AI systems in clinical practice

Decision support systems
Orthoplanner
A knowledge based system to provide dentists with orthodontic treatment plans for cases where fixed orthodontic appliance techniques must be employed (see also Jeremiah)

developed by clinical domains keywords
Department of Engineering Mathmatics and Department of Child Dental Health, University of Bristol and Team Management Systems, Aylesbury, Buckinghamshire, with support from 2 SMART Awards (Small Firms Merit Award for Research and Technology). Orthodontic treatment plans Knowledge based systems, decision support systems
location commissioned status
Orthopolanner has been used in a number of dental practices in the United Kingdom. Commercial launch of Orthoplanner: September 1994.
description
Whilst the mechanical side of treatment is relatively straight forward, 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. Orthoplanner has been shown to provide treatment plans which have the same peer support as those produced by an average UK NHS Consultant Orthodontist with 10 year postgraduate training and experience (Stephens and Mackin,1998)

Orthoplanner is a Windows-based program. It uses a number of techniques including rulebase reading, but forward and backward chaining and fuzzy logic based representations of orthodontic knowledge (Mackin 1992). Extensive use is made of interactive graphics to input clinical data. In addition to treatment planning advice, the program provides extensive clinical support including instructions to patients, pre-formed letters and a 200 page hypertext manual with 1000 supporting references.

references

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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Mackin N, (1992). The development of an expert system for planning orthodontic treatment. PhD Thesis, University of Bristol.

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Stephens CD, Mackin N, (1998). The validation of an orthodontic expert system rulebase for fixed appliance treatment planning. European Journal of Orthodontics.

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contact links

Professor CD Stephens Department of Child Dental Health Bristol Dental Hospital Lower Maudlin Street Bristol BS1 2LY

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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