Abstract
BACKGROUND: Artificial Intelligence (AI) has increasingly been integrated into dental practices, notably in radiographic imaging like Orthopantomograms (OPGs), transforming diagnostic protocols. Eye tracking technology offers a method to understand how dentists' visual attention may differ between conventional and AI-assisted diagnostics, but its integration into daily clinical practice is challenged by the cost and complexity of traditional systems. MATERIAL AND METHODS: Thirty experienced practitioners and dental students participated to evaluate the effectiveness of two low-budget eye-tracking systems, including the Peye Tracker (Eye Tracking Systems LTD, Southsea, UK) and Webgazer.js (Brown University, Providence, Rhode Island) in a clinical setting to assess their utility in capturing dentists' visual engagement with OPGs. The hardware and software setup, environmental conditions, and the process for eye-tracking data collection and analysis are illustrated. RESULTS: The study found significant differences in eye-tracking accuracy between the two systems, with Webgazer.js showing higher accuracy compared to Peye Tracker (p<0.001). Additionally, the influence of visual aids (glasses vs. contact lenses) on the performance of eye-tracking systems revealed significant differences for both Peye Tracker (p<0.05) and Webgazer.js (p<0.05). CONCLUSIONS: Low-budget eye-tracking devices present challenges in achieving the desired accuracy for analyzing dentists' visual attention in clinical practice, highlighting the need for continued innovation and improvement in this technology. Key words:Artificial intelligence, Eye-tracking device, low-budget, dentistry.