journal article·2026-07-05Open access

Assessment of Creativity Potential of a 3DGAN in Implant Crown Design: A Proof-of-Concept Study

Aleksandar Naydenov, Todor Uzunov, Dimitar Kirov, Georgi Kostadinov

Abstract

Digital dentistry increasingly relies on artificial intelligence (AI) to automate restorative design. However, the ability of generative networks to produce multiple geometrically distinct outputs for the same prosthetic field remains insufficiently evaluated. This study assessed repeated-output geometric variability in a previously developed three-dimensional generative adversarial network (3DGAN) for screw-retained implant crown design as a preliminary indicator of potential generative diversity. Nine AI-generated implant crown designs were analyzed, consisting of three independently generated crowns for each of three different prosthetic fields. Within each set, the crowns were superimposed and compared using “MeshLab”. Mean Hausdorff distance (HD), maximum HD, and root mean square (RMS) values were recorded, with 0.05 model units used as the threshold for identifying insufficient morphological variation. The overall mean HD was 3.32 model units, the mean maximum HD was 16.18 model units, and the mean RMS value was 4.40 model units. No pairwise comparison showed values equal to or below 0.05 model units. In conclusion, the investigated 3DGAN demonstrated preliminary evidence of geometric output variability compatible with potential generative diversity.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Dental Implant Techniques and Outcomes · Dental materials and restorations · Dental Radiography and Imaging

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Faculty of Dental Medicine, Medical University of Sofia, 1431 Sofia, Bulgaria

Department of Information Technologies, New Bulgarian University, 1618 Sofia, Bulgaria

References (29)

Show source-provided references
1. A review of dental CAD/CAM: Current status and future perspectives
2. Digital dentistry: The new state of the art—Is it disruptive or destructive?10.1016/j.dental.2019.08.103 ↗
3. Tooth morphology, internal fit, occlusion and proximal contacts of dental crowns designed by deep learning-based dental software: A comparative study10.1016/j.jdent.2023.104830 ↗
4. Deep learning-designed implant-supported posterior crowns: Assessing time efficiency, tooth morphology, emergence profile, occlusion, and proximal contacts10.1016/j.jdent.2024.105142 ↗
5. Artificial intelligence in dentistry: Chances and challenges10.1177/0022034520915714 ↗
6. Developments, application, and performance of artificial intelligence in dentistry—A systematic review10.1016/j.jds.2020.06.019 ↗
7. Generative adversarial nets
8. Generative adversarial network in medical imaging: A review10.1016/j.media.2019.101552 ↗
9. Time efficiency, occlusal morphology, and internal fit of anatomic contour crowns designed by dental software powered by generative adversarial network: A comparative study10.1016/j.jdent.2023.104739 ↗
10. Lerner, H., Mouhyi, J., Admakin, O., and Mangano, F. (2020). Artificial intelligence in fixed implant prosthodontics: A retrospective study of 106 implant-supported monolithic zirconia crowns inserted in the posterior jaws of 90 patients. BMC Oral Health, 20.10.1186/s12903-020-1062-4 ↗
11. Automated design of dental crowns using deep learning
12. Artificial intelligence applications in implant dentistry: A systematic review10.1016/j.prosdent.2021.05.008 ↗
13. Zlateva, T., and Tuparov, G. (2025). 3D Cycle-Consistent Adversarial Network for Designing Dental Implant Crown. Computer Science and Education in Computer Science. CSECS 2024, Springer. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering.
14. DCPR-GAN: Dental Crown Prosthesis Restoration Using Two-Stage Generative Adversarial Networks10.1109/JBHI.2021.3119394 ↗
15. Computer-aided design and 3-dimensional artificial/convolutional neural network for digital partial dental crown synthesis and validation10.1038/s41598-023-28442-1 ↗
16. Computational creativity: The final frontier?
17. Morphology and mechanical performance of dental crown designed by 3D-DCGAN10.1016/j.dental.2023.02.001 ↗
18. Evaluation of the efficiency, trueness, and clinical application of novel artificial intelligence design for dental crown prostheses10.1016/j.dental.2023.10.013 ↗
19. Kong, H.J., and Kim, Y.L. (2024). Application of artificial intelligence in dental crown prosthesis: A scoping review. BMC Oral Health, 24.10.1186/s12903-024-04657-0 ↗
20. Accuracy of artificial intelligence-designed dental crowns: A scoping review of in-vitro studies10.3390/app15189866 ↗
21. Sajjadi, M.S.M., Bachem, O., Lucic, M., Bousquet, O., and Gelly, S. (2018). Assessing generative models via precision and recall. NIPS’18: Proceedings of the 32nd International Conference on Neural Information Processing Systems, Curran Associates Inc.
22. Heusel, M., Ramsauer, H., Unterthiner, T., Nessler, B., and Hochreiter, S. (2017). GANs trained by a two time-scale update rule converge to a local Nash equilibrium. NIPS’17: Proceedings of the 31st International Conference on Neural Information Processing Systems, Curran Associates Inc.
23. Learning representations and generative models for 3D point clouds
24. A style-based generator architecture for generative adversarial networks10.1109/TPAMI.2020.2970919 ↗
25. Brock, A., Donahue, J., and Simonyan, K. (2019, January 6–9). Large Scale GAN Training for High Fidelity Natural Image Synthesis. Proceedings of the International Conference on Learning Representations (ICLR), New Orleans, LA, USA.
26. Evaluation metrics for generative models: An empirical study10.3390/make6030073 ↗
27. Diffusion models for 3D generation: A survey10.26599/CVM.2025.9450452 ↗
28. Khadre, A.A., Hakami, Z., and Aldrees, A.M. (2026). Comparison of virtual treatment planning outcomes designed by two commercially available software in treatment of anterior teeth crowding using in-house aligners. BMC Oral. Health, 26.10.1186/s12903-026-07851-4 ↗
29. Grassia, V., Ronsivalle, V., Isola, G., Nucci, L., Leonardi, R., and Lo Giudice, A. (2023). Accuracy (trueness and precision) of 3D printed orthodontic models finalized to clear aligners production, testing crowded and spaced dentition. BMC Oral. Health, 23.10.1186/s12903-023-03025-8 ↗