Cultura

Artificial Intelligence Applications in Endodontics: Challenges and Opportunities

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

DANYA ABDULNASSER ALHUSSINI, OMNIAH SAMEER TAYEB, ELHAM ALAWI BAFAGEEH, DR. SARAH FUAD SLAIS, HAMDAN AHMED ALZAHRAN, ALJAWHARAH MASTOOR ALTHBAITY, LAILA MOHAMMED ALI A ALAMRI, SARAH HAMAD ALZIBALI
MAJED HAMMAD ALHARBI, ALIAH YAHIA AHMED AL MDAWI, DR. ABDULRAHMAN SALEH ALISSA, DR. OMAR KHALID ALQASOUMI, DR. NAWAF FAHAD ALSUDAIRI, DR. ABDULMAJEED OLAYAN ALANAZI, DR. ABDURAHMAN SULIMAN ALHISSAN

Abstract

Artificial intelligence (AI) has become an essential component of modern dental innovation, especially within endodontics, where precision and diagnostic accuracy are critical. Although AI is not directly referenced in traditional dental care literature, its foundational value mirrors the importance of high-quality dental care emphasized in existing studies. Just as high-quality clinical procedures improve patient outcomes (Awasthi & Walumbwa, 2023), AI enhances clinicians’ diagnostic ability by processing large datasets with superior speed and consistency. Similarly, the emphasis on improving overall healthcare experiences in dentistry (Tartaglia, 2021) parallels AI’s potential to streamline workflows, reduce uncertainty, and enhance treatment planning. Thus, AI represents a technological extension of the long-standing principles of accuracy, safety, and patient-centered care.

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty