TY - JOUR T1 - The Efficacy of Artificial Intelligence Programs in Interpreting Dental Panoramic Radiographs for Key Pathologies: A Narrative Review A1 - Abdulrahman Bin Eyyd A1 - Moayad Othman A1 - Reem Alhamid A1 - Haya Aldokhi A1 - Rakan Alrakkad A1 - Shikhah Binnjefan A1 - Bader Soliman Alhussain JF - Annals of Dental Specialty JO - Ann Dent Spec SN - 2347-2022 Y1 - 2025 VL - 13 IS - 3 DO - 10.51847/jT33t5T6JB SP - 108 EP - 113 N2 - Recently, artificial intelligence (AI) capabilities in dentomaxillofacial radiology, especially in panoramic radiographs, have grown tremendously. The purpose of this review is to analyse and consolidate evidence published between 2020 and 2025 on the diagnostic accuracy of AI software for dental orthopantomographs. In its latest assessment, AI was shown to detect, number, and identify prosthetics and implants with sensitivities and specificities exceeding 90%. AI showed similar results in tooth detection, though some variability in performance is evident. Cavity recognition, as well as evaluating endodontic quality and identifying periapical lesions, tends to show the opposite performance pattern of sensitivity vs. specificity. It has been shown that AI performs best on well-contrasted, highly structured images, while subtle pathology detection and pediatric cases remain the most difficult. AI achieved over 85% accuracy in quantifying bone changes and stratifying systemic risk, demonstrating its capability for AI screening of bone loss and for evaluating osteoporosis risk. Although the results seem promising from the datasets controlled datasets, the issue of generalizability indicates the need for more extensive, heterogeneous datasets for training and external validation. In conclusion, AI is an adjunct to the clinician; however, the interpretation and diagnosis require significant support from trained professionals. UR - https://annalsofdentalspecialty.net.in/article/the-efficacy-of-artificial-intelligence-programs-in-interpreting-dental-panoramic-radiographs-for-ke-i8sdayelolq99tp ER -