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Exploring AI-driven machine learning approaches for optimal classification of peri-implantitis based on oral microbiome data : a feasibility study

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorPais, Ricardo Jorge
dc.contributor.authorBotelho, João
dc.contributor.authorMachado, Vanessa
dc.contributor.authorAlcoforado, Gil
dc.contributor.authorMendes, José João
dc.contributor.authorAlves, Ricardo
dc.contributor.authorBessa, Lucinda J.
dc.date.accessioned2026-05-07T14:06:03Z
dc.date.available2026-05-07T14:06:03Z
dc.date.issued2025-02
dc.description.abstractBackground: Machine learning (ML) techniques have been recently proposed as a solution for aiding in the prevention and diagnosis of microbiome-related diseases. Here, we applied auto-ML approaches on real-case metagenomic datasets from saliva and subgingival peri-implant biofilm microbiomes to explore a wide range of ML algorithms to benchmark best-performing algorithms for predicting peri-implantitis (PI). Methods: A total of 100 metagenomes from the NCBI SRA database (PRJNA1163384) were used in this study to construct biofilm and saliva metagenomes datasets. Two AI-driven auto-ML approaches were used on constructed datasets to generate 100 ML-based models for the prediction of PI. These were compared with statistically significant single-microorganism-based models. Results: Several ML algorithms were pinpointed as suitable bespoke predictive approaches to apply to metagenomic data, outperforming the single-microorganism-based classification. Auto-ML approaches rendered high-performing models with Receiver Operating Characteristic–Area Under the Curve, sensitivities and specificities between 80% and 100%. Among these, classifiers based on ML-driven scoring of combinations of 2–4 microorganisms presented top-ranked performances and can be suitable for clinical application. Moreover, models generated based on the saliva microbiome showed higher predictive performance than those from the biofilm microbiome. Conclusions: This feasibility study bridges complex AI research with practical dental applications by benchmarking ML algorithms and exploring oral microbiomes as foundations for developing intuitive, cost-effective, and clinically relevant diagnostic platforms.eng
dc.identifier.citationPais RJ, Botelho J, Machado V, Alcoforado G, Mendes JJ, Alves R, Bessa LJ. Exploring AI-Driven Machine Learning Approaches for Optimal Classification of Peri-Implantitis Based on Oral Microbiome Data: A Feasibility Study. Diagnostics. 2025; 15(4):425. https://doi.org/10.3390/diagnostics15040425
dc.identifier.doi10.3390/diagnostics15040425
dc.identifier.issn2075-4418
dc.identifier.urihttp://hdl.handle.net/10400.26/63026
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/diagnostics15040425
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectperi-implantitis
dc.subjectmachine learning
dc.subjectmetagenomic data
dc.subjectdental implants
dc.subjectbiomarkers
dc.subjectsaliva
dc.subjectperi-implant biofilms
dc.titleExploring AI-driven machine learning approaches for optimal classification of peri-implantitis based on oral microbiome data : a feasibility studyeng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue4
oaire.citation.startPage425
oaire.citation.titleDiagnostics
oaire.citation.volume15
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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