Department of Reconstructive Dentistry, University Center for Dental Medicine Basel, University of Basel, Basel, Switzerland.
Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
J Dent Res. 2021 May;100(5):448-453. doi: 10.1177/0022034520978774. Epub 2020 Dec 16.
Dentistry is a technically oriented profession, and the health care sector is significantly influenced by the ubiquitous trend of digitalization. Some of these digital developments have the potential to result in disruptive changes for dental practice, while others may turn out to be just a pipedream. This essay focuses on innovations built on artificial intelligence (AI) as the center-technology influencing 1) dental eHealth data management, 2) clinical and technical health care applications, and 3) services and operations. AI systems enable personalized dental medicine workflows by analyzing all eHealth data gathered from an individual patient. Besides dental-specific data, this also includes genomic, proteomic, and metabolomic information and therefore facilitates optimized and personalized treatment strategies and risk management. Based on the power of AI, the triangular frame of "data"/"health care"/"service" is supplemented by technological advancements in the field of social media, Internet of things, augmented and virtual reality, rapid prototyping, and intraoral optical scanning as well as teledentistry. Innovation continues to be critical to tackle dental problems until its routine implementation based on sound scientific evidence. Novel technologies must be viewed critically in relation to the cost-benefit ratio and the ethical implications of a misleading diagnosis or treatment produced by AI algorithms. Highly sensitive eHealth data must be handled responsibly to enable the immense benefits of these technologies to be realized for society. The focus on patient-centered research and the development of personalized dental medicine have the potential to improve individual and public health, as well as clarify the interconnectivity of disease in a more cost-effective way.
牙科是一个技术导向型的专业,医疗保健领域受到数字化无处不在的趋势的显著影响。这些数字化发展中的一些有可能给牙科实践带来颠覆性的变化,而另一些可能只是白日梦。本文重点介绍了以人工智能 (AI) 为中心技术的创新,这些创新影响了 1)牙科电子健康数据管理,2)临床和技术医疗保健应用,以及 3)服务和运营。AI 系统通过分析从个体患者收集的所有电子健康数据,实现个性化的牙科医学工作流程。除了特定于牙科的数据外,这还包括基因组、蛋白质组和代谢组学信息,从而促进优化和个性化的治疗策略和风险管理。基于 AI 的力量,“数据”/“医疗保健”/“服务”的三角框架通过社交媒体、物联网、增强和虚拟现实、快速原型制作和口腔内光学扫描以及远程牙科领域的技术进步得到补充。创新仍然是解决牙科问题的关键,直到基于可靠科学证据的常规实施。必须根据成本效益比和 AI 算法产生的误诊或治疗的道德影响来批判性地看待新技术。必须负责任地处理高度敏感的电子健康数据,以使这些技术为社会带来巨大利益。以患者为中心的研究和个性化牙科医学的发展有可能改善个人和公共健康,并以更具成本效益的方式阐明疾病的相互关联性。