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Enterprise AI Analysis: Comparative performance evaluation of ChatGPT-4 Omni and Gemini Advanced in the Turkish Dentistry Specialization Exam

Enterprise AI Analysis

Comparative performance evaluation of ChatGPT-4 Omni and Gemini Advanced in the Turkish Dentistry Specialization Exam

Authors: Makbule Buse Dundar Sari & Berkant Sezer

Publication Details: Received: 12 May 2025 | Accepted: 12 January 2026 | Published online: 17 January 2026 | DOI: https://doi.org/10.1186/s12909-026-08621-0

Executive Impact: Key Findings for Enterprise AI Strategy

This study provides crucial insights into the capabilities and limitations of advanced Large Language Models (LLMs) in a high-stakes professional examination context, offering strategic guidance for AI adoption in specialized fields.

0 ChatGPT-40 Overall Accuracy
0 Gemini Advanced Overall Accuracy
0 ChatGPT-40 Fundamental Med. Sci.
0 Gemini Advanced Fundamental Med. Sci.

This study rigorously evaluated the performance of ChatGPT-4 Omni and Gemini Advanced on 1,504 multiple-choice questions from 10 years of the Turkish Dentistry Specialization Exams (DUS). Both models demonstrated strong potential, achieving overall accuracies exceeding 80%.

While their overall performance was comparable, significant variations emerged in clinical disciplines. ChatGPT-40 showed superior accuracy in Prosthetic Dentistry and Maxillofacial Radiology, whereas Gemini Advanced excelled in Pediatric Dentistry. These findings highlight that while AI offers immense potential, its application requires discipline-specific validation and a nuanced understanding of its capabilities and limitations, particularly in specialized medical fields.

Deep Analysis & Enterprise Applications

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AI Performance & Reliability
Educational Implications
Clinical Utility & Limitations

This study rigorously compared ChatGPT-40 and Gemini Advanced across 1,504 multiple-choice questions from the Turkish Dentistry Specialization Exams (DUS) over a decade. Both models demonstrated strong potential, with overall accuracies exceeding 80% (ChatGPT-40: 84%, Gemini Advanced: 81.8%). While the overall difference was not statistically significant, performance varied across specific disciplines.

Remarkably, both models achieved over 90% accuracy in Fundamental Medical Sciences. However, in Clinical Dental Sciences, ChatGPT-40 showed a statistically significant edge (79.5% vs. 75.8%). Discipline-specific strengths were evident, with ChatGPT-40 excelling in Prosthetic Dentistry and Maxillofacial Radiology, and Gemini Advanced showing superior accuracy in Pediatric Dentistry. Year-based analysis indicated generally stable performance over time, reflecting ongoing model updates and potentially fluctuating exam difficulties.

The high accuracy rates of advanced Large Language Models (LLMs) like ChatGPT-40 and Gemini Advanced suggest their significant potential as supplementary tools in dental education. They can assist students with exam preparation, knowledge reinforcement, and identifying learning gaps by providing rapid, structured information. This integration could enhance learning efficiency and academic performance, particularly in core knowledge domains.

However, the study also highlights the critical need for cautious integration. While LLMs offer support, they should not replace critical thinking and professional expertise. Educators must foster AI literacy, ethical considerations, and critical appraisal skills to mitigate risks such as over-reliance on AI-generated content, algorithmic bias, and potential misuse during assessments. Robust guidelines and continuous performance monitoring are essential to ensure equitable and responsible AI integration that supports, rather than undermines, educational integrity.

From a clinical perspective, AI-based chatbots can streamline knowledge retrieval and guideline summarization, acting as valuable supportive resources for practitioners. However, their limitations, especially in clinically oriented subjects requiring complex reasoning and contextual interpretation, necessitate that human clinical judgment and evidence-based decision-making remain central. Higher error rates in these complex areas underscore that LLMs are complementary tools, not replacements for professional expertise.

A significant limitation of this study, affecting real-world clinical applicability, was the exclusion of visual content (e.g., radiographic images). Current text-based AI models struggle with complex image analysis, a crucial aspect of dental diagnosis and treatment planning. Future research incorporating multimodal AI systems with integrated vision capabilities is essential to provide a more comprehensive and clinically relevant evaluation of AI performance in dentistry.

Overall Performance: ChatGPT-40 vs. Gemini Advanced

84% ChatGPT-40 Overall Accuracy (81.8% for Gemini Advanced)

Across 1,504 multiple-choice questions from 10 years of Turkish Dentistry Specialization Exams, ChatGPT-40 achieved 84% accuracy, slightly outperforming Gemini Advanced's 81.8%. This difference was not statistically significant (p = 0.110).

Discipline-Specific Performance Breakdown

Discipline Area ChatGPT-40 Performance Gemini Advanced Performance
Fundamental Medical Sciences (Overall) 92.6% Accuracy 93.4% Accuracy (No significant difference)
Clinical Dental Sciences (Overall) 79.5% Accuracy (Statistically Significant) 75.8% Accuracy
Prosthetic Dentistry Superior (10.2 percentage points higher, p=0.013) Lower
Maxillofacial Radiology Superior (15.1% advantage, p=0.001) Lower
Pediatric Dentistry Lower Superior (12.4% higher, p=0.008)

Critical Limitation: Exclusion of Visual Content

This study excluded questions with figures, images, or graphs because current AI models primarily rely on text-based processing and lack effective complex image analysis capabilities. This significantly reduces real-world applicability, particularly in radiology-heavy content.

Steps for Responsible AI Integration in Dental Education

Discipline-specific Validation
Continuous Performance Monitoring
Tailored Training Datasets
Complex Clinical Scenarios Optimization
Ethical Governance & Accountability
AI Literacy & Critical Appraisal Skills Development
Integration into Dental Education

Calculate Your Potential AI ROI

Estimate the efficiency gains and cost savings your enterprise could achieve by strategically implementing AI solutions based on insights from this analysis.

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Strategic Implementation Roadmap

A phased approach ensures successful integration and maximizes the value of AI within your enterprise, focusing on both technical and organizational readiness.

Phase 1: Pilot Integration & Curriculum Mapping

Implement AI tools in a controlled environment, mapping their use to specific learning objectives. Gather initial feedback from faculty and students.

Phase 2: Discipline-Specific Training & Validation

Develop and refine AI training data for specialized dental domains. Conduct rigorous validation against human performance benchmarks.

Phase 3: Ethical Framework & Policy Development

Establish clear guidelines for AI use, addressing academic integrity, data privacy, and the role of AI in clinical decision support.

Phase 4: Scaled Rollout & Continuous Monitoring

Expand AI tool access across more courses and departments, coupled with ongoing performance monitoring and adaptive updates.

Phase 5: Advanced Multimodal AI Exploration

Investigate and integrate multimodal AI systems capable of processing visual data, enhancing applicability in image-heavy dental specialties.

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