AI-based Early Detection of Postoperative Complications: Improving Outcomes and Patient Satisfaction Following Dental Implant Surgery

Truppe M., Ewers R.

Postoperative pain and complications associated with the healing process after dental implant surgery can negatively affect success rates. Patient satisfaction is closely linked to quick responses outside of office hours. In this study, we present a novel AI (Artificial Intelligence) tool for the early detection of postoperative complications. This tool represents a further development of our research on teleconsultations at the University Clinic for Oral, Maxillofacial, and Facial Surgery in Vienna, first published internationally in 1997.

Our interactive communication tool is based on IBM Watson and ChatGPT. Interaction is possible via SMS, web-based chat, or WhatsApp. All data are encrypted and stored locally in an open-source database (Nextcloud), and the communication itself is secured in compliance with HIPAA.

Patients are asked to rate their pain and swelling on a 5-point Likert scale for seven days. Additionally, a daily free-text response is analyzed for medically relevant content using AI to complete the daily interaction. By evaluating trends and key parameters, an expedited follow-up appointment can be initiated to minimize postoperative complications.

To motivate patients for daily participation, the AI tool provides precise answers to patient questions through a ChatGPT-based conversation dialogue. The responses are based on the patient’s medical history, which is stored in our open-source Nextcloud database in the practice. This improves postoperative care by employing Artificial Intelligence to analyze trends and assess the quality of indicators.

The scope of interaction is currently being expanded to enable online anamnesis using an interactive conversation dialogue controlled by Artificial Intelligence.

Patient John Doe

Patient John DOE, generated with Midjourney

We have a sample medical history for patient John Doe.

Feel free to type in any question you have and the answer provided by ChatGPT will appear below (coming soon).

Here’s a question from a patient, and the answer is derived from an AI analysis of the surgery report. It uses the surgical report.

Welches Implantat wurde bei der Operation gesetzt? Warum wurde kein ultrakurzes Implantat gesetzt?

Karlheinz Janac inquired about a treatment plan for a dental bridge with two implants and possibly a bone graft. They expressed interest in the use of 3D implant navigation and ultrashort implants instead of bone grafting. They are also interested in participating in a scientific study for special conditions. Karlheinz provided their email address and phone number for further communication.

Karlheinz, 3D-navigierte Brücke: 2 ultrakurze Implantate – ohne Knochenaufbau, neues Lächeln So könnte Ihr Ergebnis…

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The user, Almira Dolic, inquired about getting two individual dental implants. They expressed interest in the 3D implant navigation process and preferred ultrashort implants over bone augmentation. They were not interested in immediate loading (teeth in a day) or participating in a scientific study. Almira provided their email for further information.

Almira: Zwei 3D-navigierte Einzelimplantate, nahtfrei, ohne Knochenaufbau – unbeschwert lächeln > **So könnte Ihr Ergebnis…

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Notburga Scheffer inquired about a treatment plan for dental implants. They were interested in a single implant and crown, as well as a crown on an existing zircon implant. They expressed interest in the 3D implant navigation technique and preferred ultrashort implants over bone augmentation. Notburga was also interested in immediate loading and new teeth in one day, and they considered participating in a scientific study offering special conditions for immediate loading implants. They preferred to receive further information via email.

Ihr neues Lächeln heute: Krone vor Ort, Implantat sofort, ohne Knochaufbau, navigiert So könnte Ihr…

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The user, Manfred Pummer, inquired about a treatment plan for dental implants. They expressed interest in ultrashort implants as an alternative to bone grafting and showed interest in participating in a scientific study for special conditions. They did not express a preference for immediate provision of implants and were indifferent to the time efficiency offered by 3D implant navigation. The user provided their email for further communication.

Manfred: ultrakurze Implantate ohne Aufbau – feste Zähne, strahlendes Lächeln, Studienoption So könnte Ihr Ergebnis…

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The user is interested in a detailed treatment plan for dental implants. They confirmed interest in the 3D implant navigation that allows for quick and suture-less procedures, preferring ultrashort implants over bone augmentation due to insufficient bone. The user also expressed interest in immediate provision and participation in a scientific study with special conditions. They provided their name as Fritz Jungbauer and their email as mifri1@chello.at.

Herr Jungbauer: 3D-geführt feste Zähne – nahtfrei, ohne Knochenaufbau, sofort lächeln So könnte Ihr Ergebnis…

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