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Generative AI Responses to Patient-Presented Orthodontic Misinformation and Controversial Claims: A Comparative Cross-Sectional Evaluation of Safety, Accuracy, Evidence Concordance, Misinformation Correction, Uncertainty Communication, Transparency, and Actionability

In this exploratory cross-sectional study, 68 investigator-developed, evidence-mapped English prompts, each containing a false, absolute, unsafe, or contested premise, were submitted once in independent single-turn conversations to ChatGPT (GPT-5), Gemini 2.5 Pro, Microsoft Copilot, DeepSeek-V3.2-Exp, and Doubao-Seed-1.6, yielding 340 complete responses that five clinicians independently scored, showing that 307 responses (90.3%) were classified safe and 33 (9.7%) unsafe, with safe-response rates from 85.3% to 94.1% and a non-significant omnibus safety comparison (P = 0.203) that was not interpreted as equivalence, while all six graded outcomes differed across models (all P < 0.