Testing <scp>LLM</scp> Diagnostics in Endodontics: The Impact of Linguistic Variation on Unseen Cases

GPT-5 Plus outperformed Gemini 2.5 Flash on benchmark dataset; however, it was sensitive to linguistic variations. Perturbation negatively influenced the performance of GPT-5 Plus, emphasising the need to further investigate the linguistic phenomenon that may have affected the model's degradation. Additionally, the descriptive qualitative analysis demonstrated relatively higher performance for Gemini 2.5 Flash compared to GPT-5 Plus on the original dataset and across linguistic variations. However, owing to the descriptive nature of findings and limited sample size, the results should be interpreted with caution.

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Publication Details

Journal
International Endodontic Journal
Published
2026-02-05
DOI
https://doi.org/10.1111/iej.70109
Primary Topic
Dental Radiography and Imaging
Type
article
Field-Weighted Citation Impact
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article

Testing LLM Diagnostics in Endodontics: The Impact of Linguistic Variation on Unseen Cases

Nighat Naved, Fahad Umer, Itrat Batool
International Endodontic Journal
Dental Radiography and Imaging
article

Testing LLM Diagnostics in Endodontics: The Impact of Linguistic Variation on Unseen Cases

Nighat Naved, Fahad Umer, Itrat Batool
article en

Abstract

GPT-5 Plus outperformed Gemini 2.5 Flash on benchmark dataset; however, it was sensitive to linguistic variations. Perturbation negatively influenced the performance of GPT-5 Plus, emphasising the need to further investigate the linguistic phenomenon that may have affected the model's degradation. Additionally, the descriptive qualitative analysis demonstrated relatively higher performance for Gemini 2.5 Flash compared to GPT-5 Plus on the original dataset and across linguistic variations. However, owing to the descriptive nature of findings and limited sample size, the results should be interpreted with caution.

International Endodontic Journal
Aga Khan University Hospital (PK)
Quality Education
Openalex Percentile: Top 65%
Dental Radiography and Imaging
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