Abstract
The comparison of the effectiveness and fairness between AI-generated and human-designed exam questions in the context of undergraduate dental education is relevant. Therefore, it is of interest to examine the use of AI-generated versus human-designed exam questions in undergraduate dental education. A randomized controlled trial involving 289 students was conducted to compare the effectiveness and fairness of both formats. Results showed no significant difference in overall student performance between the two groups. However, students preferred human-designed questions for their clarity and familiarity. Thus, the role of AI-generated exam questions in undergraduate dental education compared to traditional human-designed questions remains a challenge.