CClinicalTrials.gg
CompletedNCT05056948Updated Oct 3, 2025

Artificial Intelligence Designed Single Tooth Dental Prostheses

An observational study in Dental Prosthesis, sponsored by The University of Hong Kong. Completed at 1 site in Hong Kong. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-10-03.

Sponsored by The University of Hong Kong · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
250
Ages
18 Years and older
Sex
All
01

Study summary

Tooth loss is common and as consequence deteriorate patient's health and quality-of-life. Dental prostheses aim to restore patients' appearance and functions by replacement of missing teeth. The occlusal morphology and 3D position of the healthy natural teeth should be adopted by the dental prostheses (biomimetic). Despite computer-assisted design (CAD) software are available for designing dental prostheses, considerable clinical time are still required to fit the dental prostheses into patients' occlusion (teeth-to-teeth relationship). Teeth of an individual subjects are genetically controlled and exposed to mostly identical oral environment, therefore the occlusal morphology and 3D position of teeth are inter-related. It is hypothesized that artificial intelligence (AI) can automated designing the single-tooth dental prostheses from the features of remaining dentition.

Read the detailed description

Objectives:

  1. To compare four deep-learning methods/algorithms in interpreting and learning of the features of 3D models;
  2. To compare the AI system with maxillary tooth model alone to maxillary and mandibular (antagonist) models;
  3. To compare the occlusal morphology and 3D position of the single-tooth dental prostheses designed by trained AI and by dental technicians.

Methods:

First, investigators will collect 200 maxillary dentate teeth models as training models. AI will learn the relationship between individual teeth and rest of the dentition using the 3D Generative Adversarial Network (GAN) by following deep-learning methods/algorithms:

Group 1) Voxel-based; Group 2) View-based; Group 3) Point-based; and Group 4) Fusion methods. Investigators will collect another 100 maxillary models that serve as validation models. Investigators will remove a tooth (act as control) in each model. Then investigators will evaluate these deep learning algorithms in predicting the occlusal morphology and 3D position of single-missing tooth.

Second, investigators will evaluate the need of antagonist model in predicting the occlusal morphology and 3D position of single-missing tooth in 100 validation models:

Group i) maxillary model only and Group ii) with antagonist model using the tested deep-learning algorithm in objective (1).

Third, investigators will analyze the geometric morphometric and 3D position of dental prostheses designed by:

Group a) the trained AI system; Group b) dental technicians on the physical models; and Group c) dental technicians using CAD software. Investigators will compare these teeth to the corresponding natural teeth (control) in 100 validation models.

Furthermore, investigators will analyze the time required for tooth design in these groups as secondary outcome.

02

Conditions studied

  • Dental Prosthesis

Keywords

  • Artificial Intelligence
  • Machine Learning
  • Deep Neural Network
  • Generative Adversarial Network (GAN)
  • Biomimetics
  • Dental Prostheses
  • Prosthodontic Treatment
03

In context

Lead sponsor

The University of Hong Kong is the lead sponsor of 1,262 studies on the registry; 340 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

  • Patients attended/attending Prince Philip Dental Hospital
  • Dental undergraduate students from the Faculty of Dentistry, The University of Hong Kong

Inclusion criteria

  • Subjects with sufficient dentition present for the determination of the upper occlusal plane
  • Subjects with more than 12 occluding pairs and stable intercuspal position
  • Subjects with teeth restorations that did not grossly alter its morphology
  • Subjects who did not undergo orthodontic treatment and/or did not have teeth that rotated more than 45 degrees and/or displaced more than 1.5 mm
  • Subjects who are of Cantonese descent.

Exclusion criteria

Exclusion Criteria:

  • Subjects with periodontal disease whereby there is pathological tooth migration and alteration of occlusal plane.
  • Subjects who are under the age of 18 and unable to give consent.
  • Subjects with extensive teeth restorations that affect the morphology.
05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
250 participants (actual)
Patient registry
No

Groups and cohorts

  • Control

    Original 3D maxillary teeth model from subjects who fulfill inclusion/exclusion criteria

