An intelligent system for assessment of orthodontic treatment outcome using fuzzy union rule configuration

It is crucial to objectively assess orthodontic treatment outcome for patients, orthodontists, and healthcare providers. Orthodontists have developed several occlusal indices during the past few decades to evaluate treatment success. These indices suffer from several limitations including a crisp decision making criterion that sometimes contradicts human intuition. We propose use of fuzzy logic for assessing orthodontic treatment outcome. Despite the great capabilities of fuzzy logic in medical fields, its applications in the field of orthodontics have been overlooked. We develop an expert system based on fuzzy reasoning that can assess orthodontic treatment outcome that is close to human perception. We examine its reliability by comparing the results with the opinion of a panel of expert orthodontists.

[1]  P. Wisth,et al.  Evaluation of treatment and post-treatment changes by the PAR Index. , 1997, European journal of orthodontics.

[2]  S. Chiu Method and software for extracting fuzzy classification rules by subtractive clustering , 1996, Proceedings of North American Fuzzy Information Processing.

[3]  Robert J. Marks,et al.  On the use of Fourier methods in URC fuzzy system design , 2004, 2004 IEEE International Conference on Fuzzy Systems (IEEE Cat. No.04CH37542).

[4]  A. Kuijpers-Jagtman,et al.  Occlusal outcome of orthodontic treatment. , 1998, The Angle orthodontist.

[5]  James E. Andrews,et al.  Combinatorial rule explosion eliminated by a fuzzy rule configuration , 1998, IEEE Trans. Fuzzy Syst..

[6]  Hisao Ishibuchi,et al.  Selecting fuzzy if-then rules for classification problems using genetic algorithms , 1995, IEEE Trans. Fuzzy Syst..

[7]  P L Sadowsky,et al.  Orthodontic outcomes assessment using the peer assessment rating index. , 2009, The Angle orthodontist.

[8]  Maysam F. Abbod,et al.  Survey of utilisation of fuzzy technology in Medicine and Healthcare , 2001, Fuzzy Sets Syst..

[9]  A C Williams,et al.  Are the Peer Assessment Rating Index and the Index of Treatment Complexity, Outcome, and Need suitable measures for orthognathic outcomes? , 2006, European journal of orthodontics.

[10]  J H McColl,et al.  Use of the PAR Index in Assessing the Effectiveness of Removable Orthodontic Appliances , 1993, British journal of orthodontics.

[11]  J H McColl,et al.  Orthodontic treatment with fixed appliances in the General Dental Service in Scotland. , 2000, Journal of orthodontics.

[12]  Robert J. Marks,et al.  Avoidance of rule explosion by mapping fuzzy systems to a union rule configuration , 2003, The 12th IEEE International Conference on Fuzzy Systems, 2003. FUZZ '03..

[13]  S Richmond,et al.  The PAR Index (Peer Assessment Rating): methods to determine outcome of orthodontic treatment in terms of improvement and standards. , 1992, European journal of orthodontics.

[14]  N A Fox,et al.  The first 100 cases: a personal audit of orthodontic treatment assessed by the PAR (peer assessment rating) index , 1993, British Dental Journal.

[15]  Thomas Riedman,et al.  Retrospective evaluation of the outcome of orthodontic treatment in adults , 2005, Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie.

[16]  Stanley Jablonski,et al.  Jablonski's dictionary of dentistry , 1990 .