Predictors of tooth loss: A machine learning approach.
<h4>Introduction</h4>Little is understood about the socioeconomic predictors of tooth loss, a condition that can negatively impact individual's quality of life. The goal of this study is to develop a machine-learning algorithm to predict complete and incremental tooth loss among adu...
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oai:doaj.org-article:d8c832c82e7847668cdf2a29f540c2f42021-12-02T20:07:05ZPredictors of tooth loss: A machine learning approach.1932-620310.1371/journal.pone.0252873https://doaj.org/article/d8c832c82e7847668cdf2a29f540c2f42021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252873https://doaj.org/toc/1932-6203<h4>Introduction</h4>Little is understood about the socioeconomic predictors of tooth loss, a condition that can negatively impact individual's quality of life. The goal of this study is to develop a machine-learning algorithm to predict complete and incremental tooth loss among adults and to compare the predictive performance of these models.<h4>Methods</h4>We used data from the National Health and Nutrition Examination Survey from 2011 to 2014. We developed multiple machine-learning algorithms and assessed their predictive performances by examining the area under the receiver operating characteristic curve (AUC), accuracy, sensitivity, specificity, and positive and negative predictive values.<h4>Results</h4>The extreme gradient boosting trees presented the highest performance in the prediction of edentulism (AUC = 88.7%; 95%CI: 87.1, 90.2), the absence of a functional dentition (AUC = 88.3% 95%CI: 87.3,89.3) and for predicting missing any tooth (AUC = 83.2%; 95%CI, 82.0, 84.4). Although, as expected, age and routine dental care emerged as strong predictors of tooth loss, the machine learning approach identified additional predictors, including socioeconomic conditions. Indeed, the performance of models incorporating socioeconomic characteristics was better at predicting tooth loss than those relying on clinical dental indicators alone.<h4>Conclusions</h4>Future application of machine-learning algorithm, with longitudinal cohorts, for identification of individuals at risk for tooth loss could assist clinicians to prioritize interventions directed toward the prevention of tooth loss.Hawazin W ElaniAndré F M BatistaW Murray ThomsonIchiro KawachiAlexandre D P Chiavegatto FilhoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252873 (2021) |
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Medicine R Science Q Hawazin W Elani André F M Batista W Murray Thomson Ichiro Kawachi Alexandre D P Chiavegatto Filho Predictors of tooth loss: A machine learning approach. |
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<h4>Introduction</h4>Little is understood about the socioeconomic predictors of tooth loss, a condition that can negatively impact individual's quality of life. The goal of this study is to develop a machine-learning algorithm to predict complete and incremental tooth loss among adults and to compare the predictive performance of these models.<h4>Methods</h4>We used data from the National Health and Nutrition Examination Survey from 2011 to 2014. We developed multiple machine-learning algorithms and assessed their predictive performances by examining the area under the receiver operating characteristic curve (AUC), accuracy, sensitivity, specificity, and positive and negative predictive values.<h4>Results</h4>The extreme gradient boosting trees presented the highest performance in the prediction of edentulism (AUC = 88.7%; 95%CI: 87.1, 90.2), the absence of a functional dentition (AUC = 88.3% 95%CI: 87.3,89.3) and for predicting missing any tooth (AUC = 83.2%; 95%CI, 82.0, 84.4). Although, as expected, age and routine dental care emerged as strong predictors of tooth loss, the machine learning approach identified additional predictors, including socioeconomic conditions. Indeed, the performance of models incorporating socioeconomic characteristics was better at predicting tooth loss than those relying on clinical dental indicators alone.<h4>Conclusions</h4>Future application of machine-learning algorithm, with longitudinal cohorts, for identification of individuals at risk for tooth loss could assist clinicians to prioritize interventions directed toward the prevention of tooth loss. |
format |
article |
author |
Hawazin W Elani André F M Batista W Murray Thomson Ichiro Kawachi Alexandre D P Chiavegatto Filho |
author_facet |
Hawazin W Elani André F M Batista W Murray Thomson Ichiro Kawachi Alexandre D P Chiavegatto Filho |
author_sort |
Hawazin W Elani |
title |
Predictors of tooth loss: A machine learning approach. |
title_short |
Predictors of tooth loss: A machine learning approach. |
title_full |
Predictors of tooth loss: A machine learning approach. |
title_fullStr |
Predictors of tooth loss: A machine learning approach. |
title_full_unstemmed |
Predictors of tooth loss: A machine learning approach. |
title_sort |
predictors of tooth loss: a machine learning approach. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doaj.org/article/d8c832c82e7847668cdf2a29f540c2f4 |
work_keys_str_mv |
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