  • Test

    3D maxillary teeth model from subjects who fulfill inclusion/exclusion criteria. The right first molar (FDI number 16) will be removed in the computer and then designed by artificial intelligence (AI) system AI system will be trained by 1. different algorithms such as Group 1) Voxel-based; Group 2) View-based; Group 3) Point-based; and Group 4) Fusion methods 2. Group i) maxillary model only and Group ii) with antagonist model

    Other: artificial intelligence (AI) computer assisted design (CAD)

Interventions

  • Otherartificial intelligence (AI) computer assisted design (CAD)

    Maxillary right first molar will be removed in the computer and will be designed by artificial intelligence system

06

What researchers measure

Primary outcomes

  1. 3D position of tooth

    The center of a tooth automatically determined by computer

    Time frame: Outcome will be measured when 25% of training models were studied by AI, up to 6 months

  2. 3D position of tooth

    The center of a tooth automatically determined by computer

    Time frame: Outcome will be measured when 50% of training models were studied by AI, up to 12 months

  3. 3D position of tooth

    The center of a tooth automatically determined by computer

    Time frame: Outcome will be measured when 75% of training models were studied by AI, up to 18 months

  4. 3D position of tooth

    The center of a tooth automatically determined by computer

    Time frame: Outcome will be measured after the whole training, which AI was trained of 100% of all models, up to 24 months

  5. Occlusal morphology of tooth

    The cusps (highest point) and the fossa (lowest point) of the occlusal surface

    Time frame: Outcome will be measured when 25% of training models were studied by AI, up to 6 months

  6. Occlusal morphology of tooth

    The cusps (highest point) and the fossa (lowest point) of the occlusal surface

    Time frame: Outcome will be measured when 50% of training models were studied by AI, up to 12 months

  7. Occlusal morphology of tooth

    The cusps (highest point) and the fossa (lowest point) of the occlusal surface

    Time frame: Outcome will be measured when 75% of training models were studied by AI, upto 18 months

  8. Occlusal morphology of tooth

    The cusps (highest point) and the fossa (lowest point) of the occlusal surface

    Time frame: Outcome will be measured after the whole training, which AI was trained of 100% of all models, upto 24 months

  9. Time spent in laboratory design and in clinical deliver of denture prostheses

    Time (in minutes) spend in a) design and b) deliver of dental prostheses

    Time frame: Outcome will be measured after the whole training, which AI was trained of 100% of all models, upto 24 months

07

Study locations

1 site
  • Prince Philip Dental Hospital
    Sai Ying Pun, Hong Kong
08

References and documents

Publications

  • Chow TW, Clark RK, Cooke MS. The orientation of the occlusal plane in Cantonese patients. J Dent. 1986 Dec;14(6):262-5. doi: 10.1016/0300-5712(86)90034-5. No abstract available. PubMed 3468151 ↗
  • Chow TW, Clark RK, Cooke MS. Errors in mounting maxillary casts using face-bow records as a result of an anatomical variation. J Dent. 1985 Dec;13(4):277-82. doi: 10.1016/0300-5712(85)90021-1. No abstract available. PubMed 3866768 ↗
  • Lam WY, Hsung RT, Choi WW, Luk HW, Pow EH. A 2-part facebow for CAD-CAM dentistry. J Prosthet Dent. 2016 Dec;116(6):843-847. doi: 10.1016/j.prosdent.2016.05.013. Epub 2016 Jul 28. PubMed 27475920 ↗
  • Lam WYH, Hsung RTC, Choi WWS, Luk HWK, Cheng LYY, Pow EHN. A clinical technique for virtual articulator mounting with natural head position by using calibrated stereophotogrammetry. J Prosthet Dent. 2018 Jun;119(6):902-908. doi: 10.1016/j.prosdent.2017.07.026. Epub 2017 Sep 29. PubMed 28969919 ↗

Individual participant data

Plan to share: No — There is no IPD sharing plan yet

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05056948
Lead sponsor
The University of Hong Kong
Collaborators
University Grants Committee, Hong Kong
Responsible party
Prof. Walter Y.H. Lam (Clinical Assistant Professor, The University of Hong Kong) — Principal investigator
First posted
Sep 27, 2021
Start date
Sep 1, 2021
Primary completion
Sep 1, 2024
Completion
May 30, 2025
Last update
Oct 3, 2025

Study contacts

Walter Lam, BDS, MDS
principal investigator · The University of Hong Kong

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion