Ml Caries Risk Stratification In Post-Anesthesia Pediatric Patients

To develop machine learning (ML) models predicting postoperative caries risk in children undergoing general anesthesia, comparing logistic regression, XGBoost, SVM, and random forest. Retrospective analysis of 200 children (1-5 years) treated under anesthesia (2023-2024). Data were split into 70% training and 30% validation sets. Four ML models were implemented in Python, evaluated via accuracy, F1-score, and AUC-ROC. XGBoost outperformed all other models across key metrics (p < 0.05). It achieved the highest accuracy (87.5%), F1-score (84.8%), and AUC (0.91), significantly exceeding SVM, RF, and LR. Although logistic regression showed a relatively high F1-score (84.1%), its overall accuracy was the lowest (85.2%), highlighting a discrepancy between precision-recall balance and classification accuracy. XGBoost demonstrates optimal caries risk prediction in anesthetized pediatric patients, with high discriminative power (AUC>0.9) and balanced precision-recall. This supports ML integration into preventive dental care protocols.

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Publication Details

Journal
International Dental Journal
Published
2025-10-01
DOI
https://doi.org/10.1016/j.identj.2025.104410
Primary Topic
Dental Health and Care Utilization
Type
article
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article

Ml Caries Risk Stratification In Post-Anesthesia Pediatric Patients

Changjie Cai, Suyu Gao, Ya Tang
International Dental Journal
Dental Health and Care Utilization
article

Ml Caries Risk Stratification In Post-Anesthesia Pediatric Patients

Changjie Cai, Suyu Gao, Ya Tang
article en

Abstract

To develop machine learning (ML) models predicting postoperative caries risk in children undergoing general anesthesia, comparing logistic regression, XGBoost, SVM, and random forest. Retrospective analysis of 200 children (1-5 years) treated under anesthesia (2023-2024). Data were split into 70% training and 30% validation sets. Four ML models were implemented in Python, evaluated via accuracy, F1-score, and AUC-ROC. XGBoost outperformed all other models across key metrics (p < 0.05). It achieved the highest accuracy (87.5%), F1-score (84.8%), and AUC (0.91), significantly exceeding SVM, RF, and LR. Although logistic regression showed a relatively high F1-score (84.1%), its overall accuracy was the lowest (85.2%), highlighting a discrepancy between precision-recall balance and classification accuracy. XGBoost demonstrates optimal caries risk prediction in anesthetized pediatric patients, with high discriminative power (AUC>0.9) and balanced precision-recall. This supports ML integration into preventive dental care protocols.

International Dental JournalVol. 75
Nanjing Medical University (CN)
Openalex Percentile: Top 64%
Dental Health and Care Utilization
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