Staging and Grading Advanced Periodontitis with Large Language Models from Standardized Case Summaries: A Multicenter Concordance and Reproducibility Study

Background/Objectives: To evaluate the concordance of three general-purpose large language models (LLMs), ChatGPT, Claude, and Gemini, with an adjudicated expert consensus classification of Stage, Grade, and Extent in Stage III–IV periodontitis when applying the 2018 American Academy of Periodontology/European Federation of Periodontology (AAP/EFP) rules to clinician-prepared, standardized case summaries.