orthodontics, 23: 1-9.
[]
[]
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"
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| contact |
links |
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Department of Child Dental Health,
Bristol Dental Hospital,
Lower Maudlin Street,
Bristol BS1 2LY
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| acknowledgements |
Archive of AI systems in clinical practice previously administered by Enrico Coiera. Used with permission. Maintained and extended since 2001 by OpenClinical. |
Entry on archive: November 19 1997
Last main update: November 19 1997
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